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H476 Modules 9, 10, 11, and 12
R.I.C.E. (Treating Soft Tissue Injury)
Rest
Ice
Compression
Elevation
1 min
Hip Fracture
Assessment
External Rotation
Muscle Spasms
Shortened Leg
Pain
Interventions
Buck's Traction
Analgesics
Surgery
Considerations
Avascular Necrosis
1 min
Compartment Syndrome Assessment
Mechanism
Trauma
Increased Pressure
Compressed Nerves and Blood Vessels
Assessment
1 or more of 6 P's
Ankle-Brachial Index (ABI)
Considerations
May take Days to develop
Early Detection
Ischemia
Damage often Irreversible
2 mins
Compartment Syndrome Interventions
Interventions
Frequent Neurovascular Assessments
Evaluate Pain
Do Not Elevate Extremity
Remove or Loosen Restrictive Items
Fasciotomy
Amputation
Considerations
Infection
Monitor Urine Output
2 mins
Pneumothorax
Mechanism
Air Enters Pleural Space
Assessment
Sudden Dyspnea
Absent or Restricted Movement on Affected Side
Decreased or Absent Breath Sounds on Affected Side
Chest Pain
Tracheal Deviation
Vital Sign Changes
Crepitus
Considerations
High Fowler's Position With Oxygen
Prepare For Chest Tube Placement
Educate High Risk Patients
2 mins
Flail Chest
Cause/Mechanism
Trauma
Assessment
Shallow Respirations
Chest Pain
Paradoxical Chest Movement
Interventions
Mechanical Ventilation
Analgesics
Intercostal Nerve Blocks
Considerations
Surgical Rib Fixation
Monitor Pulmonary Contusion
2 mins
Chest Tubes: Management and Care
Confirm suction order
Assessment
Crepitus
Kinking
Shortness of Breath (SOB)
Infection
Excessive bubbling
Quick Interventions
If tube dislodges from patient, use petroleum gauze taped 3 ways
If drainage system is damaged, place disconnected drainage tube in sterile water
Sport Concussion Assessment Tool 5th Edition (SCAT5)
Diagnostic Imaging
Treatment
Physical and Cognitive Rest
Monitored Exercise
Vestibular Rehabilitation
Considerations
Second Impact Syndrome
4 mins
Mannitol (Osmitrol)
Mechanism
Osmotic Diuresis
Indications
Reducing Intracranial Pressure
Reducing Intraocular Pressure
Renal Failure Prophylaxis
Side Effects
Edema
Fluid and Electrolyte Imbalance
Considerations
Avoid Use in Cardiac Patients
IV Administration
2 mins
Spina Bifida Assessment
Cause
Congenital Malformation of Vertebrae
Assessment
Dimple With or Without Hair Tuft
Lumbar Sac
Hydrocephalus
Paralysis
Considerations
Identify Type
2 mins
Spina Bifida Interventions
Surgery
Prone Position
Cover Sac with Moist (Sterile) Dressing
Measure Head Circumference
Bulging Fontanel
Considerations
Other Congenital Malformations Common
Bowel Control
Neurogenic Bladder
2 mins
Spinal Cord Injuries
Complications
Spinal Shock
Respiratory Complications
Autonomic Dysreflexia (Hyperreflexia)
Orthostatic Hypotension
Deep Vein Thrombosis
Thermal Regulation
Circulatory Problems
Spasticity
Dermal Complications
Genitourinary Complications
Spinal Cord Injury Syndromes
Anterior Cord Syndrome
Central Cord Syndrome
Brown-Sequard’s Syndrome
Conus Medullaris Syndrome
Cauda Equina Syndrome
4 mins
American Spinal Injury Association (ASIA) Impairment Scale
ASIA Impairments Scale (AIS)
ASIA A
Complete
ASIA B
Sensory Incomplete
ASIA C
Motor Incomplete
ASIA D
Motor Incomplete
ASIA E
Normal
2 mins
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