Size: px
Start display at page:

Download ""

Transcription

1 International Trauma Life Support for Prehospital Care Providers Sixth Edition Patricia M. Hicks, MS, NREMTP Roy Alson, PhD, MD, FACEP Donna Hastings, EMT-P John Emory Campbell, MD, FACEP and Alabama Chapter, American College of Emergency Physicians

2 Courtesy of Bonnie Meneely, EMT-P Extremity Trauma

3 Overview Priority of extremity trauma Major complications and treatment: Fractures Neurovascular injuries Dislocations Sprains and strains Amputations Impaled objects Open wounds Compartment syndrome Estimated blood loss Pelvic and extremity fractures Extremity Trauma - 2

4 Overview Major mechanisms, associated trauma, potential complications, management: Pelvis Femur Hip Knee Tibia/fibula Clavicle/shoulder Elbow Forearm and wrist Hand or foot Extremity Trauma - 3

5 Extremity Trauma Distorted or wounded extremities must not distract from life-threatening injuries. Easy to identify Disabling but rarely immediately life-threatening Potential danger: Hemorrhagic shock (very few) Neurovascular compromise Distal PMS Extremity Trauma - 4

6 Extremity Trauma Extremity injuries Fractures Dislocations Amputations Open wounds Neurovascular injuries Impaled objects Compartment syndrome Courtesy of Roy Alson, MD Extremity Trauma - 5

7 Extremity Injuries Fractures Open (compound) Communication to outside Danger of contamination Blood loss outside body Closed (simple) No communication to outside Danger of contamination Blood loss inside body Extremity Trauma - 6

8 Fractures Hemorrhage with fracture Closed femur fracture Loss of 1 liter of blood Two closed femur fractures life-threatening Closed pelvic fracture Extensive bleeding into abdomen or retroperitoneal Usually fractures in several places 500 cc of blood loss for each fracture May lacerate bladder or large pelvic blood vessels Extremity Trauma - 7

9 Extremity Injuries Dislocations Neurovascular compromise True emergency though not life-threatening Check PMS distal to major joint dislocations Courtesy of Roy Alson, MD Extremity Trauma - 8

10 Dislocations Management No neurovascular compromise Splint in position found Neurovascular compromise Apply only gentle traction in effort to straighten No more than 10 pounds of force Often best: pad and splint in most comfortable position and rapid safe transport Extremity Trauma - 9

11 Extremity Injuries Amputations Disabling and sometimes life-threatening Potential for massive hemorrhage Most often, bleeding controlled with ordinary pressure Extremity Trauma - 10

12 Amputations Management Cover with damp sterile dressing, elastic wrap Uniform reasonable pressure across stump Tourniquet if bleeding absolutely not controlled Rarely needed Retrieve amputated part In plastic bag, inside ice water Extremity Trauma - 11

13 Extremity Injuries Open wounds Remove contamination Gross: remove Smaller: irrigate with normal saline Sterile dressing and bandage Pressure dressing, if necessary Pressure point Tourniquet rare Hemostatic agent Courtesy of Roy Alson, MD Extremity Trauma - 12

14 Open Wounds Obvious exsanguinating hemorrhage only time can change order of ABC to CAB. Extremity Trauma - 13

15 Extremity Injuries Neurovascular injuries Nerves and major vessels run beside each other in flexor area of major joints Distal PMS Assess pulse Assess motor function Assess sensory Extremity Trauma - 14

16 Extremity Injuries Impaled objects Do not remove Airway obstruction exception Apply very bulky padding Transport object in place No unnecessary movement Motion magnified in tissues Extremity Trauma - 15

17 Extremity Injuries Compartment syndrome Forearm and lower leg most common Swelling compresses nerves and vessels Extremity Trauma - 16

18 Compartment Syndrome Early symptoms Pain Paresthesia Late symptoms Pain Pallor Pulselessness Paresthesia Paralysis Extremity Trauma - 17

19 ITLS Patient Assessment Mechanism History Falls landing on feet Sitting position Fall onto wrist Fall onto ankle Shoulder involved Pelvis involved Common Injury Foot, lumbar spine Knee, hip Wrist, elbow Ankle, proximal fibula Shoulder, neck, chest Pelvis, shock Extremity Trauma - 18

20 Extremity Trauma ITLS Primary and Secondary Surveys Major bleeding DCAP-BTLS Instability Crepitation Joint pain Joint movement Distal PMS Extremity Trauma - 19

21 Management Splinting Prevent motion in broken bone ends Eliminate further damage Decrease pain Load-and-go patients Temporary splinting with long backboard Additional splinting during transport Extremity Trauma - 20

22 Splinting Rules Adequately visualize Distal PMS before and after splinting Treat neurovascular compromise Cover open wounds with sterile dressing Immobilize one joint above and below Apply on side away from open wound Pad splint well Do not attempt to push bone ends under skin Extremity Trauma - 21

23 Extremity Trauma If in doubt, splint possible injury. Extremity Trauma - 22

24 Types of Splints Extremity Trauma - 23

25 Extremity Trauma Spine Extremity Trauma - 24

26 Extremity Trauma Pelvis Courtesy of Sam Splints Extremity Trauma - 25

27 Extremity Trauma Femur Extremity Trauma - 26

28 Extremity Trauma Hip Extremity Trauma - 27

29 Extremity Trauma Knee Extremity Trauma - 28

30 Extremity Trauma Tibula/fibula Extremity Trauma - 29

31 Extremity Trauma Clavicle Extremity Trauma - 30

32 Extremity Trauma Shoulder Extremity Trauma - 31

33 Extremity Trauma Elbow Extremity Trauma - 32

34 Extremity Trauma Forearm and wrist Extremity Trauma - 33

35 Extremity Trauma Hand or foot Extremity Trauma - 34

36 Summary ITLS Primary Survey has priority. Extremity trauma not usually life-threatening Pelvic, femur fractures can be life-threatening Proper splinting decreases further injury. Dislocations of elbows, hips, knees: Careful splinting and rapid reduction to prevent severe disability to extremity Extremity Trauma - 35

37 Discussion Craig Jackson/In the Dark Photography Extremity Trauma - 36

Chapter 30 - Musculoskeletal_Trauma

Chapter 30 - Musculoskeletal_Trauma Introduction to Emergency Medical Care 1 OBJECTIVES 30.1 Define key terms introduced in this chapter. Slides 11 12, 19 20, 22 23, 37 30.2 Describe the anatomy of elements of the musculoskeletal system.

More information

1 Chapter 29 Orthopaedic Injuries Principles of Splinting 2 Types of Muscles. Striated Skeletal. Smooth

1 Chapter 29 Orthopaedic Injuries Principles of Splinting 2 Types of Muscles. Striated Skeletal. Smooth 1 Chapter 29 Orthopaedic Injuries Principles of Splinting 2 Types of Muscles Striated Skeletal Smooth 3 Anatomy and Physiology of the Musculoskeletal System 4 Skeletal System 5 Skeletal System Functions

More information

Chapter 29 Orthopaedic Injuries Principles of Splinting Types of Muscles

Chapter 29 Orthopaedic Injuries Principles of Splinting Types of Muscles 1 2 3 4 5 6 7 Chapter 29 Orthopaedic Injuries Principles of Splinting Types of Muscles Striated Skeletal Smooth Anatomy and Physiology of the Musculoskeletal System Skeletal System Skeletal System Functions

More information

Musculoskeletal System

Musculoskeletal System CHAPTER 28 Musculoskeletal Injuries Musculoskeletal System Anatomy & Physiology Bones provide framework. Joints allow for bending. Muscles allow for movement. Cartilage provides flexibility. Tendons connect

More information

CHAPTER 28 Musculoskeletal Injuries

CHAPTER 28 Musculoskeletal Injuries CHAPTER 28 Musculoskeletal Injuries Musculoskeletal System Anatomy & Physiology Bones provide framework. Joints allow for bending. Muscles allow for movement. Cartilage provides flexibility. Tendons connect

More information

Injuries to Muscles, Bones and Joints. Emergency Medical Response

Injuries to Muscles, Bones and Joints. Emergency Medical Response Injuries to Muscles, Bones and Joints Lesson 33: Injuries to Muscles, Bones and Joints You Are the Emergency Medical Responder You are patrolling the state park where you are the emergency medical responder

More information

AMERICAN RED CROSS FIRST AID RESPONDING TO EMERGENCIES FOURTH EDITION Copyright 2006 by The American National Red Cross All rights reserved.

AMERICAN RED CROSS FIRST AID RESPONDING TO EMERGENCIES FOURTH EDITION Copyright 2006 by The American National Red Cross All rights reserved. Musculoskeletal injuries are most commonly caused by Mechanical forms of energy. Chemicals. Electrical energy. Heat Mechanical energy produces direct, indirect, twisting and contracting forces. Can be

More information

Musculoskeletal Trauma. Lesson Goal. Lesson Objectives 9/10/2012. Recognize and manage patients with musculoskeletal trauma

Musculoskeletal Trauma. Lesson Goal. Lesson Objectives 9/10/2012. Recognize and manage patients with musculoskeletal trauma Musculoskeletal Trauma Lesson Goal Recognize and manage patients with musculoskeletal trauma Lesson Objectives Describe function of muscular system Describe composition of muscular system Describe, compare,

More information

Injuries to the Extremities

Injuries to the Extremities Injuries to the Extremities KNOWLEDGE OBJECTIVES 1. List seven signs and symptoms that suggest a serious extremity injury. 2. Describe how to care for injuries to the shoulder, upper arm, and elbow. 3.

More information

Extremity Injuries and Splinting

Extremity Injuries and Splinting CHAPTER 15 Extremity Injuries and Splinting Lesson Objectives 1. Describe the 3 general types of splints and how to improvise splints with common materials. 2. List the general guidelines for splinting

More information

Lesson 9: Bone & Joint Injuries. Emergency Reference Guide p

Lesson 9: Bone & Joint Injuries. Emergency Reference Guide p Lesson 9: Bone & Joint Injuries Emergency Reference Guide p. 33-43 Objectives Define strain, sprain, fracture and dislocation List Signs & Symptoms of strain, sprain, fracture & dislocation Demonstrate

More information

Anatomy and Physiology of the Musculoskeletal System (2 of 5)

Anatomy and Physiology of the Musculoskeletal System (2 of 5) Introduction (1 of 2) Introduction (2 of 2) The musculoskeletal system provides: Form Upright posture Movement System also protects vital internal organs Bones, muscles, tendons, joints, and ligaments

More information

MUSCULOSKELETAL INJURIES

MUSCULOSKELETAL INJURIES WHAT ARE THEY They are injuries to muscles, nerves, tendons ligaments, joints, cartilage and spinal discs. WHAT KIND OF INJURIES ARE MUSCULOSKELETAL INJURIES 1. Fractures- -Open -Closed 2. Dislocations

More information

Caring for Muscle and Bone Injuries From Brady s First Responder (8 th Edition) 54 Questions

Caring for Muscle and Bone Injuries From Brady s First Responder (8 th Edition) 54 Questions Caring for Muscle and Bone Injuries From Brady s First Responder (8 th Edition) 54 Questions 1. What is caused by overexerting or tearing of a muscle? p. 375 A.) Dislocation B.) Sprain C.) Fracture *D.)

More information

3/10/2014. Occurs in 70-80% of patients with blunt trauma. Rarely causes immediate threat to life or limb. Orthopedic Trauma. Musculoskeletal Trauma

3/10/2014. Occurs in 70-80% of patients with blunt trauma. Rarely causes immediate threat to life or limb. Orthopedic Trauma. Musculoskeletal Trauma Orthopedic Trauma Douglas D. Presta, D.P.M., FACFAS, NREMT-P Spokane County EMS Musculoskeletal Trauma Introduction Primary Assessment Secondary Survey Musculoskeletal assessment Life threatening injuries

More information

Disaster Medical Operations-Part 2

Disaster Medical Operations-Part 2 Disaster Medical Operations-Part 2 Community Emergency Response Team Disaster Medical Operations Part 1 Review The killers Airway obstruction Excessive bleeding Shock All immediate receive airway control,

More information

NOTE If it is necessary to perform abdominal thrusts, expose the abdominal area prior to pressing on the abdomen.

NOTE If it is necessary to perform abdominal thrusts, expose the abdominal area prior to pressing on the abdomen. ENABLING OBJECTIVES: 4.7 List the procedures used in a primary survey. 4.8 Demonstrate primary survey procedures used in a mock trauma (moulage) scenario without injury to personnel or damage to equipment.

More information

Musculoskeletal Injuries

Musculoskeletal Injuries Musculoskeletal Injuries KNOWLEDGE OBJECTIVES 1. Identify the four main structures of the musculoskeletal system. 2. List five common signs or symptoms of musculoskeletal injuries. 3. List seven signs

More information

1/3/2008. Karen Burke Priscilla LeMone Elaine Mohn-Brown. Medical-Surgical Nursing Care, 2e Karen Burke, Priscilla LeMone, and Elaine Mohn-Brown

1/3/2008. Karen Burke Priscilla LeMone Elaine Mohn-Brown. Medical-Surgical Nursing Care, 2e Karen Burke, Priscilla LeMone, and Elaine Mohn-Brown Medical-Surgical Nursing Care Second Edition Karen Burke Priscilla LeMone Elaine Mohn-Brown Chapter 42 Caring for Clients with Musculoskeletal Trauma Musculoskeletal Trauma Tissue is subjected to more

More information

OUTLINE SHEET 5.4 PRIMARY SURVEY

OUTLINE SHEET 5.4 PRIMARY SURVEY ENABLING OBJECTIVES: 4.7 List the procedures used in a primary survey. 4.8 Demonstrate primary survey procedures used in a mock trauma (moulage) scenario without injury to personnel or damage to equipment.

More information

Skin is the largest, most important organ % of total body weight Functions: - -Sensation - Regulation AKA: System

Skin is the largest, most important organ % of total body weight Functions: - -Sensation - Regulation AKA: System 1 Chapter 20 Soft-Tissue Injury 2 Introduction to Soft-Tissue Injury Skin is the largest, most important organ % of total body weight Functions: - -Sensation - Regulation AKA: System 3 Epidemiology Most

More information

Chapter 8 Trauma Patient Assessment The Patient Assessment Process The Primary Assessment ABCDE s Airway, Breathing, Circulation while securing

Chapter 8 Trauma Patient Assessment The Patient Assessment Process The Primary Assessment ABCDE s Airway, Breathing, Circulation while securing 1 2 3 4 5 6 Chapter 8 Trauma Patient Assessment The Patient Assessment Process The Primary Assessment ABCDE s Airway, Breathing, Circulation while securing D-Disability Chief complaint and/or Mechanism

More information

Hatfield & McCoy Mine Safety Competition First-Aid Contest JULY 15, Page 1

Hatfield & McCoy Mine Safety Competition First-Aid Contest JULY 15, Page 1 Hatfield & McCoy Mine Safety Competition First-Aid Contest JULY 15, 2014 Page 1 PROBLEM Billy is a maintenance person that has been conducting clean-up and service duties on the number one conveyor belt

More information

Aviation Rescue Swimmer Course

Aviation Rescue Swimmer Course Aviation Rescue Swimmer Course Primary Survey LT 5.4 December 2003 1 Objectives List the procedures used in a primary survey. Demonstrate primary survey procedures used in a mock trauma (moulage) scenario

More information

55-year-old male with 2nd and 3rd degree burns to face, chest, and arms on 25% of the body Respirations: 34 Pulse: 120 Mental Status: moans to painful stimulus Mucous membranes charred Stridor 10 cm scalp

More information

Skin Anatomy and Physiology

Skin Anatomy and Physiology Skin Anatomy and Physiology Body s largest organ Three layers: Epidermis Dermis Subcutaneous tissue 1 2 Skin Anatomy and Physiology Complex system, variety of functions Sensation Control of water loss

More information

Musculoskeletal Injuries

Musculoskeletal Injuries Chapter 3 Musculoskeletal Injuries This chapter describes how to recognize and treat injuries to the musculoskeletal system, and the best methods for preventing problems of this nature: Recognize signs

More information

4 inch laceration traversing down the front of forearm. Fracture of lower leg midway between knee and ankle

4 inch laceration traversing down the front of forearm. Fracture of lower leg midway between knee and ankle 2 inch wound on forehead 3 inch wound on top of shoulder islocated elbow in flexed position 4 inch laceration traversing down the front of forearm 3 inch wound on inner thigh Fracture of lower leg midway

More information

MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH OFFICE OF EMERGENCY MEDICAL SERVICES Basic EMT Practical Examination Cardiac Arrest Management

MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH OFFICE OF EMERGENCY MEDICAL SERVICES Basic EMT Practical Examination Cardiac Arrest Management Basic EMT Practical Examination 6.0 - Cardiac Arrest Management Station 1 RESUSCITATION & DEFIBRILLATION No Point WHILE FUNCTIONING AS FIRST RESCUER: Point 1. Verbalizes or takes body substance isolation

More information

Key Words. clammy closed fracture dislocation fainting ligament open fracture splint sprain strain trauma. Linked Core Abilities

Key Words. clammy closed fracture dislocation fainting ligament open fracture splint sprain strain trauma. Linked Core Abilities Lesson 4 Treating for Shock and Immobilizing Fractures Key Words clammy closed fracture dislocation fainting ligament open fracture splint sprain strain trauma What You Will Learn to Do Determine first

More information

LESSON ASSIGNMENT. After completing this lesson, you should be able to: be able to:

LESSON ASSIGNMENT. After completing this lesson, you should be able to: be able to: LESSON ASSIGNMENT LESSON 4 Fractures of the Lower Extremities. LESSON ASSIGNMENT Paragraphs 4-1 through 4-8. LESSON OBJECTIVES After completing this lesson, you should be able to: be able to: 4-1. Identify

More information

Chapter 12. Learning Objectives. Learning Objectives 9/11/2012. Musculoskeletal Injuries

Chapter 12. Learning Objectives. Learning Objectives 9/11/2012. Musculoskeletal Injuries Chapter 12 Musculoskeletal Injuries Learning Objectives Describe the anatomy and function of the musculoskeletal system Demonstrate the assessment and management of a patient with a suspected musculoskeletal

More information

Chapter 30 Putting It All Together for the Trauma Patient

Chapter 30 Putting It All Together for the Trauma Patient Chapter 30 Putting It All Together for the Trauma Patient Putting It All Together Balance need for prompt transport vs. treatment on scene. Select critical interventions to implement at scene of multipletrauma

More information

Overview. Overview. Chapter 30. Injuries to the Head and Spine 9/11/2012. Review of the Nervous and Skeletal Systems. Devices for Immobilization

Overview. Overview. Chapter 30. Injuries to the Head and Spine 9/11/2012. Review of the Nervous and Skeletal Systems. Devices for Immobilization Chapter 30 Injuries to the Head and Spine Slide 1 Overview Review of the Nervous and Skeletal Systems The Nervous System The Skeletal System Devices for Immobilization Cervical Spine Short Backboards Long

More information

Caring for Muscle and Bone Injuries From Brady s First Responder (8 th Edition) 54 Questions

Caring for Muscle and Bone Injuries From Brady s First Responder (8 th Edition) 54 Questions Caring for Muscle and Bone Injuries From Brady s First Responder (8 th Edition) 54 Questions 1. What do injuries to the shoulder often produce? p. 393 *A.) Anterior dislocation B.) Superior dislocation

More information

Airway Adjuncts and Suction

Airway Adjuncts and Suction Airway Adjuncts and Suction Oropharyngeal Airway Selects appropriately sized airway. Measures airway. Inserts airway without pushing the tongue posteriorly. Examiner States: patient is gagging and becoming

More information

Introduction to Emergency Medical Care 1

Introduction to Emergency Medical Care 1 Introduction to Emergency Medical Care 1 OBJECTIVES 31.1 Define key terms introduced in this chapter. Slides 13 15, 17, 19, 28 31.2 Describe the components and function of the nervous system and the anatomy

More information

Injuries to the Head and Spine From Bradys Emergency Care 10 th Edition

Injuries to the Head and Spine From Bradys Emergency Care 10 th Edition Injuries to the Head and Spine From Bradys Emergency Care 10 th Edition 1. When performing the four-rescuer log roll, which responder pulls the board into position? A.) Head B.) Waist C.) Knee D.) Shoulder

More information

Hemorrhage Control. Chapter 6

Hemorrhage Control. Chapter 6 Chapter 6 The hemorrhage that take[s] place when a main artery is divided is usually so rapid and so copious that the wounded man dies before help can reach him. Colonel H. M. Gray, 1919 Stop the Bleeding!

More information

Trauma Alert Step 2 Additions

Trauma Alert Step 2 Additions Trauma Alert Step 2 Additions MANGLED, DEGLOVED OR PULSELESS EXTREMITY PELVIC INJURY WITH HIGH-RISK MECHANISM OF INJURY Many thanks to Paramedic FTO Justin Bramlette for assembling this training presentation

More information

Case. 5 year old with 2 weeks leg pain and now refusing to walk + Fevers, lower leg swelling, warmth Denies and history of trauma or wounds

Case. 5 year old with 2 weeks leg pain and now refusing to walk + Fevers, lower leg swelling, warmth Denies and history of trauma or wounds Case 5 year old with 2 weeks leg pain and now refusing to walk + Fevers, lower leg swelling, warmth Denies and history of trauma or wounds Exam I: Swelling over entire tibia extending to foot P: Tenderness

More information

Pediatric Fractures. Objectives. Epiphyseal Complex. Anatomy and Physiology. Ligaments. Bony matrix

Pediatric Fractures. Objectives. Epiphyseal Complex. Anatomy and Physiology. Ligaments. Bony matrix 1 Pediatric Fractures Nicholas White, MD Assistant Professor of Pediatrics Eastern Virginia Medical School Attending, Pediatric Emergency Department Children s Hospital of The King s Daughters Objectives

More information

68W COMBAT MEDIC POCKET GUIDE

68W COMBAT MEDIC POCKET GUIDE GTA 08-05-058 68W COMBAT MEDIC POCKET GUIDE PART I: TRAUMA TREATMENT This publication contains technical information that is for official Government use only. Distribution is limited to U.S. Government

More information

ESI Wellness Program The BioSynchronistics Design. Industrial Stretching Guide

ESI Wellness Program The BioSynchronistics Design. Industrial Stretching Guide ESI Wellness Program The BioSynchronistics Design Industrial Stretching Guide ESI Wellness The BioSynchronistics Design Industrial Stretching Basics Stretch 2-4 times/day Hold each Stretch for 5 seconds

More information

Chapter 28. Objectives. Objectives 01/09/2013. Bleeding and Soft-Tissue Trauma

Chapter 28. Objectives. Objectives 01/09/2013. Bleeding and Soft-Tissue Trauma Chapter 28 Bleeding and Soft-Tissue Trauma Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren Copyright 2010 by Pearson Education, Inc. All rights reserved. Objectives 1. Define

More information

Chapter 24 Soft Tissue Injuries Presentation Notes

Chapter 24 Soft Tissue Injuries Presentation Notes Names: Chapter 24 Soft Tissue Injuries Presentation Notes Anatomy of the Skin - Function of the Skin control Soft-Tissue Injuries injuries Soft-tissue damage the skin injuries Break in the of the skin

More information

EMS System for Metropolitan Oklahoma City and Tulsa 2019 Medical Control Board Treatment Protocols

EMS System for Metropolitan Oklahoma City and Tulsa 2019 Medical Control Board Treatment Protocols EMERGENCY MEDICAL RESPONDER EMT EMT-INTERMEDIATE 85 ADVANCED EMT PARAMEDIC 14G PATIENT PRIORITIZATION While each patient will receive the best possible EMS care in a humane and ethical manner, proper patient

More information

Disclosure. Pediatric Orthopedic Emergencies. I have no actual or potential conflict of interest in relation to this program or presentation.

Disclosure. Pediatric Orthopedic Emergencies. I have no actual or potential conflict of interest in relation to this program or presentation. Pediatric Orthopedic Emergencies Robin Pearce MSN, RN-BC Trauma Performance Improvement Manager Henrico Doctors Hospital, Forest Disclosure I have no actual or potential conflict of interest in relation

More information

Abdomen and Genitalia Injuries. Chapter 28

Abdomen and Genitalia Injuries. Chapter 28 Abdomen and Genitalia Injuries Chapter 28 Hollow Organs in the Abdominal Cavity Signs of Peritonitis Abdominal pain Tenderness Muscle spasm Diminished bowel sounds Nausea/vomiting Distention Solid Organs

More information

Skill Evaluation Sheets

Skill Evaluation Sheets Skill Evaluation Sheets Skill Drill 2-: How to Remove Gloves Skill Drill 4-: Primary Check: RAP-CAB Skill Drill 4-2: Perform a Secondary Check Skill Drill 5-: Adult CPR Skill Drill 5-2: Child CPR Skill

More information

Basic Care of Common Fractures Utku Kandemir, MD

Basic Care of Common Fractures Utku Kandemir, MD Basic Care of Common Fractures Utku Kandemir, MD Assistant Clinical Professor Trauma & Sports Medicine Dept. of Orthopaedic Surgery UCSF / SFGH History Physical Exam Radiology Treatment History Acute trauma

More information

Surgical Care at the District Hospital. EMERGENCY & ESSENTIAL SURGICAL CARE

Surgical Care at the District Hospital. EMERGENCY & ESSENTIAL SURGICAL CARE Surgical Care at the District Hospital 1 18 Orthopedic Trauma Key Points 2 18.1 Upper Extremity Injuries Clavicle Fractures Diagnose fractures from the history and by physical examination Treat with a

More information

Goals. Initial management skeletal trauma. Physical Exam ABC OF PRIMARY CARE MEDICINE FRACTURE MANAGEMENT 12/4/2010

Goals. Initial management skeletal trauma. Physical Exam ABC OF PRIMARY CARE MEDICINE FRACTURE MANAGEMENT 12/4/2010 ABC OF PRIMARY CARE MEDICINE FRACTURE MANAGEMENT Brian Feeley, MD UCSF Sports Medicine and Shoulder Surgery Goals Discuss common fractures and initial management, treatment guidelines Let your patients

More information

Musculoskeletal System Objectives:

Musculoskeletal System Objectives: Lemone and Burke Chapters 40-41 Musculoskeletal System Objectives: Review Anatomy and physiology Describe normal MS assessment Describe age related changes Discuss tests and nursing interventions Recognize

More information

LESSON 2.1 Minor Wound Management Process

LESSON 2.1 Minor Wound Management Process LESSON 2.1 Minor Wound Management Process How do we make use of the four different kinds of first aid items such as gauze, melolin, padding (triangular bandage), and plaster to cover up the wounds? Cleaning

More information

INTERNATIONAL TRAUMA LIFE SUPPORT

INTERNATIONAL TRAUMA LIFE SUPPORT INTERNATIONAL TRAUMA LIFE SUPPORT NC ITLS Rev. 2/18 STUDENT GUIDE TO INTERNATIONAL TRAUMA LIFE SUPPORT What to wear ITLS is a practical course that stresses hands-on teaching. You should wear comfortable

More information

Face and Throat Injuries. Chapter 26

Face and Throat Injuries. Chapter 26 Face and Throat Injuries Chapter 26 Anatomy of the Head Landmarks of the Neck Injuries to the Face Injuries around the face can lead to upper airway obstructions. Bleeding from the face can be profuse.

More information

Frontline First Aid 2012 Emergency Care Manual Treatments

Frontline First Aid 2012 Emergency Care Manual Treatments Heart Attack/Angina (p. 132) 1. Recognize signals of a heart attack 2. Assist with Nitroglycerin 3. Assist with ASA 4. Rest and Comfort 6. More advanced medical care Breathing Emergencies (p. 105) Anaphylaxis

More information

Difficulty breathing Altered level of consciousness Amputated arm

Difficulty breathing Altered level of consciousness Amputated arm Difficulty breathing 22-year-old male, severe difficulty breathing, chest sinks in on inspiration, respirations over 30/min, radial pulse present, responds to instructions. Altered level of consciousness

More information

Selective Spine Assessment & Spinal Motion Restriction

Selective Spine Assessment & Spinal Motion Restriction Selective Spine Assessment & Spinal Motion Restriction Supersedes: 02-09-15 Effective: 10-20-15 Spinal cord injury may be the result of direct blunt and/or penetrating trauma, compression forces (axial

More information

Introduction to Fractures and Dislocations. CAPA 2016 Winnipeg, MB

Introduction to Fractures and Dislocations. CAPA 2016 Winnipeg, MB Introduction to Fractures and Dislocations CAPA 2016 Winnipeg, MB CAPA 2016 Dr. Chris Graham Orthopedic surgeon Practice primarily trauma related Assist. Prof. U of M Health Sciences Centre No conflicts

More information

You Are the Emergency Medical Responder

You Are the Emergency Medical Responder Lesson 32: Injuries to the Chest, Abdomen and Genitalia You Are the Emergency Medical Responder Your police unit responds to a call in a part of town plagued by violence. When you arrive, you find the

More information

LESSON ASSIGNMENT. After completing this lesson, you should be able to:

LESSON ASSIGNMENT. After completing this lesson, you should be able to: LESSON ASSIGNMENT LESSON 1 Fractures and Related Injuries. TEXT ASSIGNMENT Paragraph 1-1 through 1-14. LESSON OBJECTIVES After completing this lesson, you should be able to: 1-1. Identify the signs and

More information

Initial care of amputations. Wendy Willmore

Initial care of amputations. Wendy Willmore Initial care of amputations Wendy Willmore Outline Initial care of the patient, stump and amputated part Indications and contraindications for replantation Initial care of the patient As necessitated by

More information

LESSON ASSIGNMENT. After completing this lesson, you should be able to:

LESSON ASSIGNMENT. After completing this lesson, you should be able to: LESSON ASSIGNMENT LESSON 6 Roller Bandages. LESSON ASSIGNMENT Paragraphs 6-1 through 6-10. LESSON OBJECTIVES After completing this lesson, you should be able to: 6-1. Identify the functions of roller bandages.

More information

OBJECTIVES: Define basic assessments skills needed to identify orthopedic injuries. Differentiate when an orthopedic injury is a medical emergency

OBJECTIVES: Define basic assessments skills needed to identify orthopedic injuries. Differentiate when an orthopedic injury is a medical emergency 1 2 How to Triage Orthopaedic Care David W. Gray, M.D. OBJECTIVES: Define basic assessments skills needed to identify orthopedic injuries Differentiate when an orthopedic injury is a medical emergency

More information

Review. A. abrasion B. contusion C. hematoma D. avulsion

Review. A. abrasion B. contusion C. hematoma D. avulsion Chapter 24 Review Review 1. A young male was struck in the forearm with a baseball and complains of pain to the area. Slight swelling and ecchymosis are present, but no external bleeding. What type of

More information

EMS System for Metropolitan Oklahoma City and Tulsa 2018 Medical Control Board Treatment Protocols

EMS System for Metropolitan Oklahoma City and Tulsa 2018 Medical Control Board Treatment Protocols EMERGENCY MEDICAL RESPONDER EMT EMT-INTERMEDIATE 85 ADVANCED EMT PARAMEDIC 14G PATIENT PRIORITIZATION While each patient will receive the best possible EMS care in a humane and ethical manner, proper patient

More information

First Responders to Orthopaedic Emergencies

First Responders to Orthopaedic Emergencies First Responders to Orthopaedic Emergencies Tom McPartland MD FABOS, FAAP Assistant Clinical Professor Rutgers-RWJMS October 17,2018 Goals Review Epidemiology of School Injuries Review Definitions of Different

More information

Trauma Life Support Pre-Hospital (TLS-P) Preparatory Materials

Trauma Life Support Pre-Hospital (TLS-P) Preparatory Materials Trauma Life Support Pre-Hospital (TLS-P) Preparatory Materials 1 1. A high-risk bodily fluid for spreading infection is blood. 2. Items that can reduce the spread of infection include masks, gloves, and

More information

IRECA BLS Challenge 2015 Scenario 1

IRECA BLS Challenge 2015 Scenario 1 Scenario 1 Team Name Team Number Captain Name Judge 1 # Judge 2 # JUDGE S SHEET Overview: This scenario challenges the competitors to use basic triage techniques and then to do the most good for the most

More information

Musculoskeletal System Objectives:

Musculoskeletal System Objectives: Lemone and Burke Chapters 40-41 Musculoskeletal System Objectives: Review Anatomy and physiology Describe normal MS assessment Describe age related changes Discuss tests and nursing interventions Recognize

More information

Disaster Medical Operations Part 2. CERT Basic Training Unit 4

Disaster Medical Operations Part 2. CERT Basic Training Unit 4 Disaster Medical Operations Part 2 Unit 4 Unit 3 Review 3 Killers Airway obstruction Excessive bleeding Shock 4-1 CERT Sizeup 1. Gather Facts 2. Assess Damage 3. Consider Probabilities 4. Assess Your Situation

More information

Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery. By: Aun Lauriz E. Macuja SAC_SN4

Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery. By: Aun Lauriz E. Macuja SAC_SN4 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery By: Aun Lauriz E. Macuja SAC_SN4 The most common cause of musculoskeletal injuries is a traumatic event resulting in fracture, dislocation,

More information

MIAMI-DADE COLLEGE. Common Course Number: HSC Course Title: Basic Emergency Care. Course Catalog Description:

MIAMI-DADE COLLEGE. Common Course Number: HSC Course Title: Basic Emergency Care. Course Catalog Description: Common Course Number: HSC 2400 MIAMI-DADE COLLEGE Course Title: Basic Emergency Care Course Catalog Description: Designed to provide opportunities to develop, practice, and display skills concerning emergency

More information

Principle Management of Wound and Fracture in Emergency Department

Principle Management of Wound and Fracture in Emergency Department Principle Management of Wound and Fracture in Emergency Department Presented in Clinical Update Seminar January 15 th 2011 dr. Tedjo Rukmoyo, SpOT (K) Spine Initial Management ATLS Procedure A : airway

More information

injury poisoning and certain other (s00-t98)

injury poisoning and certain other (s00-t98) 1 of 13 1 injury poisoning and certain other consequences of external causes (s00-t98) ICD S T P10-P15 ( ) O70-O71 ( ) S T injuries to the head (s00-s09) injuries to the neck (s10-s19) injuries to the

More information

Providing for Players Safety 31. Emergency Plan

Providing for Players Safety 31. Emergency Plan Providing for Players Safety 31 Emergency Plan An emergency plan is the final step in preparing to take appropriate action for severe or serious injuries. The plan calls for three steps: 1. Survey the

More information

TRAUMA LIFE SUPPORT PRE-HOSPITAL EXAMINATION (TLS P) 1. A high-risk bodily fluid for spreading infection is. a. sweat b. saliva c. blood d. urine 2. Items that can be used to reduce the spread of infection

More information

Shenandoah Co. Fire & Rescue. Injuries to. and Spine. December EMS Training Bill Streett Training Section Chief

Shenandoah Co. Fire & Rescue. Injuries to. and Spine. December EMS Training Bill Streett Training Section Chief Shenandoah Co. Fire & Rescue Injuries to the Head and Spine December EMS Training Bill Streett Training Section Chief C.E. Card Information BLS Providers 2 Cards / Provider Category 1 Course # Blank Topic#

More information

Index. Note: Page numbers of article titles are in boldface type.

Index. Note: Page numbers of article titles are in boldface type. Note: Page numbers of article titles are in boldface type. A Abscess, epidural, 822 824 Achilles tendon rupture, 894 895, 981 982 Acromioclavicular separations, shoulder pain in, 751 753 Adhesive capsulitis,

More information

2017 Northern Mine Rescue Contest Written Exam (First Aid Competition)

2017 Northern Mine Rescue Contest Written Exam (First Aid Competition) 2017 Northern Mine Rescue Contest Written Exam (First Aid Competition) 2017 2010 June 5, 2017 Findley Lake, New York 2017 Northern Mine Rescue Contest Written Exam First Aid Competition Directions: Fill

More information

Patient Assessment. Chapter 8

Patient Assessment. Chapter 8 Patient Assessment Chapter 8 Patient Assessment Scene size-up Initial assessment Focused history and physical exam Vital signs History Detailed physical exam Ongoing assessment Patient Assessment Process

More information

Module Summaries: The emergency plan is a crucial part of the total sports program.

Module Summaries: The emergency plan is a crucial part of the total sports program. Module Summaries: Summary - The Emergency Plan The emergency plan is a crucial part of the total sports program. Prior to each season and game, those individuals responsible for the program and athletes

More information

Skeletal System Tour Lab. Station Label the bones on your answer sheet.

Skeletal System Tour Lab. Station Label the bones on your answer sheet. Station 1 1. Label the bones on your answer sheet. Station 2 2. Label the joints on your answer sheet. Fixed Pivot Hinge Hinge Gliding Ball and Socket Hinge Swivel Gliding Gliding Ball and Socket Types

More information

The Spine.

The Spine. The Spine www.fisiokinesiterapia.biz Characteristics of Vertebrae Cervical Spine 1 and 2 Sacrum and Coccyx Curves Lordotic in the Spine Kyphotic Lordotic Ligamentous Support Muscles of the Spine Spinal

More information

the back book Your Guide to a Healthy Back

the back book Your Guide to a Healthy Back the back book Your Guide to a Healthy Back anatomy Your spine s job is to: Support your upper body and neck Increase flexibility of your spine Protect your spinal cord There are 6 primary components of

More information

Review. 1. Which of the following is NOT a component of the cardiovascular system? A. Heart B. Lungs C. Venules D. Plasma

Review. 1. Which of the following is NOT a component of the cardiovascular system? A. Heart B. Lungs C. Venules D. Plasma Chapter 23 Review 1. Which of the following is NOT a component of the cardiovascular system? A. Heart B. Lungs C. Venules D. Plasma Answer: B Rationale: Components of the cardiovascular system include

More information

METATARSAL FRACTURE (Including Jones and Dancer s Fractures)

METATARSAL FRACTURE (Including Jones and Dancer s Fractures) METATARSAL FRACTURE (Including Jones and Dancer s Fractures) Description Possible Complications Metatarsal fracture is a broken bone (fracture) in the middle Nonunion (fracture does not heal, particularly

More information

Pediatric Trauma Care

Pediatric Trauma Care 2013 Standard Trauma Care Procedures (Pediatric) Traumatic injuries require prompt care and transportation. Always suspect cervical injury. Note the mechanism of injury and any other condition that may

More information

Bone Injuries and Treatment. Fractures and Dislocations

Bone Injuries and Treatment. Fractures and Dislocations Bone Injuries and Treatment Fractures and Dislocations Bellwork Research the small bones in the foot and wrist. Draw them in your notes. State Standards 16) Understand principles of and successfully perform

More information

PEDIATRIC TRAUMA EMERGENCIES

PEDIATRIC TRAUMA EMERGENCIES PEDIATRIC TRAUMA EMERGENCIES Last Revised: January 2015 1 PEDIATRIC COMA SCALE Indicator Eye Opening Spontaneous 4 To verbal stimuli 3 To pain only 2 No response 1 Verbal Response Oriented, appropriate

More information

SEMINOLE COUNTY EMS PROVISIONAL EMT SKILLS VERIFICATION

SEMINOLE COUNTY EMS PROVISIONAL EMT SKILLS VERIFICATION The following individual has completed the Seminole County EMS Provisional EMT Skills Verification check in the following areas: Oxygen, Airway and Ventilation Skills ALS Assistance Trauma Management Medical

More information

Acute Splinting of Fractures

Acute Splinting of Fractures Acute Splinting of Fractures Orthopaedic Trauma Todd Horton, MD Holly Pilson, MD Michael Skeen, NP Jacob Nelson, PA C Disclosure Statement We have no financial interest/arrangement or affiliation with

More information

Muscle spasm Diminished bowel sounds Nausea/vomiting

Muscle spasm Diminished bowel sounds Nausea/vomiting 3 4 5 6 7 8 9 0 Chapter 8: Abdomen and Genitalia Injuries Abdominal Injuries Abdomen is major body cavity extending from to pelvis. Contains organs that make up digestive, urinary, and genitourinary systems.

More information

B) Sprains cause swelling in the injured area, but strains do not have a tendency to swell

B) Sprains cause swelling in the injured area, but strains do not have a tendency to swell Lesson U4C2L4 FIT Questions 1. (U4C2L4:F1) How many times have you broken a bone? A) none B) one C) two D) more than two 2. (U4C2L4:F2) How many times have you sprained an arm, leg, or other body part?

More information

Chapter 29 - Chest_and_Abdominal_Trauma

Chapter 29 - Chest_and_Abdominal_Trauma Introduction to Emergency Medical Care 1 OBJECTIVES 29.1 Define key terms introduced in this chapter. Slides 11, 15, 18, 27 29.2 Describe mechanisms of injury commonly associated with chest injuries. Slides

More information

OV United Soccer Club

OV United Soccer Club Preventing disease transmission Place an effective barrier between you and the victim s blood when you give first aid. Examples of such barriers are: the victim s hand, a piece of plastic, clean folded

More information

CBT/OTEP 301 Soft Tissue Injuries

CBT/OTEP 301 Soft Tissue Injuries Seattle / King County EMS Emergency Medical Services Division Public Health Seattle / King County 401 5th Avenue, Suite 1200 Seattle, Washington 98104-2333 (206) 296-4693 January 2010 CBT/OTEP 301 Soft

More information

Assessment of the Trauma Patient

Assessment of the Trauma Patient CHAPTER 10 Assessment of the Trauma Patient Overall Assessment Scheme Scene Size-Up Initial Assessment Trauma Physical Exam Vital Signs & SAMPLE History Medical SAMPLE History Physical Exam & Vital Signs

More information