Trauma nurisng

[Kristi Lee]

Name six things you do as an ER nurse to prepare for an incoming trauma?

"What are the duties of the people from various departments that are called in during a trauma code?

Client coming in suffering from multiple gunshot wounds to the abdomen. HIs abdomen has become distended and rigid. X-ray shows air below the diaphragm, What are the possible reasons for the ab distension, rigidity, and air in the ab cavity and possible treatments?

Thank you for your help in advance

[Daytonite, BSN, RN]

your question, "name six things you do as an er nurse to prepare for an incoming trauma?" sounds like something that might have come from a lecture. the duties of the people responding to a trauma directly related to their job descriptions. here are some links i have on trauma. the first is an interactive teaching site. the last is critical care models for medical students. i'm sure that if you read these links over carefully you will find the answers to your questions.

http://www.trauma.org/resus/moulage/moulage.html - from trauma.org this is a fun interactive site of patient scenarios where you get to test your trauma treatment skills! your adventure begins with this: "a call breaks the quiet of the early morning trauma room. the on scene paramedics inform you that they are with a 26 year old male who was the restrained driver (no airbag) of a saloon car that had an argument (at 50mph / 80kph) with a telegraph pole and lost. the driver has been trapped in the car for around 30 minutes but is now free and has an open leg wound that is bleeding copiously and he is somewhat aggressive (glasgow coma score 14 - e4v4m6. they will be with you in ten minutes." from thereon you are presented with choices of actions to take. as i deliberated chose the wrong actions i laughed and laughed at the responses that came up on the screen. talk about learning priorities . . .

http://enw.org/can'tbreathe.htm (part 1)

http://enw.org/can'tbreatheii.htm (part 2) - "i can't breathe!" 38 respiratory problems in the er. the links are for part 1 and part 2 of this very educational article. scenarios with focus on the problem solving of respiratory problems. each case will tell you what is going on, what needs to be done for the patient immediately and why. (emergency nursing)

http://enw.org/airwaycommandments.htm - the 10 commandments of airway management

http://enw.org/airwayhell.htm - difficult airway management: action-plan for airway problems from hell! more for emergency situations, but good to know what you need to have ready if you're not the one doing the intubating!

http://www.ccmtutorials.com/ - critical care medicine tutorials for medical students. some of the information here is very scholarly. topics include introduction to critical care, problem orientated approach, respiratory failure, shock, renal failure and sepsis. there is a great deal of information at this site. you have to surf around, especially using the links to see what is there if you don't want to read what is on the entire site. these are links into overviews of some of the topics that might interest you. there is much more specific information on these topics at this site.

http://www.ccmtutorials.com/intro/overview/page_05.htm - acid base balance in critical care medicine, a 32 page document

http://www.ccmtutorials.com/intro/overview/page_04.htm - respiratory failure

http://www.ccmtutorials.com/intro/overview/page_03.htm - sepsis

http://www.ccmtutorials.com/intro/overview/page_02.htm - hemodynamics (shock and hypotension)

[Gabie Baby]

notify appropriate personnel

get room ready (lights on, supplies handy)

have necessary gowns, gloves, masks

pray

pee if time and need to

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