Major Trauma Scenarios. Ballarat Health Services Emergency Medicine Training Hub
|
|
|
- Caren Doyle
- 5 years ago
- Views:
Transcription
1 Major Trauma Scenarios Ballarat Health Services Emergency Medicine Training Hub
2 Trauma Scenario 1 You receive a phone call from the ambulance service. They have a 27 yr old male involved in a MCA, he is conscious alert, the car has rolled he has been ejected from the vehicle. He has a probable #femur and compound # tib/fib how are you going to prepare?
3 Trauma Scenario 1 Trauma preparation Trauma call personnel trauma team radiology pathology department equipment
4 Trauma Scenario 1 Arrival history as above patient conscious, alert, orientated HR145 BP100/50 RR30 complaining of severe pain in R leg Deformity upper leg and obvious compound R tib/fib what is your approach? Image from
5 Trauma Scenario 1 Primary survey airway intact breathing decreased air entry L hemithorax What else would you look for?
6 Trauma Scenario 1 Assessment of pneumothorax tension pneumothorax hypotension tracheal deviation decreased chest movement venous engorgement Circulation HR145 BP100/50 RR30 What is your approach?
7 Trauma Scenario 1 Management tension pneumothorax approach to pneumothorax if tension manage with needle decompression then ICC CXR re-check ABC
8 Trauma Scenario 1 once AB stable re-check C continued hypotension N saline bolus D E rest of trauma series radiology analgesia femoral N block + iv analgesia head to toe examination
9 Trauma Scenario 2 A patient presents following a MCA, the other driver was killed, she left the scene and brought herself to hospital. She is complaining of abdominal discomfort and back pain. what is you approach?
10 Trauma Scenario 2 Approach to trauma Primary survey ACBCx CXR,CX,Pelvis Secondary survey head to toe include log roll IDC NGT
11 Trauma Scenario 2 Primary survey primary survey Airway normal you apply cervical collar Breathing normal Circulation HR140 BP100/45 RR35?approach
12 Trauma Scenario 2 hypotensive trauma Resuscitate circulation analgesia secondary survey marked seat belt bruising over mid/lower abdomen abdomen tender generalised guarding log roll thoracolumbar junction tender with bruising PR NAD
13 Trauma Scenario 2 abdominal trauma surgical registrar review CXR Lateral lumbar spine # L1 through posterior elements what other injuries are likely? what further investigations do you require?
14 Trauma Scenario 2 Chance fracture fracture of L1 hyperflexion transverse fracture through posterior elements +/- body associated injury to pancreas duodenum 4th part kidney liver/spleen retroperitoneal haemorrage
15 Trauma Scenario 2 investigation CT abdomen dual contrast additional treatment NGT, IDC Tetanus toxoid/antibiotics if required police bloods next of kin disposition
16 Trauma Scenario 3 A 20 yr old presents via ambulance after falling from his motorcycle. He is conscious, complains of neck discomfort and shortness of breath. What is your approach?
17 Trauma Scenario 3 Primary survey Airway - intact Cervical collar and sand bags Breathing - limited chest expansion but equal air entry Circulation HR 80 BP90/50 RR 30 What is the cause of this patient s hypotension What is your approach?
18 Trauma Scenario 3 Hypotensive trauma Loss-haemorrhage internal/external redistribution vasodilation eg spinal shock pump failure cardiac contusion loss cardioaccelerator obstruction to venous return tension pneumothorax pericardial effusion
19 Trauma Scenario 3 Hypotensive trauma response exclude obstruction to venous return fluid bolus no response to fluid bolus CXR normal what now?
20 Trauma Scenario 3 Hypotensive trauma Repeat fluid bolus BP 100/50 HR 80 Debility GCS 15/15 flaccid paralysis of both legs sensory level at level of upper chest what do you do next?
21 Trauma Scenario 3 trauma series Xrays Cervical spine Pelvis CX spine shows # dislocation at C6/7 What are the priorities with this patient?
22 Trauma Scenario 3 spinal trauma treatment priorities breathing loss of intercostals exhaustion spinal shock temperature control fluid balance important risk of over-filling IDC important steroids controversial increases morbidity referral to specialist unit
23 Trauma scenario 4 47 yr old woman presents via ambulance she was trapped between her car and a car that reversed into her in the supermarket car park. She is conscious but confused, complaining of pain in her tummy. What is your approach?
24 Trauma scenario 4 Primary survey ABCx normal C HR120 BP 80/60 RR 32 Approach to hypotension?
25 Trauma scenario 4 Hypotensive trauma Fluid bolus CXR & CX spine normal Pelvic Xray shows # body pubis with separation anteriorly # through sacrum no response to initial fluid bolus What is the cause of the hypotension? What is your assessment & management?
26 Trauma scenario 4 Pelvic Fracture Open book AP compression pelvic fracture Hypotension due to haemorrhage pelvic veins other abdominal injury
27 Trauma scenario 4 Approach to pelvic fracture secondary survey Including AMPLE history abdominal examination tender and guarding lower abdomen approach? PV blood at meatus IDC blood Log roll sacral pain and tender
28 Trauma scenario 4 Pelvic # and Hypotension Call orthopaedic Reg ASAP Repeat fluid bolus +/- blood close # MAST suit wrap C clamp Exclude other abdominal organ injury CT abdomen dual contrast US FAST
ITLS Pediatric Provider Course Advanced Pre-Test
ITLS Pediatric Provider Course Advanced Pre-Test 1. You arrive at the scene of a motor vehicle crash and are directed to evaluate a child who was in one of the vehicles. The patient appears to be a child
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
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.
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
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.
European Resuscitation Council
European Resuscitation Council Incidence of Trauma in Childhood Leading cause of death and disability in children older than one year all over the world Structured approach Primary survey and resuscitation
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
Trauma CT Scanning Protocol
Northern Trauma Network Trauma CT Scanning Protocol Background Whole body CT (WBCT) has assumed a pivotal position in trauma management. UK trauma is typically described as blunt and blind i.e. blunt trauma
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
In ESH we usually see blunt chest trauma but penetrating injuries also treated here (usually as single injuries, like stab wound)
Chest Trauma Dr Csaba Dioszeghy MD PhD FRCEM FFICM FERC East Surrey Hospital Emergency Department Scope Thoracic injuries are common and can be life threatening In ESH we usually see blunt chest 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
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.
Initial Pelvic Fracture Management. Patrick M Reilly MD FACS February 27, 2010
Initial Pelvic Fracture Management Patrick M Reilly MD FACS February 27, 2010 John Pryor MD Field Triage* * Step One : Physiology * Step Two : Anatomy * Step Three : Mechanism * Step Four : Co-Morbid Conditions
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
of Trauma Assembly 27 th Page 1
Eastern Association for the Surgery of Trauma 27 th Annual Scientific Assembly Sunrise Session 08 To Scan or Not To Scan Thatt is the Question January 16, 2014 Waldorf Astoria Naples Naples, Floridaa Page
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
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#
1. Which of the following organs is contained in the retroperitoneal region of the abdomen? A. Stomach B. Liver C. Kidney D.
1. Which of the following organs is contained in the retroperitoneal region of the abdomen? A. Stomach B. Liver C. Kidney D. Uterus 2. What is Sellick's maneuver? A. A method allowing the rescuer to hold
Trauma Registry Documentation December 16, 2014
Trauma Registry Documentation December 16, 2014 The State of Florida now requires ALL Acute Care hospitals to submit data to the statetrauma Registry. Although Baptist Health hospitals are NOT Trauma Centers
Spinal Cord Injuries: The Basics. Kadre Sneddon POS Rounds October 1, 2003
Spinal Cord Injuries: The Basics Kadre Sneddon POS Rounds October 1, 2003 Anatomy Dorsal columntouch, vibration Corticospinal tract- UMN Anterior horn-lmn Spinothalamic tractpain, temperature (contralateral)
11. Spinal cord injury
11. Spinal cord injury Introduction Always think spinal (vertebral) and/or spinal cord injury (SCI) in children with trauma. Remember SCIWORA cord injury may be present without abnormalities on routine
1. In a rear-impact motor vehicle crash, which area of the spine is most susceptible to injury? A. Cervical B. Thoracic C. Lumbar D.
1. In a rear-impact motor vehicle crash, which area of the spine is most susceptible to injury? A. Cervical B. Thoracic C. Lumbar D. Sacral-coccygeal 2. A 36-year-old male sustains blunt force thoracic
Anesthesia for multiple trauma: from the scene to the OR
Anesthesia for multiple trauma: from the scene to the OR Gary Hartstein,, M.D. Service d'anesthésie-réanimationsie-réanimation Service des Urgences CHU Liège B.35 4000 Liège Course outline philosophy of
Pediatric Trauma Cases
Pediatric Trauma Cases QPEM 2018 Barbara Blackie, MD, MEd, FRCPC DISCLOSURE I do not have any relevant financial relationship with commercial interest to disclose. Learning Objectives -Manage interactive
17. Imaging and interventional radiology
17. Imaging and interventional radiology These guidelines have been adapted from the Leeds Major Trauma Centre Imaging in Paediatric Major Trauma guidelines Written by Dr Annmarie Jeanes (Consultant Paediatric
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
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
Advanced Assessment and Treatment of Trauma
Advanced 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
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,
Scenario #4A: Geriatric Trauma Resuscitation Version-5
Scenario #4A: Geriatric Trauma Resuscitation Version-5 Goals & Objectives: 1. Discuss the principles of initial assessment of a geriatric trauma patient. 2. Recognize physiologic and anatomic changes that
Emergency Room Resuscitation of the Unstable Trauma Patient
Emergency Room Resuscitation of the Unstable Trauma Patient Goals of trauma resuscitation Maintain: Systemic oxygenation Systemic perfusion Neurologic function Approach to unstable trauma patient Primary
Chapter 34. Objectives. Objectives 01/09/2013. Chest Trauma
Chapter 34 Chest 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
Hypotension / Shock. Adult Medical Section Protocols. Protocol 30
Hypotension / Shock History Blood loss - vaginal or gastrointestinal bleeding, AAA, ectopic Fluid loss - vomiting, diarrhea, fever nfection Cardiac ischemia (M, CHF) Medications Allergic reaction regnancy
TRAUMA CHART. SW London & Surrey Trauma Network Trauma Documentation. Trauma Team. Pre-alert details
SW London & Surrey Trauma Network Trauma Documentation Pre-alert details Ambulance Call Sign: Age: Mechanism: Injury: Date: Call received by: Male / Female Time: St George s Hospital East Surrey Hospital
SPINAL CORD INJURIES DR. F. DE V. THERON MUELMED/PAH HOSPITAL SPINAL UNIT 2012
SPINAL CORD INJURIES DR. F. DE V. THERON MUELMED/PAH HOSPITAL SPINAL UNIT 2012 INTRODUCTION Mortal condition recognised since antiquity First described in the Edwin Smith papyrus 2500BC An ailment not
Yaniv Berliner EMS STABILIZATION
Yaniv Berliner EMS STABILIZATION Scene survey EMS must first evaluate the safety of the scene. Downed power lines, fire, traffic Is there a need for specialized equipment for extrication. Is there a need
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
Imaging in the Trauma Patient
Imaging in the Trauma Patient David A. Spain, MD Department of Surgery Stanford University Pan Scan Instead of Clinical Exam? 1 Granted, some patients don t need CT scan Platinum Package Stanford Special
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
Pelvic Fractures. AOCP National Course Belfast City Hospital. 11 th June D Swain BSc; FRCSI; FRCS (Orth.)
Pelvic Fractures AOCP National Course Belfast City Hospital 11 th June 2010 Who s this bloke? Consultant orthopaedic surgeon RVH Trained in Belfast, England and Toronto Interests - pelvic and acetabular
History Data Panel. Case 030 Preg Trauma. Presenting Complaint Altered mental status s/p MVC. Person Giving Information EMS
History Data Panel Presenting Complaint Altered mental status s/p MVC Person Giving Information EMS History of Present Illness 28 year old woman, 35 weeks pregnant per report of her husband the passenger.
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
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
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
Pediatric Advanced Life Support
Pediatric Advanced Life Support Pediatric Chain of Survival Berg M D et al. Circulation 2010;122:S862-S875 Prevention Early cardiopulmonary resuscitation (CPR) Prompt access to the emergency response system
3. D Objective: Chapter 4, Objective 4 Page: 79 Rationale: A carbon dioxide level below 35 mmhg indicates hyperventilation.
1. A Objective: Chapter 1, Objective 3 Page: 14 Rationale: The sudden increase in acceleration produces posterior displacement of the occupants and possible hyperextension of the cervical spine if the
Aurora Health Care EMS Continuing Education Spring 2011 Packet THORACIC TRAUMA THE PREHOSPITAL APPROACH TO CHEST INJURY MANAGEMENT
Aurora Health Care EMS Continuing Education Spring 2011 Packet THORACIC TRAUMA Chest injuries are significant contributors to death from major trauma and can be difficult to assess adequately in the pre-hospital
Trauma. Neck trauma zones. Neck Injuries 1/3/2018. Basic principles A ; Airway B ; Breathing C ; Circulation D ; Disability E ; Exposure
Trauma 45 minutes highest points Ahmed Mahmoud, MD Basic principles A ; Airway B ; Breathing C ; Circulation D ; Disability E ; Exposure Neck trauma zones Airway ;Rapid sequence intubation Breathing ;Needle
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
Medical NREMT-PTE. NREMT Paramedic Trauma Exam.
Medical NREMT-PTE NREMT Paramedic Trauma Exam https://killexams.com/pass4sure/exam-detail/nremt-pte Question: 41 Which of the following most accurately describes the finding of jugular venous distension
A Severely Injured Pediatric Trauma Patient: Case Presentation and Discussion
A Severely Injured Pediatric Trauma Patient: Case Presentation and Discussion Christopher Butts PhD, DO Surgical Critical Care Fellow Cooper University Hospital H&P 10 year old female presents as a trauma
PRE-HOSPITAL EMERGENCY CARE COURSE.
PRE-HOSPITAL EMERGENCY CARE COURSE www.basics.org.uk Chest Assessment & Management BASICS Education March 2016 Objectives To understand the importance of oxygenation and ventilation To be able to describe
10/27/2014. An experience that causes physical, emotional, or psychological distress or harm.
Ann Marie Szoke, DNP, CRNP Supervisor Advanced Practitioners St. Luke s University Hospital To review multiple traumatic events through case presentations Discuss the concept of the Hybrid Operating Room
The ABC s of Chest Trauma
The ABC s of Chest Trauma J Bradley Pickhardt MD, FACS Providence St Patrick Hospital What s the Problem? 2/3 of trauma patients have chest trauma Responsible for 25% of all trauma deaths Most injuries
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
Trauma Patients What do we really know?
Patients What do we really know? Dan Talbert MHS, EMT-P, FP-C TraumaOne / UF Health Jacksonville Objectives Introduction to trauma Overview of the trauma system Overview of the traumatic injury Case review
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
Trauma Activation 7/18/17
Blunt Rupture of the Thoracic Duct after Severe Thoracic Trauma Samuel Brown, MD Trauma Activation 7/18/17 53 year old male, rear end MVC, exited vehicle and was struck by a semi truck. Denies LOC, complaints
Resuscitation Checklist
Resuscitation Checklist Actions if multiple responders are on scene Is resuscitation appropriate? Conditions incompatible with life Advanced decision in place Based on the information available, the senior
SCIWORA Rozlyn McTeer BSN, RN, CEN Pediatric Trauma Coordinator Trauma Services OBJECTIVES DEFINITION 11/8/2017. Identify SCIWORA.
SCIWORA Rozlyn McTeer BSN, RN, CEN Pediatric Trauma Coordinator Trauma Services Identify SCIWORA. OBJECTIVES Identify the population at risk. To identify anatomic and physiologic reasons for SCIWORA. To
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
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
Trauma In The Emergency Department. A Nurse s s Perspective
Trauma In The Emergency Department A Nurse s s Perspective GODERICH: Prettiest Town In Canada! Alexandra Marine & General Hospital Stats April 2007 - Nov 2008 19 month period 171 traumas 74 65 years
Daniel A. Beals MD, FACS, FAAP Pediatric Surgery and Urology Community Medical Center Associate Professor of Surgery and Pediatrics University of
Daniel A. Beals MD, FACS, FAAP Pediatric Surgery and Urology Community Medical Center Associate Professor of Surgery and Pediatrics University of Washington Seattle Children s Hospital Objectives Define
ITLS Advanced Pre-Test Annotated Key 8 th Edition
1. A Objective: Chapter 1, Objective 3 Page: 14 Rationale: The sudden increase in acceleration produces posterior displacement of the occupants and possible hyperextension of the cervical spine if the
TNP Teaching Station E Focus: Intubated Patient, Interpersonal Violence
TNP Teaching Station E Focus: Intubated Patient, Interpersonal Violence Objective Upon completion of this teaching station the learner will be able to: 1. demonstrate appropriate assessment for a hemodynamically
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
Head injuries. Severity of head injuries
Head injuries ED Teaching day 23 rd October Severity of head injuries Minor GCS 14-15 Must not have any of the following: Amnesia 10min Neurological sign or symptom Skull fracture (clinically or radiologically)
Pediatric Trauma. July 27 th, Suzana Buac, PGY4. Dr. Neil Merritt
Pediatric Trauma July 27 th, 2016. Suzana Buac, PGY4 Dr. Neil Merritt Case 5yoM fall from roof Fall from roof of home while father was shingling 5yoM fall from roof Fall from roof of home while father
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
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
TALK TRAUMA Clearing the C-Spine. David Ouellette
TALK TRAUMA 2011 Clearing the C-Spine David Ouellette Case #1 - Mother / Daughter MVC 34 y/o female Dangerous mechanism CHI Mumbling incoherently Femur # - distracting injury ETOH - 22 9 y/o female Dangerous
CHEST INJURY PULMONARY CONTUSION
CHEST INJURY PULMONARY CONTUSION Introduction Pulmonary contusion refers to blunt traumatic lung parenchymal injury which results in oedema and haemorrhaging into alveolar spaces. It may also result in
Pediatric Trauma. Sept 2nd, Patrick Murphy Neil Merritt
Pediatric Trauma Sept 2nd, 2015 Patrick Murphy Neil Merritt Objectives Objectives Medical Expert 1. Describe the types of pediatric injuries sustained with a given mode of trauma, and identify the most
Spinal Trauma. Dr T G Kruger
Spinal Trauma Dr T G Kruger Epidemiology Spine injury in 6% of trauma patients Multiple levels involved in 20% of cases 80% of spinal cord injury patients have concurrent other system injuries 41% have
A Nor-Cal EMS Webcast Nor-Cal EMS Medical Advisory Committee Run Review July Northern California EMS, Inc. All Rights Reserved Worldwide.
by Engineer Bill Bogenreif 1 Presented by: Eric Rudnic, MD, FACEP, FAAEM Medical Director for Nor-Cal EMS Northern California EMS, Inc. All Right Reserved Worldwide by Engineer Bill Bogenreif 2 Chief Complaint:
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:
SPECIAL DIAGNOSTIC STUDIES IN BLUNT TRAUMA OLEH : Prof.DR.Dr Abdul Rasyid SpRad (K),Ph.D Dr.Evo Elidar Sp.Rad
SPECIAL DIAGNOSTIC STUDIES IN BLUNT TRAUMA OLEH : Prof.DR.Dr Abdul Rasyid SpRad (K),Ph.D Dr.Evo Elidar Sp.Rad Trauma Emergency Room layout Ideally the trauma emergency room is centrally located to provide
Chapter 13. Injuries to the Thorax and Abdomen
Chapter 13 Injuries to the Thorax and Abdomen Anatomy Review Thoracic cage has 12 pairs of ribs. The first 7 pairs connect directly to sternum. Pairs 8 through 10 connect via common costal cartilage. Pairs
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,
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
Student Guide Module 4: Pediatric Trauma
Student Guide Module 4: Pediatric Trauma Problem based learning exercise objectives Understand how to manage traumatic injuries in mass casualty events. Discuss the features and the approach to pediatric
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
Pelvic fractures. Dr Raymond Yean, MBBS Surgical SRMO
Pelvic fractures Dr Raymond Yean, MBBS Surgical SRMO PELVIC FRACTURES Pelvic fracture account for 2-8% all skeletal injuries Associated with High energy trauma Soft tissue injuries and blood loss. Shock,
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
Time Equals Neurons - Spinal Cord Injury Management in the first 4 Hours
Time Equals Neurons - Spinal Cord Injury Management in the first 4 Hours William D. Whetstone M.D. Clinical Professor UCSF Department of Emergency Medicine SFGH ED Center for Neuro-Critical Emergencies
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,
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
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
FELLOWSHIP TRIAL EXAMINATION
Candidate name: FELLOWSHIP TRIAL EXAMINATION 2016.2 WRITTEN EXAMINATION SHORT ANSWER QUESTIONS EXAMINATION TIME: 3 HOURS DIRECTIONS TO CANDIDATES 1. The booklet is divided in to three parts - Each part
McCann Technical School 70 Hodges Cross Road North Adams, MA Medical Assisting Program
MA 104 MEDICAL SOCIAL SCIENCE 4 Credits Fall Semester Part IV FIRST RESPONDER Syllabus McCann Technical School 70 Hodges Cross Road North Adams, MA 01247 Medical Assisting Program INSTRUCTORS: Laurie Tuper,
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
Selective Spinal Immobilization
Selective Spinal Immobilization Objectives Understand the background of spinal immobilization. Understand the rationale for developing a current selective spinal immobilization protocol. Review the data
Pan Scan Instead of Clinical Exam? David A. Spain, MD
Pan Scan Instead of Clinical Exam? David A. Spain, MD Granted, some patients don t t need CT scan Platinum Package Stanford Special CT Scan Head Neck Chest Abdomen Pelvis Takes about 20 minutes to do
Abdominal Trauma. Nat Krairojananan M.D., FRCST Department of Trauma and Emergency Medicine Phramongkutklao Hospital
Abdominal Trauma Nat Krairojananan M.D., FRCST Department of Trauma and Emergency Medicine Phramongkutklao Hospital overview Quick review abdominal anatomy Review of mechanism of injury Review of investigation
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
North West London Trauma Network Spinal Pathway and Protocols
North West London Trauma Network Spinal Pathway and Protocols 1. Spinal Clearance in the Trauma Patient Inclusions: All trauma patients who are not alert and orientated, unable to cooperate (including
CASE REPORT. Occult spinal cord injury sustained by high. velocity automobile collision
Archives of Emergency Medicine, 1993, 10, 123-127 CASE REPORT Occult spinal cord injury sustained by high velocity automobile collision A. GEE, J. MCLOUGHLIN, S. M. A. BYRNES & G. N. A. SIBLEY Department
Pediatric Trauma Practice. Guideline for Management of the Child in Shock. Background
Pediatric Trauma Practice Guideline for Management of the Child in Shock Background Guideline for Management Trauma is the leading cause of death in children and adolescents in the United States. Although