What is the order of the xABCDE primary survey?
Use xABCDE: control immediately life-threatening external hemorrhage, then assess airway with cervical-spine protection, breathing, circulation, disability, and exposure with temperature control.
Study 7 Integrated Trauma Nursing Priorities with 12 free online flashcards. Review key terms, definitions, and concepts with this interactive flashcard deck.
What is the order of the xABCDE primary survey?
Use xABCDE: control immediately life-threatening external hemorrhage, then assess airway with cervical-spine protection, breathing, circulation, disability, and exposure with temperature control.
How should teams act on threats found during the primary survey?
Treat threats as they are found; assessment and interventions may occur simultaneously. Follow local protocols and scope of practice.
What is the immediate response to a spurting external wound?
Apply firm direct pressure to the wound and summon trauma-team support.
What may be used for severe extremity bleeding?
For severe extremity bleeding, use wound packing or a tourniquet when indicated and trained to do so, following local protocols.
How should a threatened airway be managed when spinal injury is possible?
Maintain cervical-spine motion restriction while rapidly addressing airway patency; suction as needed and activate the airway response.
What findings after blunt abdominal trauma suggest possible hemorrhagic shock?
Pallor, restlessness, falling blood pressure, rising heart rate, and abdominal tenderness may indicate internal hemorrhage and shock. Escalate immediately and support resuscitation.
Should CT delay urgent intervention for suspected bleeding in an unstable patient?
In an unstable patient, CT must not delay urgent definitive intervention for suspected bleeding.
Which changes after head trauma require immediate escalation?
Increasing drowsiness, repeated vomiting, or a newly unequal pupil after head trauma are danger signs. Escalate immediately and reassess airway and vital functions.
What is the priority response to neck pain and hand tingling after a collision?
Minimize spinal movement, maintain appropriate spinal precautions, and promptly report the symptoms for urgent assessment.
What does respiratory distress with one-sided reduced breath sounds and worsening hypotension demand?
Severe respiratory distress, markedly reduced breath sounds on one side, and worsening hypotension may signal a life-threatening chest injury, including tension pneumothorax. Escalate immediately.
What should happen if a patient becomes confused and tachycardic during the secondary survey?
Stop the secondary survey and repeat the primary survey, treating any newly identified threat as a priority.
When should the primary survey be repeated?
Repeat the primary survey after a change in the patient’s condition.
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