1 ATLS: Initial Assessment and Management SAUSHEC Medical Student Lecture Series
3 Objectives Identify sequence of priorities in assessing the multiply injured patient Apply principles outlined in primary and secondary evaluation surveys Apply guidelines and techniques in the initial resuscitative and definitive-care phases of treatment Identify how patient s medical history and mechanism of injury contribute to identification of injuries
4 Objectives Identify pitfalls associated with initial assessment and management and apply steps to minimize their impact Be able to conduct an initial assessment survey, using the correct sequence of priorities and management techniques for primary treatment and stabilization
5 Concepts of Initial Assessment Rapid primary survey Resuscitation Adjuncts to primary survey/resuscitation Detailed secondary survey Adjuncts to secondary survey Reevaluation Definitive care
6 Initial Assessment Primary survey and resuscitation of vital functions are done simultaneously-a team approach.
7 Preparation Pre-Hospital System Transport guidelines/protocols On-line medical direction Mobilization of resources Periodic review of care Closest appropriate facility
8 Preparation In-Hospital Preplanning Equipment, personnel, services Standard precautions Transfer agreement
9 Standard Precautions Cap Gown Gloves Mask Shoe covers Goggles/face shields
10 Triage Sorting of patients according to: ABCDE s available resources Multiple casualties Mass casualties
11 Primary Survey adult/pediatric/pregnant women=priorities are the same A airway with C-spine protection B breathing C circulation with hemorrhage control D disability E exposure/environment
12 Special Considerations trauma in the elderly 5th leading cause of death decreased physiologic reserve comorbidities: diseases/medications Outcome depends on early, aggressive care
13 Primary Survey A Establish patent airway assume C-spine trauma Pitfalls equipment failure inability to intubate occult airway injury progressive loss of airway
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
A rrival on scene / Scene assessment C omplaint H istory A. Position of patient B. Impression of patient C. Does the patient acknowledge your presence D. Any significant characteristics of the scene A.
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#
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
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
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
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
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
BUILDING YOUR TRAUMA TOOL KIT-WHAT ADJUNCTS ARE RIGHT FOR YOU? A M Y K O E S T N E R, R N, M S N OBJECTIVES Identifying equipment or items needed in your trauma toolkit Describe your process for evaluating
SPINAL CORD INJURIES David Garvey, PhD, MD, FACEP International Trauma Conference 2016 SCI Spinal Cord Injuries DISCLOSURE I have no actual or potential conflict of interest in relation to this program/presentation.
The Management of Trauma RTC s account for most injuries Followed by assaults, drownings, falls, burns Injury is a disease Trauma 400 350 300 Trimodal Distribution of Death Laceration : Brain Brainstem
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.
IMMEDIATE EMERGENCY BURN CARE 1. Treat according to BLS or ACLS Protocol 2. Use airway and C-Spine precautions. 3. Stop the burning process. FIRST AID FOR THE THREE MAJOR CATEGORIES» THERMAL BURNS + Stop
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
Compliance Department ELEMENTS OF GENITOURINARY EXAMINATION 11/2010 Elements of Examination Constitutional Measurement of any three of the following seven vital signs: 1) sitting or standing blood pressure,
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.
Geriatric Care David Ankrom, BS, EMT-P, FP-C, EMS-I Flight Paramedic/ Clinical Instructor Aging Statistics Almost 15% of people in the US are over age 65. Baby Boomers will increase this number. Expect
New York State Department of Health BLS Practical Skills Examination ertified First Responder and Emergency Medical Technician 2017 REQUIRED TESTING S EMT - The following skills are identified as being
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,
Thoracic and Abdominal Trauma Jami Windhorn RN BSN CPN TNCC ENPC I have nothing to disclose I have no conflict of interest 2 Objectives Identify Common Mechanisms for Thoracic Trauma Describe Pathophysiology
Chapter 17 Hemorrhage & Shock Chapter Goal Use assessment findings to formulate field impression and implement treatment plan for patient with hemorrhage or shock Learning Objectives Describe epidemiology,
1 2 3 4 5 6 7 Introduction to Health Assessment Taylor Chapter 25 Purposes of the Health Assessment Establish the nurse patient relationship Gather data about the patient s general health status Identify
MANAGEMENT OF SOLID ORGAN INJURIES Joseph Cuschieri, MD FACS Professor of Surgery, University of Washington Director of Surgical Critical Care, Harborview Medical Center Introduction Solid organ injury
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
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
LOSS OF CONSCIOUSNESS & ASSESSMENT Sheba Medical Center Acute Medicine Department MATTHEW WRIGHT OUTLINE Causes Head Injury Clinical Features Complications Rapid Assessment Glasgow Coma Scale Classification
yregion I EMERGENCY MEDICAL SERVICES STANDING MEDICAL ORDERS EMT Basic SMO: Airway Management Overview: Managing a patient s airway may be necessitated due to upper or lower airway obstruction, inadequate
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
CHAPTER 36 Geriatrics HANDOUT 36-2: Evaluating Content Mastery Student s Name EVALUATION CHAPTER 36 QUIZ Write the letter of the best answer in the space provided. 1. Among patients over age 65, almost
The following is an excerpt from The bodyguards manual by BSI. Most people will agree that first aid and paramedics should be taught, rehearsed, practiced multiple times, until it is second nature to a
Name Employer Date Submitted Northwest Community EMS System - Continuing Education March 2015 Trauma QI Case Reviews - CE Credit Questions To receive credit for this CE module (Materials needed CE handout,
Basic Airway Management Dr. Madhurita Singh, Assoc. Professor, Dept. of Critical Care, CMC Vellore. This is the first module in a series on management of airway and ventilation in critically ill patients.
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.
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
Introduction Posterior cervical fusion is done through the back posterior of the neck. The surgery joins two or more neck vertebrae into one solid section of bone. The medical term for fusion is arthrodesis.
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
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
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
Surgical Subspecialty Clerkship Objectives/Syllabus Airway Adjuncts & Intubation 1. State three early and three late signs of hypoxemia. 2. State the indications, concentration/liter flow rate, advantages,
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
Prehospital Resuscitation for the 21 st Century Simulation Case VF/Asystole Case History 1 (hypovolemic cardiac arrest secondary to massive upper GI bleed) 56 year-old male patient who fainted in the presence
Objectives Spinal Immobilization November 12, 2013 Tammie Drapeau, EMT-P INHS Health Training Health Educator Anatomy and Physiology Spinal Trauma In Line Stabilization Movement of the Patient Packaging
Surgical Care at the District Hospital 1 17 Orthopedic Techniques Key Points 2 17.1 Traction Use an appropriate method of traction to treat fractures of the extremities and cervical spine Apply extremity
PURPOSE: I. To establish the minimum requirements for a first responder training course in first aid, which all first responders must take, in order to meet the requirements of M.G.L. c. 111, 201 and 105
1 2 3 4 5 6 7 8 9 National EMS Education Standard Competencies (1 of 5) Trauma Applies fundamental knowledge to provide basic emergency care and transportation based on assessment findings for an acutely
Chapter 18 Altered Mental Status, Stroke, and Headache Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren Copyright 2010 by Pearson Education, Inc. All rights reserved. Objectives
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
CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) Continuous Positive Airway Pressure (CPAP) may be used as an adjunctive therapy for the treatment of patients with suspected Acute Pulmonary Edema, Chronic Obstructive
Director, Burn Center MetroHealth Medical Center Professor of Surgery Case Western Reserve University BLAST INJURY Which of following statements concerning blast lung injury are FALSE? 1)Blast lung injury
1 2 3 4 5 Chapter 25 Injuries to the Face, Neck, and Eyes Injuries to the Face and Neck Face and neck are to injury Relatively unprotected positions on body Some injuries are life-threatening. trauma to
UHSM ED Pathway ELDERLY FALL / COLLAPSE Patient name / Pathway for patients who require assessment in ED after a fall or collapse Note: - It can be used if the patient has also sustained a minor head injury
IU Health PALS Study Guide Preparing for your upcoming PALS course UPDATED November 2016 Course Curriculum: 2015 American Heart Association (AHA) Guidelines for Pediatric Advanced Life Support (PALS) AHA
Emergency Department Triage Julia Fuzak, MD, Patrick Mahar, MD The Children s Hosital Denver, CO, USA 1/30/09 Hospital Pediatrico Juan Manuel Marquez Habana, Cuba Objectives What is does triage mean? Why
Pediatric Patients BCFPD Program Basic Considerations Much of the initial patient assessment can be done during visual examination of the scene. Involve the caregiver or parent as much as possible. Allow
Management of head trauma in children Naji SOUAIBY, MD, MPH, MHM Wissam EL HAJJ MOUSSA, MD Lebanon ICEM 2016 Antalya, Turkey Faculty of Medicine Montpellier France Faculty of Medicine St Joseph University
Chapter 7: Trauma Stephen Lo Introduction The treatment of trauma is well documented in the ATLS guidelines. This chapter will provide a brief summary of management of trauma and highlight the important
Polytrauma and Critical Care Dr Mike Brunner M.B.B.S., F.R.C.A. Consultant in Anaesthesia and Intensive Care Medicine Northwick Park and St Mark s s Hospital Harrow England My Hospital My Football Team
IFT1 Interfacility Transfer of STEMI Patients IFT2 Interfacility Transfer of Intubated Patients IFT3 Interfacility Transfer of Stroke Patients Interfacility Transfer Guidelines IFT 1 TRANSFER INTERFACILITY
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
Definition: Neurogenic bladder Neurogenic bladder is a type of dysfunction of the bladder due to neurological disorder. Types: Nervous system diseases: Congenital: like myelodysplasia like meningocele.
REGION 1 EMERGENCY MEDICAL SERVICES STANDING MEDICAL ORDERS EMT Basic, EMT Intermediate, EMT Paramedic SMO: Pediatric Assessment Guidelines Overview: Pediatric patients account for about 10% or less of
BUKU PANDUAN INSTRUKTUR SKILLS LEARNING SISTEM EMERGENSI DAN TRAUMATOLOGI STABILISASI DAN TRANSPORTASI KOORDINATOR SKILLS LAB SISTEM EMERGENSI DAN TRAUMATAOLOGI FAKULTAS KEDOKTERAN UNIVERSITAS HASANUDDIN