TNCC 8th edition
The major cause of preventable death after injury - ANSUncontrolled hemorrhage
The best measure of the adequacy of cellular perfusion and helps to predict the outcome of
resuscitation - ANSBase deficit
Examples of primary blast injuries - ANSBlast lung, ruptured tympanic membrane, TBI,
abdominal hemorrhage
Examples of secondary blast injuries - ANSWounds from debris and bomb fragments
Examples of tertiary blast injuries - ANSBlunt or penetrating trauma from the body being
thrown by the blast
Examples of quaternary blast injuries - ANSInjuries or illness related to explosion: burns,
toxic injury from chemicals
Examples of quinary blast injuries - ANSInjuries associated with exposure to hazardous
materials from the components of the blast
Questions to ask for airway assessment (need 4) - ANSIs the tongue obstructing?
Are there any foreign objects?
Is there any edema?
Are there loose or missing teeth?
Is there snoring, gurgling, or stridor?
Is there bony deformity?
Is there blood, vomit, or secretions?
Questions to ask during breathing assessment. (Need 4) - ANSIs there symmetrical chest
rise?
Is there spontaneous breathing?
Is there tracheal deviation or JVD?
What is their skin color?
Are there open wounds or deformities in the chest?
What's the depth, pattern, and rate of respirations?
Is there increased work of breathing?
Are breath sounds present and equal?
3 ways to assess ETT placement - ANS1. Apply end tidal, assess CO2 after 5-6 breaths
2. Assess for symmetrical chest wall rise and fall
3. Auscultation over the epigastrium for gurgling and bilateral breath sounds.
What do you document after placing an ETT? - ANSETT placement at teeth or gums
Situations that require a definitive airway - ANSGCS 8 or less
Apnea
Inhalation injury
The major cause of preventable death after injury - ANSUncontrolled hemorrhage
The best measure of the adequacy of cellular perfusion and helps to predict the outcome of
resuscitation - ANSBase deficit
Examples of primary blast injuries - ANSBlast lung, ruptured tympanic membrane, TBI,
abdominal hemorrhage
Examples of secondary blast injuries - ANSWounds from debris and bomb fragments
Examples of tertiary blast injuries - ANSBlunt or penetrating trauma from the body being
thrown by the blast
Examples of quaternary blast injuries - ANSInjuries or illness related to explosion: burns,
toxic injury from chemicals
Examples of quinary blast injuries - ANSInjuries associated with exposure to hazardous
materials from the components of the blast
Questions to ask for airway assessment (need 4) - ANSIs the tongue obstructing?
Are there any foreign objects?
Is there any edema?
Are there loose or missing teeth?
Is there snoring, gurgling, or stridor?
Is there bony deformity?
Is there blood, vomit, or secretions?
Questions to ask during breathing assessment. (Need 4) - ANSIs there symmetrical chest
rise?
Is there spontaneous breathing?
Is there tracheal deviation or JVD?
What is their skin color?
Are there open wounds or deformities in the chest?
What's the depth, pattern, and rate of respirations?
Is there increased work of breathing?
Are breath sounds present and equal?
3 ways to assess ETT placement - ANS1. Apply end tidal, assess CO2 after 5-6 breaths
2. Assess for symmetrical chest wall rise and fall
3. Auscultation over the epigastrium for gurgling and bilateral breath sounds.
What do you document after placing an ETT? - ANSETT placement at teeth or gums
Situations that require a definitive airway - ANSGCS 8 or less
Apnea
Inhalation injury
