Shenandoah Co. Fire & Rescue. Injuries to. and Spine. December EMS Training Bill Streett Training Section Chief
|
|
|
- Joanna Lee
- 6 years ago
- Views:
Transcription
1 Shenandoah Co. Fire & Rescue Injuries to the Head and Spine December EMS Training Bill Streett Training Section Chief
2 C.E. Card Information BLS Providers 2 Cards / Provider Category 1 Course # Blank Topic# s (A) ALS Providers 2 Cards / Provider Category 1 Course # Blank Topic # s
3 Anatomy Review
4 Nervous System
5 Skull and Facial Bones
6 Contents of the Skull Bone Dura mater Arachnoid Pia mater Epidural space (potential) Subarachnoid space Subdural space Intracerebral ArachnoidDura mater Skull Pia mater
7 Division Spinal Column Corresponding Anatomy Number of Vertebrae Cervical Neck 7 Thoracic Thorax, ribs, upper back 12 Lumbar Lower back 5 Sacral Back wall of pelvis 5 Coccyx Tailbone 4
8 Head Injuries
9 Head Injuries Overview Scalp injuries may bleed profusely. Injuries to the skull may cause damage to the brain and may have an open or closed wound.
10 Brain Injury Nontraumatic May occur due to clot or hemorrhage Can cause altered mental status Signs and symptoms similar to traumatic injury (but no trauma)
11 Signs & Symptoms of Head Injuries Altered or decreased mental status Irregular breathing patterns Mechanism of injury present Continued
12 Signs & Symptoms of Head Injuries Contusion, laceration, hematoma, or deformity to the skull Blood/fluid from ears or nose Bruising around eyes, behind ears Continued
13 Signs & Symptoms of Head Injuries Neurologic changes Nausea and/or vomiting Unequal pupil size Decreased heart rate and increased blood pressure Seizures
14 Emergency Care of Head Injuries BSI. Maintain C-spine stabilization. Assess and treat ABCs. Perform initial assessment. Administer high-concentration oxygen. Continued
15 Emergency Care of Head Injuries Complete assessment. Immobilize spine with cervical collar. Monitor airway, breathing, pulse, mental status closely. Continued
16 Emergency Care of Head Injuries Control bleeding. Do not apply pressure to open or depressed skull injury. Transport immediately. Reassess vital signs every 5 min.
17 Spinal Injury
18 Mechanisms of Spinal Injury Motor vehicle crashes Auto-pedestrian collisions Falls (especially 3+ times patient s height) Blunt or penetrating trauma Continued
19 Mechanisms of Spinal Injury Motorcycle crashes Hangings Diving accidents Unconscious trauma patients Continued
20 Mechanisms of Spinal Injury
21 Whiplash
22 Types of Spinal Injuries Compression Distraction (pulling apart) Lateral bending Flexion, rotation, extension
23 Signs & Symptoms of Spinal Injuries Paralysis of the extremities Pain with or without movement Tenderness along the spine Continued
24 Signs & Symptoms of Spinal Injuries Loss of sensation Impaired breathing C 3, 4, 5 keep the diaphragm alive Continued
25 Signs & Symptoms of Spinal Injuries Deformity along spine (rare) Posturing Priapism Incontinence
26 Assessing Spinal Injury Questions to ask: What happened? Where does it hurt? Does your neck or back hurt? Continued
27 Assessing Spinal Injury Questions to ask: Can you move your hands and feet? Can you feel me touching your fingers? Toes?
28 Assess sensation in all extremities.
29 Assess motor function.
30 Assess strength feet.
31 Assess strength hands.
32 Treating Spinal Injury Take BSI precautions. Instruct the patient not to move. Stabilize cervical spine & ABCs. Evaluate mechanism of injury. Evaluate hand grip and foot strength. Continued
33 Treating Spinal Injury Assess pulse, movement, and sensation in extremities. Assess the neck and spine. Administer high-concentration oxygen. Continued
34 Treating Spinal Injury Apply properly sized cervical spine immobilization device. Apply and secure patient to appropriate immobilization device. Continued
35 Treating Spinal Injury If proper size collar is not available, use rolled towel and tape. Pad around child as necessary to maintain stabilization.
36 C-Spine Clearing Protocol (Age > 18) Standard Trauma Evaluation NO Low Risk Mechanism YES of injury? Reliable Pt. Hx. / Exam? Alert & Oriented, Not Intoxicated No Psych. issues, Able to Comm. No Head Injuries (includes+/- YES LOC) Spine pain or tenderness? Palpate entire axial spine May need to log NO roll Normal sensory/motor exam.? Ability to move Symmetrical movement of all extremities Assess light touch Consider NO Immobilization* NO YES Normal Immobilize Immobilize Pt. Immobilize Pt. Immobilze Pt. *Document "C-Spine clearing protocol followed."
37 Significant or High Risk Mech. Of Injury Ejection from vehicle. Death in same passenger compartment Falls of more than 15 or three times pt. height Vehicle Rollover Vehicle-Pedestrian or Vehicle/Bicycle collision Motorcycle collision. Unresponsive or Altered Mental Status following collision. Penetrating injuries of the head, chest, or abdomen
38 Apply a Cervical Spine Immobilization Device
39 Stabilize and measure.
40 Choose correct collar size.
41 Prepare collar.
42 Slide collar under chin.
43 Secure collar; maintain in-line position.
44 Use of Short Spine Boards: Seated Patient
45 Short Spine Boards Vest type Rigid short spine board Stabilize head, neck, torso Used for noncritical, seated patient
46 Select immobilization device.
47 Manually stabilize patient s head in neutral, in-line position.
48 Assess distal pulse, motor function, and sensation (PMS).
49 Apply the appropriately sized extrication collar.
50 Position the device behind patient.
51 Secure device to patient s torso.
52 Evaluate and pad behind patient s head as necessary. Secure patient s head to device.
53 Evaluate and adjust straps. As needed, secure patient s wrists and legs.
54 Use of Long Spine Boards: Supine Patient
55 Long Spine Boards Stabilize head, neck, torso, pelvis, and extremities. May be applied in: Lying, standing, and sitting positions Conjunction with short spine boards
56 Maintain stabilization; apply collar.
57 Prepare and position device.
58 Move patient onto board. Apply padding to voids.
59 Secure the body, then the patient s head.
60 Reassess PMS.
61 Use of Long Spine Boards: Standing Patient
62 Maintain stabilization; apply collar.
63 Position board and EMT Bs.
64 Grasp the board after reaching under the patient s shoulders.
65 Carefully lower patient; then secure the board.
66 Rapid Extrication
67 Rapid Extrication Indications Unsafe scene Unstable patient condition Patient blocks EMT B s access to an unstable patient
68 Manually stabilize; apply collar.
69 After putting end of board next to patient, position hands on legs/pelvis and chest/arms.
70 Rotate patient and reposition hands.
71 Lower patient to board.
72 Move patient into position on board.
73 Secure patient and transport.
74 Helmet Removal
75 Indications to Leave Helmet in Place Good fit, little movement No current or expected airway problems Removal would cause further injury Continued
76 Indications to Leave Helmet in Place Proper immobilization is able to be performed No airway or breathing concerns Continued
77 Indications for Removing Helmet Inability to assess or treat airway and breathing Improper fit/movement within helmet Continued
78 Indications for Removing Helmet Inability to immobilize spine Cardiac arrest
79 Stabilize head and helmet. Fingers should be on patient s mandible.
80 Second EMT B loosens strap.
81 Transfer stabilization to second EMT B.
82 Carefully remove the helmet.
83 Prevent head from falling once helmet is removed.
84 Begin routine stabilization and immobilization.
85 Review Questions 1. List the functions of the components of the nervous system. 2. What are some mechanisms of injury that could cause spinal injury?
86 Review Questions 3. List the signs and symptoms of a spinal injury. 4. What questions should you ask if you suspect a patient has a spinal injury?
87 Review Questions 5. Describe the emergency care steps for a patient with a spinal injury. 6. Explain when you would use a short spine board. A long spine board.
88 Review Questions 7. What are the indications for rapid extrication? 8. What are the indications for leaving a helmet in place? For removing a helmet?
89 Review Questions 9. List the signs and symptoms of a head injury. 10. Describe the emergency care steps for a patient with a possible head injury.
90 STREETT SCENES What is your general impression of this patient? What immediate treatment should be provided?
91 STREETT SCENES How should you monitor changing levels of responsiveness in a patient with a head injury?
92 Sample Documentation
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
Injuries to the Head and Spine
Injuries to the Head and Spine Anatomy Review Skull Protects the brain Made up of several bones with seam like sutures Regions of the scalp-frontal, occipital, parietal, temporal Bones of face Orbits Mandible
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
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
Chapter 26 Head and Spine Trauma The Nervous System The nervous system controls virtually all of our body activities including reflex, voluntary and
1 2 3 4 5 Chapter 26 Head and Spine Trauma The Nervous System The nervous system controls virtually all of our body activities including reflex, voluntary and involuntary activities Voluntary activities
Chapter 32. Objectives. Objectives 01/09/2013. Spinal Column and Spinal Cord Trauma
Chapter 32 Spinal Column and Spinal Cord Trauma Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren Copyright 2010 by Pearson Education, Inc. All rights reserved. Objectives 1.
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
SPINAL IMMOBILIZATION
Spinal Immobilization Decision Assessment Recent studies have shown an increase in mortality for patients with isolated penetrating trauma who are spinally immobilized. Therefore spinal immobilization
Chapter 32. Injuries to the Spine by Pearson Education, Inc. Upper Saddle River, New Jersey
Chapter Injuries to the Spine Topics Anatomy and physiology of the spine Spinal injuries Guidelines for immobilization Special considerations Enrichment Introduction Injuries to the spine are among the
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
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
Focused History and Physical Examination of the
Henry: EMT Prehospital Care, Revised 3 rd Edition Lecture Notes Chapter 10: Focused History and Physical Examination of Trauma Patients Chapter 10 Focused History and Physical Examination of the Trauma
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
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
Injuries to the head and spine
Injuries to the head and spine Aaron J. Katz, AEMT-P, CIC www.es26medic.net 2013 Nervous System Two sub-systems Central Nervous System ( CNS ) Brain and spinal cord Peripheral Nervous System 12 cranial
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
Restore adequate respiratory and circulatory conditions. Reduce pain
Pre-hospital management of the trauma patient is best performed by an integrated team focused on minimizing the time from injury to definitive care at an appropriate trauma center. Dispatchers, first responders,
Chapter 24 Spinal Trauma Introduction to Spinal Injuries (1 of 2) Annually 15,000 permanent spinal cord injuries Commonly men years old
1 2 3 4 5 6 7 Chapter 24 Spinal Trauma Introduction to Spinal Injuries (1 of 2) Annually 15,000 permanent spinal cord injuries Commonly men 16-30 years old Mechanism of Injury: Vehicle crashes: 48% : 21%
XXX Spinal Motion Restriction
Nor-Cal EMS Policy & Procedure Manual NAME OF MODULE XXX Purpose: The purpose of this protocol is to protect patients with signs and symptoms of spinal injuries and those who have the potential for spinal
MEDICAL CONTROL POLICY STATEMENT/ADVISORY. Re: Spinal Injury Assessment & Spinal Precautions Procedure
MEDICAL CONTROL POLICY STATEMENT/ADVISORY No. 2015-01 Date: January 20, 2015 Re: Spinal Injury Assessment & Spinal Precautions Procedure Office of the Medical Director Noel Wagner, MD, NREMT-P 1000 Houghton
EMS Update Spinal Motion Restriction Training
EMS Update Spinal Motion Restriction Training 700-M11 Spinal Motion Restriction Spinal Motion Restriction, also called SMR Formally known as Spinal Immobilization or C-Spine Effective February 9, 2016
CHANHASSEN FIRE DEPARTMENT MEDICAL / RESCUE SKILLS
CHANHASSEN FIRE DEPARTMENT MEDICAL / RESCUE SKILLS PRACTICAL STATIONS CHANHASSEN FIRE DEPARTMENT MEDICAL / RESCUE SKILLS 1. CARDIAC ARREST MANAGEMENT 2. AIRWAY & RESPIRATORY MANAGEMENT 3. SPINAL IMMOBILIZATION
Every day thousands of people become the accidental victims of trauma.
Aurora Health Care South Region EMS 2010 2 nd Quarter CE Packet Spinal Cord Trauma Every day thousands of people become the accidental victims of trauma. Approximately 43,000 people die in motor vehicle
Chapter 28 - Head and Spine Injuries
1 2 3 4 National EMS Education Standard Competencies (1 of 4) Trauma Applies fundamental knowledge to provide basic emergency care and transportation based on assessment findings for an acutely injured
Trauma Overview. Chapter 22
Trauma Overview Chapter 22 Kinematics of Trauma Injuries are the leading cause of death among children and young adults. Kinematics introduces the basic physical concepts that dictate how injuries occur
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.
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
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.)
CBT/OTEP 445 Head, Spine and Chest Trauma
Seattle-King County EMS Seattle-King County Emergency Medical Services Division Public Health - Seattle/King County 401 5th Avenue, Suite 1200 Seattle, WA 98104 (206) 296-4693 January 2009 CBT/OTEP 445
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
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,
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
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
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
oriented evaluation of your patient and establishing priorities of care based on existing and
1 Chapter 12: Patient Assessment in the Field 2 Patient assessment means conducting a - oriented evaluation of your patient and establishing priorities of care based on existing and potential threats to
Cervical Spine Precautions A quick review. By Joseph Lewis, M.D. Medical Director, Honolulu EMS Board Certified in Emergency Medicine
Cervical Spine Precautions A quick review By Joseph Lewis, M.D. Medical Director, Honolulu EMS Board Certified in Emergency Medicine 1 Goals of this Cervical Spine Immobilization In-service Learn Objectives:
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
To protect patients exhibiting signs and symptoms of spinal injuries and those who have the potential for spinal injuries.
POLICY T1 SPINAL MOTION RESTRICTION Effective Date: January 1, 2017 Last Review Date: January 1, 2017 New Policy Next Review Date: January 2019 Purpose: To protect patients exhibiting signs and symptoms
Chapter 24. Learning Objectives. Learning Objectives 9/18/2012. Injuries to the Head and Spine
Chapter 24 Injuries to the Head and Spine Learning Objectives State components of the nervous system List functions of the central nervous system Define structure of the skeletal system as it relates to
MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.
EPC Ch 24 Quiz w-key Name MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1) Which of the following best explains the presentation and prognosis of
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
EMS Spinal Assessment and Precautions
EMS Spinal Assessment and Precautions Adapted from a presentation prepared by Chelsea C. White IV, MD, NREMT-P Medical Director, Bernalillo County Fire Department Robert M. Domeier, MD, EMS Medical Director,
Patient Assessment From Brady s First Responder (8th Edition) 83 Questions
Patient Assessment From Brady s First Responder (8th Edition) 83 Questions 1. Which question is important if your patient may be a candidate for surgery? p. 183 *A.) When did you last eat? B.) What is
10O SPLINTING OF INJURIES ADULT & PEDIATRIC. 10Oa: Axial/Spine with Selective Spinal Motion Restriction Adult & Pediatric:
10O SPLINTING OF INJURIES ADULT & PEDIATRIC EMERGENCY MEDICAL RESPONDER EMT EMT-INTERMEDIATE 85 ADVANCED EMT PARAMEDIC 10Oa: Axial/Spine with Selective Spinal Motion Restriction Adult & Pediatric: Many
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.
Kinetic Energy Energy in Motion KE = Mass (weight) X Velocity (speed)² 2 Double Weight = Energy Double Speed = Energy IS THE GREATEST DETERMINANT
1 Chapter 17 Blunt Trauma 2 Introduction to Blunt Trauma Most common cause of trauma death and disability exchange between an object and the human body, without intrusion through the skin 3 Blunt trauma
PRE-HOSPITAL PATIENT CARE PROTOCOLS BASIC LIFE SUPPORT/ADVANCED LIFE SUPPORT
PRE-HOSPITAL PATIENT CARE PROTOCOLS BASIC LIFE SUPPORT/ADVANCED LIFE SUPPORT Board Approved June 2007 Revised December 2009 Revised July 2011 Revised June 2015 435 Hunter Street Fredericksburg, VA 22401
MEMORANDUM Date: To: From: Subject:
COUNTY OF EL DORADO HEALTH & HUMAN SERVICES BOARD OF SUPERVISORS Director Chris Weston Program Manager II 931 Spring Street Placerville, CA 95667 530-621-6100 Phone / 530-295-2501 Fax 1360 Johnson Boulevard,
Acting in an emergency. Dr. Samer Sara
Acting in an emergency Dr. Samer Sara 1 Acting in an emergency basic steps to follow: 1. Recognize the emergency. 2. Check the scene. 3. Call 110. 4. Check the victim. 5. Give first aid. 2 Dr. Samer Sara
Chapter 13. Objectives. Objectives 01/09/2013. Patient Assessment
Chapter 13 Patient Assessment Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren Copyright 2010 by Pearson Education, Inc. All rights reserved. Objectives 1. Define key terms
Fractures of the Thoracic and Lumbar Spine
A spinal fracture is a serious injury. Nader M. Hebela, MD Fellow of the American Academy of Orthopaedic Surgeons http://orthodoc.aaos.org/hebela Cleveland Clinic Abu Dhabi Cleveland Clinic Abu Dhabi Neurological
Chapter 31. Objectives. Objectives 01/09/2013. Head Trauma
Chapter 31 Head Trauma Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren Copyright 2010 by Pearson Education, Inc. All rights reserved. Objectives 1. Define key terms introduced
Pediatric Sports Emergencies. Asthma
Pediatric Sports Emergencies Michele Kirk, MD JPS Sports Medicine Fellowship TCU Team Physician Two underlying factors: Inflammation Asthma Chronic Leads to structural changes Increase in airway smooth
Indications for cervical spine immobilisation: -
Paediatric Trauma Cervical Spine Guidelines UHW Traumatic injuries of the cervical spine (C-spine) are uncommon in children. However, it is safer assume there is a cervical spine injury until examination
Pre-hospital Trauma Life Support. Rattiya Banjungam Emergency Physician, Khon Kaen Hospital
Pre-hospital Trauma Life Support Rattiya Banjungam Emergency Physician, Khon Kaen Hospital Golden principles of Prehospital Trauma Care Golden Hour There is a golden hour if you are critically injured,
D. Pre-Hospital Trauma Triage and Bypass Algorithm
D. Pre-Hospital Trauma Triage and Bypass Algorithm Hospital bypass is defined as transporting the patient to the nearest hospital that has the appropriate level of care for the patient s suspected severity
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
Introduction. Objectives C-Spine: Where Are We Now? NAEMSP Medical Director Course 1/9/2013
NAEMSP Medical Director Course 1/9/2013 Objectives C-Spine: Where Are We Now? Robert M. Domeier, MD EMS Medical Director Washtenaw/Livingston Medical Control Authority Department of Emergency Medicine
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
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
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.
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
Steve Blados M.Ed., NRP Linda Gibbens, M.S., ATC, LAT
Steve Blados M.Ed., NRP Linda Gibbens, M.S., ATC, LAT The National Athletic Trainers Association has updated the recommendations pertaining to equipment removal of injured players when spinal immobilization
Pre-hospital Spinal Motion Restriction Standard update. Presented by: Dr. Tatiana Jevremovic CCFP (EM)(SEM), Dip.
Pre-hospital Spinal Motion Restriction Standard update Presented by: Dr. Tatiana Jevremovic CCFP (EM)(SEM), Dip. Sport Med (CASEM) Dr. Thomas J. Pashby What is happening Pre-hospital Spinal Motion Restriction
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
Chapter 5. Learning Objectives. Learning Objectives 9/18/2012. Lifting and Moving Patients. Define body mechanics
Chapter 5 Lifting and Moving Patients Learning Objectives Define body mechanics Discuss guidelines/safety precautions to follow when lifting patient Explain rationale for properly lifting/moving patients
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
Basic Assessment and Treatment of Trauma
Basic Assessment and Treatment of Trauma Final Exam Version 1 1. In which of the following scenarios would the potential for serious injury or death be the GREATEST? A. 77-kg (170-lb) man who falls 1.2
ESCAMBIA COUNTY TRAUMA TRANSPORT
TRAUMA ALERT CRITERIA are established state mandated criteria. ADULT TRAUMA ALERT CRITERIA (Physical and anatomical characteristics of a person 16 years of age or older) Any 1 of the following: 1. Airway:
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
EMS SKILL NEUROLOGICAL EMERGENCY / SPINAL MOTION RESTRICTION (SMR) VEST TYPE EXTRICATION DEVICE FOR THE SEATED PATIENT
EMS SKILL NEUROLOGICAL EMERGENCY / SPINAL MOTION RESTRICTION (SMR) VEST TYPE EXTRICATION DEVICE FOR THE SEATED PATIENT PERFORMANCE OBJECTIVES Demonstrate competency in performing and directing team members
Chapter 7 EMERGENCY PLAN AND INITIAL INJURY EVALUATION
Chapter 7 EMERGENCY PLAN AND INITIAL INJURY EVALUATION Major Concepts. Proper planning of an emergency response is essential for appropriate first aid management of an injury. Anything that can be done
10/6/2017. Notice. Traumatic Brain Injury & Head Trauma
Notice All EMS Live@Nite presentations will be recorded (both audio and video) and available for public viewing online. By participating in EMS Live@Nite, you consent to audio and video recording and its/their
Lifting and Moving Patients
1. Which of the following factors should be considered before lifting any patient? a. The weight of the patient b. Your physical limitations c. Communications 2. When lifting a patient, a basic principle
3/10/17 Spinal a Injury 1
Spinal Injury 1 'Paralysed' Watmough vows he'll have the backbone for Game Two after treatment for neck injury Watmough will have cortisone injected into his spine this morning to speed up the recovery
Emergency Care Progress Log
Emergency Care Progress Log For further details on the National Occupational Competencies for EMRs, please visit www.paramedic.ca. Check off each skill once successfully demonstrated the Instructor. All
TBI are twice as common in males High potential for poor outcome Deaths occur at three points in time after injury
Head Injury Any trauma to (closed vs. open) Skull Scalp Brain Traumatic brain injury (TBI) High incidence Most common causes Falls Motor vehicle accidents Other causes Firearm- related injuries Assaults
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
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
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
9/15/2015. Introduction (1 of 3) Chapter 8. Introduction (2 of 3) What is the difference? Scene Size-up (1 of 2) Patient Assessment
Introduction (1 of 3) Chapter 8 Patient Assessment Patient assessment is very important. EMTs must master the patient assessment process. Patient assessment is used, to some degree, in every patient encounter.
Heidi Lako-Adamson, MD, NRP, FAEMS FM Ambulance and Sanford EMS Education Medical Director
Heidi Lako-Adamson, MD, NRP, FAEMS FM Ambulance and Sanford EMS Education Medical Director Spinal cord injury statistics. Definition of spinal motion restriction. Difference between spinal motion restriction
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.
TRAUMA PATIENT ASSESSMENT
SECTION: Adult Trauma Emergencies PROTOCOL TITLE: Injury General Trauma Management REVISED: 06/2015 OVERVIEW Each year, one out of three Americans sustains a traumatic injury. Trauma is a major cause of
Competency Log Professional Responder Courses
Competency Log Professional Responder Courses Check off each competency once successfully demonstrated. This log may be used as a support tool when teaching a Professional Responder course. Refer to the
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
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.
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
5/2/2018. Notice. Putting Humpty Dumpty Back Together Again
Notice All EMS Live@Nite presentations will be recorded (both audio and video) and available for public viewing online. By participating in EMS Live@Nite, you consent to audio and video recording and its/their
Emergency First Response (EFR) Skills Assessment Sheets V4 June 2017
Emergency First Response () Skills Assessment Sheets V4 June 2017 Airway management & ventilation Airway management & ventilation Trauma jaw thrust 1 Hand positions 2 Perform jaw thrust / mouth open 3
CBT445-EMT12- Upper Body Trauma
Seattle-King County EMS Seattle-King County Emergency Medical Services Division Public Health - Seattle/King County 401 5 th Avenue, Suite 1200 Seattle, WA 98104 (206) 296-4863 January 2012 CBT445-EMT12-
ITLS Pediatric Provider Course Basic Pre-Test
ITLS Pediatric Provider Course Basic Pre-Test 1. You arrive at the scene of a motor vehicle collision and are directed to evaluate a child who was in one of the vehicles. The patient appears to be a child
Evaluation and Stabilization of the Athlete with Possible Spine Injury
Evaluation and Stabilization of the Athlete with Possible Spine Injury Jeffrey H. Bohmer, MD, FACEP Emergency Physician Northwestern Medicine Central DuPage Hospital June 12, 2015 Introduction Goals: 1.
CERVICAL STRAIN AND SPRAIN (Whiplash)
CERVICAL STRAIN AND SPRAIN (Whiplash) Description time and using proper technique decrease the frequency of Whiplash is an injury to the neck caused when it is forcefully whipped or forced backward or
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
The Dynamics of Trauma. Jamie Syrett, MD Director of Prehospital Care Rochester General Health System
The Dynamics of Trauma Jamie Syrett, MD Director of Prehospital Care Rochester General Health System Me Boarded EM physician Fellowship trained in EMS Volunteer EMT-B,D,P,L5...etc etc etc Today - Commitment
McHenry Western Lake County EMS System Paramedic, EMT-B and PHRN Optional Continuing Education 2019 #2 Blunt Trauma
McHenry Western Lake County EMS System Paramedic, EMT-B and PHRN Optional Continuing Education 2019 #2 Blunt Trauma Blunt trauma is the most common cause of traumatic death and disability. The definition
Position Statement from the National Ski Patrol Medical Advisory Committee on the Selective Use of Backboards for Possible Spinal Injuries
Position Statement from the National Ski Patrol Medical Advisory Committee on the Selective Use of Backboards for Possible Spinal Injuries Approved by the NSP Medical Committee 3/8/ 2017 Approved by the
Spinal injury. Structure of the spine
Spinal injury Structure of the spine Some understanding of the structure of the spine (spinal column) and the spinal cord is important as it helps your Neurosurgeon explain about the part of the spine