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Your child has received a treatment that can affect blood flow (circulation) in the injured arm or leg. You will need to check the circulation in your child’s fingers or toes. This is to prevent injury to the nerves and other tissues that could be caused by swelling. Some pain is normal after an injury or broken bone. The pain should not be worsening, severe or difficult to control. Pain should be manageable with over-the-counter pain relievers, such as ibuprofen or acetaminophen, or prescription pain medicines. Pain that is worsening, severe and not controlled could be a sign of poor circulation. Please call your child’s provider or the bone doctor (orthopedist) if you are concerned. Do circulation checks 3 or 4 times a day while your child is awake for 7 to 10 days. If your child has new complaints in the injured area, start circulation checks again until checks are normal. Do the checks before breakfast, lunch, dinner and at bedtime. Compare the injured side to the uninjured side. These are the signs of normal circulation:
How to check circulation
If your child has any results that are not normal, raise the injured arm or leg above the level of the heart. You can prop it up with blankets, firm pillows, cushions or folded blankets. Your child should lie down flat. Then place the injured arm or leg with the cast or splint on the pillows or blankets (fingers higher than the elbow; elbow higher than the heart or toes should be higher than the level of the nose with blankets or cushions behind the calf). Check the circulation again in one hour. If swelling is present, apply an ice pack to the injured arm or leg. Be sure the ice pack will not leak. Depending upon your child’s age, it may be hard to detect some symptoms, such as numbness and sensation. In these cases, rely upon results from the other areas you checked. When to call the providerCall your child’s provider or the bone doctor (orthopedist) if:
Follow up appointmentCall the Orthopedic Clinic or provider listed on your child’s discharge instructions to arrange his or her follow-up appointment. If your child has a follow-up appointment listed already, please keep your scheduled appointment. If you have any questions, please contact your child’s provider or the bone (orthopedic) doctor, Nationwide Children’s Hospital Orthopedic Center at (614) 722-5175 or Nationwide Children’s Sports Medicine at (614) 355-6000. Circulation Checks (PDF) HH-II-60 10/81, Revised 8/18 | Copyright 1981, Nationwide Children’s Hospital When performing a rapid trauma assessment the EMT should begin with?Just like any assessment, the Rapid Trauma Assessment begins with an assessment of your patient's mental status. If your patient is responsive, you would ask them questions to determine how alert and oriented they are (A&O 1-4). REMEMBER, the A&O Scale is: Alert and Oriented to Person, Place, Time, and Event.
When evaluating a patient during the physical exam three common techniques the EMT will use are?Assessment Techniques
As you finish your primary assessment and continue with your physical exam, you will be making use of three techniques: inspection, palpation, and auscultation.
What vital signs should you check during a secondary assessment quizlet?The following vital signs should be assessed during the secondary assessment and throughout the entire call: breathing (rate and tidal volume), pulse (rate, location, strength, and regularity), skin (temperature, color, and condition), capillary refill, blood pressure (systolic and diastolic), pupils (equality.
What type of exam should an unresponsive medical patient receive?For the unresponsive medical patient perform the rapid medical assessment. If the patient is or STABLE, perform the appropriate focused physical exam (for the medical pt. perform the focused physical exam; for trauma patient perform the focused trauma assessment.)
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When assessing the circulation of a young child or infant, the EMT should remember to check
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