Among individuals under the age of 45, traumatic injury is the leading cause of death worldwide (Bach et al., 2017). Trauma patient care requires a systematic approach to rapidly identify and intervene when a patient presents with life-threatening injuries. This approach allows the trauma nurse to follow a pre-defined algorithm to reduce patient harm and improve outcomes. The goal of the primary survey is to rapidly assess the patient and treat life-threatening injuries (Planas et al., 2021). The secondary survey is designed to obtain a thorough history, manage pain, complete a full assessment to identify other injuries, and obtain other diagnostic studies (Parker & Magnusson, 2016).
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Primary Assessment
Overview
Airway
Breathing
Circulation
Nursing Interventions
Disability
Environment/Exposure
Adjuncts to the Primary Survey
Section 3: Secondary Survey
Overview
History and Comprehensive Assessment
Inspection of the Posterior
Just Keep Reevaluating
Additional Interventions or Imaging
Section 4: Special Populations
Patients with Obesity
The Older Adult Trauma Patient
The Pregnant Trauma Patient
The Pediatric Trauma Patient
Section 5: Clinical Vignette
Case Study: Michael Anderson
Section 6: Conclusion
Course Summary
Course Contributors
References
Mrs. Matson is the manager of trauma services and EMS at a large academic level 1 trauma center. She has her masters of nursing in leadership, trauma nurse specialist (TNS) license, is a TNS instructor, Trauma Nurse Core Course instructor, Emergency Pediatric Nursing Course instructor, is a certified emergency nurse, and is licensed prehospital nurse. Mrs. Matson is responsible for the overall quality and execution of care of the trauma program in conjunction with the trauma medical director. She is also responsible for the quality metrics, execution of education, and state required mandates for a large EMS system that stretches through several counties. Disclosure: Julie Matson, MSN, RN, NEA-BC, TNS, CEN has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.Staff Writer: Kimberly Workman, MA
Ms. Workman is an Instructional Designer at Relias. She has a Master of Arts in Technology and Communication, as well as graduate certificates in Public Health, Epidemiology, and Digital Communications. Ms. Workman has a background in writing and designing online continuing medical education for physicians and other health professionals on multiple educational platforms, including web-based, game-based, and immersive learning environments. She has also used simulation training extensively to connect learning to real-world environments. Disclosure: Kimberly Workman, MA discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.
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