NSG 213 Adult & Peds Emergencies
1. requires immediate attention: emergency care
2. what is the leading cause of death for 1-44 y/o?: injury and violence
3. in terms of priorities of prehospital care such as EMS care before the hospital, what does ABCDE stand
for?: airway, breathing, circulation, disability, exopsure/environment
4. Sorting of patients based on their need for treatment and resources avail- able (use Emergency Severity
Index, ESI): triage
5. what is the name of the triage that EMS workers do before arriving to the hospital on the pt?: field triage
6. how many levels are there for triage in the ED?: 5
7. - immediate life threatening level
- triage level in ED: level 1
8. full arrest, code, agonal breathing: level 1
9. emergency; could become life threatening: level 2
10.stroke, AMI, rhythm change that they are not compensating for (something impending happening that can
become life threatening - bleed, but alert and oriented currently): level 2
11.urgent; not life threatening: level 3
12.- BP is off, as long as not super hypotensive
- fever, cough, abdominal pain
- compensating
- sepsis, potentially heart failure (as long as BP/pulse are okay and this is expected): level 3
13.semi urgent, not life threatening: level 4
14.only needing 1 resource, laceration needing suture, broken bone needing xray and splinting: level 4
15.non urgent, needs treatment when time permits: level 5
16.need no resources, dental pain/homeless looking for resources: level 5
17.what are the 3 things that make up the primary survey in the ED?: identify life threatening
conditions/institution, ABCDE, GCS
, NSG 213 Adult & Peds Emergencies
18.in terms of scoring the GCS or glasgow coma scale what are the ranges of scores?: 3/worst-15/best
19. what does the mnemonic AVPU stand for in terms of primary survey?: alert, responsive to voice,
responsive to pain, unresponsive
20.Focused Assessment with Sonography for Trauma (FAST) Insertion of Foley catheter
Insertion of gastric tube
Initial surgical stabilization (damage control surgery): secondary survey ED
, NSG 213 Adult & Peds Emergencies
21.trying to really figure out what is going on, stabilizing pt and considering Hs and Ts: secondary survey ED
22.- hypovolemia
- hypoxia
- hydrogein ion accumulation-acidosis
- hyperkalemia or hypokalemia
- hypothermia: 5 Hs
23.- toxins
- tamponade
- tension pneumothorax
- thrombosis coronary
- thrombosis pulmonary: 5 Ts
24.when is it okay to do a jaw thrust when opening an airway?: non trauma injury
25.what would a needle thoracostomy treat?: pneumothorax
26.if the nurse has to use an ambulation bag, how often will the nurse do breaths?: every 3-5 secs
27.Transference of energy from an external force to the body of the patient: -
blunt trauma mechanism of injury
28.- acceleration-deceleration
- isolated deceleration
- compression
- shearing: blunt trauma
29.what are the 5 blunt pulmonary injuries?: rib fractures, pneumothorax, hemo- thorax, pulmonary contusion,
diaphragmatic rupture
30.what are the 3 blunt abdominal trauma mechanisms of injury?: compres- sion, shearing, pelvic fractures
31.what specific body system does the nurse know to assess if the pt has a pelvic fracture?: urinary
1. requires immediate attention: emergency care
2. what is the leading cause of death for 1-44 y/o?: injury and violence
3. in terms of priorities of prehospital care such as EMS care before the hospital, what does ABCDE stand
for?: airway, breathing, circulation, disability, exopsure/environment
4. Sorting of patients based on their need for treatment and resources avail- able (use Emergency Severity
Index, ESI): triage
5. what is the name of the triage that EMS workers do before arriving to the hospital on the pt?: field triage
6. how many levels are there for triage in the ED?: 5
7. - immediate life threatening level
- triage level in ED: level 1
8. full arrest, code, agonal breathing: level 1
9. emergency; could become life threatening: level 2
10.stroke, AMI, rhythm change that they are not compensating for (something impending happening that can
become life threatening - bleed, but alert and oriented currently): level 2
11.urgent; not life threatening: level 3
12.- BP is off, as long as not super hypotensive
- fever, cough, abdominal pain
- compensating
- sepsis, potentially heart failure (as long as BP/pulse are okay and this is expected): level 3
13.semi urgent, not life threatening: level 4
14.only needing 1 resource, laceration needing suture, broken bone needing xray and splinting: level 4
15.non urgent, needs treatment when time permits: level 5
16.need no resources, dental pain/homeless looking for resources: level 5
17.what are the 3 things that make up the primary survey in the ED?: identify life threatening
conditions/institution, ABCDE, GCS
, NSG 213 Adult & Peds Emergencies
18.in terms of scoring the GCS or glasgow coma scale what are the ranges of scores?: 3/worst-15/best
19. what does the mnemonic AVPU stand for in terms of primary survey?: alert, responsive to voice,
responsive to pain, unresponsive
20.Focused Assessment with Sonography for Trauma (FAST) Insertion of Foley catheter
Insertion of gastric tube
Initial surgical stabilization (damage control surgery): secondary survey ED
, NSG 213 Adult & Peds Emergencies
21.trying to really figure out what is going on, stabilizing pt and considering Hs and Ts: secondary survey ED
22.- hypovolemia
- hypoxia
- hydrogein ion accumulation-acidosis
- hyperkalemia or hypokalemia
- hypothermia: 5 Hs
23.- toxins
- tamponade
- tension pneumothorax
- thrombosis coronary
- thrombosis pulmonary: 5 Ts
24.when is it okay to do a jaw thrust when opening an airway?: non trauma injury
25.what would a needle thoracostomy treat?: pneumothorax
26.if the nurse has to use an ambulation bag, how often will the nurse do breaths?: every 3-5 secs
27.Transference of energy from an external force to the body of the patient: -
blunt trauma mechanism of injury
28.- acceleration-deceleration
- isolated deceleration
- compression
- shearing: blunt trauma
29.what are the 5 blunt pulmonary injuries?: rib fractures, pneumothorax, hemo- thorax, pulmonary contusion,
diaphragmatic rupture
30.what are the 3 blunt abdominal trauma mechanisms of injury?: compres- sion, shearing, pelvic fractures
31.what specific body system does the nurse know to assess if the pt has a pelvic fracture?: urinary
