A young male patient is self-extricated after hitting a telephone pole and rolling his car several times at a high rate of speed. He is spitting blood and has a large area of tenderness and instability to the left side of his chest. On scene you did not observe any paradoxical motion of the chest wall. The patient remains alert and oriented with stable vital signs, but continually complains of painful breathing. During transport, what is it essential that you do?
A) Reassess for paradoxical motion of the chest wall
B) Apply bulky dressings to the area of chest injury
C) Start positive pressure ventilation with supplemental oxygen
D) Place a nonporous dressing and ice packs to the injured area
Question 2
The rule of nines is a tool used to:
A) gather a thorough and detailed medical history.
B) estimate the total body surface area affected by burns.
C) determine the likelihood of death from hypovolemic shock.
D) calculate the total amount of blood lost from trauma.
Example of problem focused patient
All messages must be documented and placed in the patient's chart.
Calipers being used to measure body fat on the triceps of a patient.
Risk assessment codes for an HIV-infected patient.