quick assessment tests (things you can do fast like a PCV/total solids/blood gas)
it's A way to “sort” patients--> Classify based on urgency and need for care
explain the "tier system" for triage
a way to sort pts for triage- there are levels 1-5 and you rank pts based on their tier.
what do tiers 1-5 mean for the tier system? (put exs but dont think we need to memorize them exactly)
level 1 is most urgent- it is the "IMMEDIATE" tier (exs: cardiopulmonary arrest, massive hemorrhage, major trauma, GDV, severe dyspnea, status epilepticus). Tier 2 is emergent (exs are acute abdominal pain, heat exhaustion, severe pain, acute onset of paresis). Tier 3 is urgent (exs are abdominal pain, back pain, paresis, large lacerations, cellulitis, abscess). Tier 4 is semi-urgent and Tier 5 is non-urgent (such as Ear infection, skin rash, general malaise)
what is the Animal Trauma Triage (ATT) scoring system, explain it a little bit
1st veterinary triage system. helps ID those in need of immediate treatment. Six PE categories scored 0-3, where 0 is slight to no injury and 3 is severe injury
who triages the pt?
RECEPTIONIST--> first line of communication, first to see pt. TECH/NURSE--> does 1st physical assessment, brief hx (DONT DELAY ASSESSMENT FOR HX), obtains consent to tx, may obtain code status
slide 12 has "Questions…if & when there’s time"...not too important i dont think but can read it over
SIGNALMENT IS IMPORTANT! (examples of why signalment is important)
Tympanic abdomen in a large breed dog, Intact female with fever and vulva discharge, Young puppy with diarrhea and vomiting, Pregnant dog with non-progressive labor signs, Rabbit with abdominal pain (can get bloat), Male cat straining to urinate
during the Triage exam, what 4 major body systems are assessed? (how/ looking at what specifically?)
Determine patency first! (intubate if any doubts!)
A= Airway--> always Consider early aggressive O2 supplementation. BUT, when is the only time you don't wanna give O2?
A= Airway--> what are some ways you can provide O2? how can you provide PPV(positive pressure ventilation)? if any doubts, do what, and if nothing else is working, do what?
you can do flow by or cage (*WATCH TEMP OF CAGE!), and if PPV is needed, you can give Ambu-bag or anesthesia cart. If there are any doubts, INTUBATE! If you cannot intubate, Consider emergency tracheotomy
B= breathing--> what three parameters should you look at when assessing breathing?
Rate, effort, and ascultation
B= breathing--> what things are you looking at for RATE? (normal? too fast/slow? absent?)
normal is 10-25 respirations per minute. Tachypnea: increased respiratory rate. Slow, prolonged breathing (bradycardia), APNEA is a RATE....of 0.
B= breathing--> what is Paradoxical respiration, and what does it usually indicate?
it is when chest wall and abdominal wall do not move synchronously usually due to trauma---> If one part of ribcage is moving opposite of breathing--> broken rib (flail breathing)
B= breathing--> if breathing is labored, what should you try to differentiate?
if it is labored for inspiration, expiration, both?
B= breathing--> what is Orthopnea and how would you describe it?
how body is positioned when struggling to breathe. Stands, abduct elbows, abdomen moves, Extends neck, open mouth, head lifted
B= breathing--> when asculting, what should you try to listen for?
Crackles, wheezes, can you hear sounds at all?
C= circulation--> what 5 things should you assess/ do for C?
look at Mucous membrane color, Capillary refill time (CRT), find/charaterize pulse, determine if there is shock, and Obtain vascular access
C= circulation--> what should pulse be consistent with?
Should be consistent with normal heart rate for canine and feline patients
C= circulation--> pulse--> QUALITY. describe a normal, weak, and hyperdynamic pulse quality and what they might mean
Normal- Strong and synchronous with heart rate. Weak: indicates poor perfusion. Hyperdynamic: anemia or sirs/sepsis (this one could mean it is Crisp/snappy (tall and thin), or Bounding (tall and wide))
C= circulation-->Shock occurs due to decreases in: (4)
(1) Effective circulating blood volume (2) Oxygen carrying capacity (3) Ability to pump blood effectively (4) Vascular tone
C= circulation-->Shock--> what should you assess if you have a pt in shock?