ESI triage levels, ABCDE assessment, trauma, cardiac and neurologic emergencies and ED nursing priorities.
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- What ESI triage level is assigned to a patient who requires an immediate life-saving intervention?
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ESI Level 1
- What ESI triage level describes a high-risk situation or a patient who is confused, lethargic, or disoriented?
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ESI Level 2
- What ESI triage level applies to a stable patient expected to need two or more resources?
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ESI Level 3
- What ESI triage level applies to a patient expected to need only one resource?
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ESI Level 4
- What ESI triage level applies to a patient expected to need no resources at all?
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ESI Level 5
- Besides how sick a patient looks, what second factor does the ESI algorithm use to assign a triage level?
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The predicted number of resources the patient will need
- Give an example of a patient who is automatically ESI Level 1.
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A patient in cardiac arrest, or apneic and unresponsive
- When a triage nurse is uncertain between two ESI levels, which level should be chosen?
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The higher acuity (more urgent) level
- In the ABCDE primary survey, what does the "A" stand for?
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Airway, with cervical spine protection
- In the ABCDE primary survey, what does the "B" stand for?
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Breathing
- In the ABCDE primary survey, what does the "C" stand for?
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Circulation, with hemorrhage control
- In the ABCDE primary survey, what does the "D" stand for?
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Disability, meaning neurologic status
- In the ABCDE primary survey, what does the "E" stand for?
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Exposure, fully undressing the patient while preventing hypothermia
- What is the main purpose of the primary survey in trauma assessment?
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To rapidly identify and treat immediate threats to life
- Which airway maneuver is preferred over a head tilt-chin lift when cervical spine injury is suspected?
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The jaw thrust maneuver