Documentation by GucciHatesOpps hehe#2368 Examine Patient Please note that the order of certain treatments is the order in which you should attempt them, if you do not have a specific treatment method, move on to the next, after each treatment you should always check to see the effects it has produced. For example, a collapsed airway, you may not need to do a Head Tilt if you have a King LT, and it worked. Is the airway clear? (Check Breathing) Collapsed TEAM COMPOSITION Obstructed Documentation by GucciHatesOpps hehe#2368 The surgeon is the leader of any major trauma operation conducted by a surgical team. They need to be able to calmly assess the situation and provide detailed, accurate, and timely instructions to the other members of their surgical team. Accuvac If Cleared Surgeon King LT/Laryngeal Airway The surgeon specializes in operating on critical and surgical wounds, however should also be knowledgeable about immediate care for GSW's, effects of intravenous and autoinjector drugs, methods of patient stabilization and maintenance, and other concepts relevant to treatment of casualties. King LT/Laryngeal Airway Note: There is a delay between the King LT's insertion and its effect If Cleared Documentation by GucciHatesOpps hehe#2368 Guedel/oropharyngeal tube If Cleared The surgical technician is the assistant to the surgeon in a surgical team. They need to be able to quickly follow the instructions of their surgeon, understand how to conduct both procedures, as well as maintain awareness of the patient's status in the absence of other team members. If Cleared Head Tilt Clear Chin Lift Surgical Technician The surgical technician is capable of assisting a surgeon in conducting the surgery and critical treatments via suctioning and clamping, as well as stepping in to take the role of the surgeon if needed. If Cleared Insert ET Tube The anesthesiologist is responsible for the administration of intravenous fluids and medications, as well as monitoring their effects on the patient's vitals to advise the surgeon and other team members on further course of action. Preoxygenate with BVM or NRB Anesthesiologist The anesthesiologist is capable of working mostly independently to stabilize a patient's vitals, but also is capable of coordinating with the surgeon to initiate surgery. Attach O2 Documentation by GucciHatesOpps hehe#2368 Documentation by GucciHatesOpps hehe#2368 The emergency physician is specialized in advanced cardiac life support and life saving, being responsible for coordinating with the anesthesiologist and other team members to ensure that the patient does not enter cardiac arrest and that the patient's heart rate remains within a stable range. Check Pulse Emergency Physician Below 20 Higher than 90 Above 200 Lower than 65 Inject Adenosine for around -20 The emergency physician is capable of advanced lifesaving techniques including the utilization of chest compressions and the defibrillator to restart a pulse, the drugs and time to effect of drugs that influence heart rate, and holding an extreme familiarity with the conditions that can cause cardiac arrest. Inject Atropine for around +20 CARDIAC ARREST The respiratory therapist is specialized in advanced airway and respiratory care, being responsible for securing and clearing a patient's airways, as well as maintaining their breathing and oxygenation. Inject Morphine for around -35 Inject Epinephrine for around +50 Respiratory Therapist Start Compressions IV Meds Documentation by GucciHatesOpps hehe#2368 Intubate (ET Tube) Auto injectors Documentation by GucciHatesOpps hehe#2368 Normal (around 7080) The respiratory therapist is capable of clearing obstructed airways, supporting collapsed airways, administering O2, inducing a state of preoxygenation, examining breathing and facial trauma, and holding an extreme familiarity with the treatment times of each airway and respiratory tool. The critical care nurse is not particularly specialized in any fields, however is responsible for choosing the correct types of bandages for different types of wounds, as well as working with all other members of the surgical team to provide assistance to increase efficiency whenever possible. Defibrillating Pads The critical care nurse is capable of quickly identifying wounds and their most effective treatments, setting fractures, applying chest seals, holding a familiarity of the effects of all autoinjector fluids, attaching IVs, keeping track of drug administration times, applying chest compressions, inserting basic airways, monitoring patient vitals efficiently, and holding an extreme familiarity with all types of bandages. Critical Care Nurse Defib Check Blood Pressure Above 260/# Above 120/80 Below 90/60 Inject Adenosine for around -24/-12 CARDIAC ARREST Inject Epinephrine for around +20/+10 Start Compressions Documentation by GucciHatesOpps hehe#2368 Intubate (ET Tube) Normal around 100/70 Defibrillating Pads Defib Documentation by GucciHatesOpps hehe#2368 Is the patient wounded? (ignoring surgerical) Scrape Avulsion Bruise Crush Cut Tear Velocity Puncture Elastic QuikClot Elastic Elastic Elastic Elastic Packing Elastic Field Packing Field QuikClot QuikClot Field Elastic QuikClot QuikClot Field QuikClot QuikClot Field QuikClot Documentation by GucciHatesOpps hehe#2368 Packing Documentation by GucciHatesOpps hehe#2368 Packing No Documentation by GucciHatesOpps hehe#2368 is Patient in pain Yes Yes High Pain Low pain Apply Morphine for around -125 pain Paracetamol No Wait at least 5 minutes Transexamic Acid can be used to slow bleeding down in surgical patients Is Patient Surgical Abdominal Bleed Documentation by GucciHatesOpps hehe#2368 Arterial Bleed Hemothorax /Pneumothorax Tension Ensure patient is uncon and on O2 Ensure patient is uncon and on O2 Heart Damage /Pericardial Tamponade Local Anesthesia Local Anesthesia Make Incision (12 blade) Make Incision (12 blade) Ensure patient is uncon and on O2 Make Incision (11 blade) Needle Decompression Have assistant Suction Have assistant Suction Inject Rocuronium IV Forceps Wait 8 seconds With suction, insert a catheter Clamp Make Incision (10 blade) Documentation by GucciHatesOpps hehe#2368 Prep Tube Press Chest Tube Balloon 5-0 Prolene Place balloon catheter Clamp Tube 6-0 Prolene Have assistant Suction Place drain catheter Insert Tube Press Chest Tube Remove Balloon and Catheter With suction, insert a catheter Wait 6-12 seconds for clear Attach Suction (Optional /Recommended) 4-0 Nylon Insert Ballon Clean up Secure with 2/0 Silk 6-0 Prolene 2-0 Prolene Pack Incision Remove Balloon and Catheter Staple Organ works but doesn't hold for ever Documentation by GucciHatesOpps hehe#2368 Documentation by GucciHatesOpps hehe#2368 Place guaze 4-0 Nylon Apply Tape Wait 2-4 minutes Documentation by GucciHatesOpps hehe#2368 Clean up Documentation by GucciHatesOpps hehe#2368 Blood Loss Class I Class II Class III Class IV Class V Class VI All Good 900 mL of blood missing 1.8 L of blood missing 2.4 L of missing blood 3 L of missing blood More than 3 L of missing blood Documentation by GucciHatesOpps hehe#2368 Give them blood Does the patient have any fractures No Yes Apply splint and wait 25 seconds Documentation by GucciHatesOpps hehe#2368 Done AED Setup Documentation by GucciHatesOpps hehe#2368 Apply Zoll-X AED ECG Lead to measure pulse Pulse Oximeter to measure SpO2 Sphygmoanometer to measure blood pressure End-Tidal CO2 Sensor to measure EtCO2 Heart rate section Above 90/95% = good Blood pressure section Around 35% = good
