provide support and reassurance cleansing irrigation debridement and antibiotic

Provide support and reassurance cleansing irrigation

This preview shows page 6 out of 6 pages.

provide support and reassurancecleansing, irrigation, debridement and antibiotic administrationmobilize resources for additional supportto promote wound preparation for 3-5 days before primary closuredo not criticize anyone's performanceSecondary Intention - dirty woundsConduct the debriefing with specially trained facilitatorsnot closed and allowed to heal gradually by granulation and re-epithelializationSee table 15-1 for symptoms of Stress in critical incidents - pg 280ulcerations, human bites, full or partial thickness abrasions, puncturesDisaster Managementgrossly contaminated woundsD - detectTriage - utilitarian approach to provide the greatest good to the Older Adults differencesI - Incident commandgreatest numberAging related changes can increase comorbities and modify response to medsS - Scene security and safetyLimited ability to respond to stress of injury - decreased physiological reservesA - Assess hazardsDecreased cerebral blood flowS - Support requiredloss of pulmonary reserveT - Triage and Treatmentloss of pulmonary muscle toneE - Evacuationreduced cough reflexR - Recoveryhypoxia from pre-existing conditionsFamily interventionAtherosclerosisBe truthful, don't give false hope cardiac output and stoke volume decrease with ageIf a death occurs, have another team member go with you to help support familymedications impair myocardial response to shock - may not increase heart ratepreexisting anemiapreexisting malnutrition - decreased peristalsis, and gastric mobilitydecreased fat stores, slowed metabolic rateThis material is copyrighted by EdComp, Inc. Any reproduction or use without impaired ability to concentrate urinewritten consent is prohibited. urine output not best indication of hydration statusloss of ability to buffer acids and bases, reduced glomerular filtration ratemay need to reduce doses of medicationmany take anticoagulants - increasing risk to bleedhave thinner vessel walls as well.
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  • Fall '19
  • Intracranial pressure, Traumatic brain injury, Bradycardia, Flail Chest

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