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EmergentResults of Physical Assessment

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Demographic Profile

BMI = 30 15

environment

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Chief Complaint

Level of

Consciousness lethargic to

unconscious conscious but not

alert

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Chief Complaint

time of arrival

more than 10

minutes

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Chief Complaint

referred pain

head+neck+eyes

chest + left arm flank and genital

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General Appearance

Asymmetry with

massive bleeding

size 12 inches4 pads / 10 gauze

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General Appearance

external

manipulation

impalement injury massive bleeding

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Emergent assessment for interview

Two of the

following selections

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Inspection region one

color

retinal color gray detachment = red

massive bleeding conjunctiva = pale

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Inspection region one

pupils

4m nonREACTIV

ANISOCORIC headache = O.P.

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Inspection region one

obstruction absence of gag reflex= aspiration precaution

central hearing loss

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Inspection region one

tumor

lymph nodes

neck region

orbital region

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Inspection region one

temperature

39 centigrade

- blushing cheeks- sunken eyes

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Inspection region two

color of skin =

blue or black

edematous grade 4

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Inspection region two

chest costal

barrel chest

pigeon breast flail retracting

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Inspection region two

nipple line

deviating to lateral

pustular secretion swelling or tumor

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Inspection region two

rib count - 12

Cspine fracture

genital = urineoutput per hour

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Inspection region two

site of injection GLUTEUS

rectus abdominis pectoralis

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Inspection region two

range of motion FRACTURE

spinal cord injury brain injury

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Inspection region two

respiration

rate = 30 = 30kgs rate = 50 = 15kgs

rhythm = kaussmal

dynamic = abdomen

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Inspection region two

chest wall

no diaphragmrelaxation uponexpiration

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Inspection region two

precordium =

dynamic

pain score 7

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Inspection region three

color = blue

nails =CRT 4s

fissures = cutor indentations

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Inspection region three

turgor

edematous

retracting atrophy

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Inspection region three

sensation

absence

tingling numbness

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Inspection region three

site of injection deltoid muscle

vastus lateralis rectus femoris

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Inspection region three

range of motion

spinal cord injury

brain injury internal fracture

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Inspection region three

temperature

febrile to touch

38 0 centigrade

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Inspection region three

pain score = 7

hyper algesia

hypo algesia

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Inspection region three

capillary refill= 4

capillary blood

glucose 60 mg/dl or 100

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Inspection region three

deep tendon

reflex patellar

brachial

posterior tibial

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Emergent assessmentinspection

1. 10 of the selections

2. No nasal breathingepisodes

3. GCS = 3 + no verbaloutput

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Percussion

pectorals

pain score 8-9

posterior chest dull resonating

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Percussion

abdominal umbilical +

traubes space both tympanitic

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Emergent assessmentpercussion

3 of the criterias

every sound aretympanitic in effect

no breath sounds

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Palpation region one

joints = lock jaw

+ crepitations on

the neck region no carotid pulse

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Palpation region two

crepitations

anterior chest

posterior chest emphysema

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Palpation region three

lymph nodes

engorged

no peripheral

pulse

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Emergent assessmentpalpation

3 criterias present

no peripheral pulse

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Auscultation

blood pressure

15 kgs = 120 sbp

110/40 to 180/110 palpatory systolic

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Auscultation

blood pressure

30 kgs

150/90 to 200/110

palpatory systolic

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Auscultation

normal pulse

pressure

40 65

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Auscultation

heart sound

closure of S4 is

very loud heaves + thrills

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Auscultation

bronchial sound

wheezing

rales / ronchi stridor

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Auscultation

bowel sound

less than 19

per minute more than 50

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Emergent assessmentauscultate

all of the above

3 of the above

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Circulation

FiO2 = 80%

resp acidosis conduction system

Pulseless ventricular tachycardia

Asystole

Ventricular fibrillation

PVC or PAC

Supraventricular tachycardia

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Serum Osmolarity

2 x Na + K + BUN/2.8 + DXT/18

Compute for the serum osmolarity = 270 mmOsm

290 mmOsm

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Total score

10 + 3 + 3 + 3 + FiO2

+ ABG + ECG +serum

Total = 22 25criterias present

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Prevention isbetter than

cure

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Terima

Kasih