ATLS: Initial Assessment and Management. SAUSHEC Medical Student Lecture Series
|
|
- Lilian Lang
- 6 years ago
- Views:
Transcription
1 ATLS: Initial Assessment and Management SAUSHEC Medical Student Lecture Series
2
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
14 Primary Survey Suspect C-spine injury spinal protection C-spine X-ray when appropriate
15
16 Assess Oxygenate Ventilate Pitfalls: Primary Survey B Airway vs ventilation problem iatrogenic pneumothorax/tension pneumothorax
17 Primary Survey C Assessment of organ perfusion Level of Consciousness Skin color and temperature Pulse rate and character
18 Primary Surevey C Circulatory Management Control Hemorrhage Restore Volume Reassess Pitfalls: elderly, athletes, children medications
19 Disability Primary Survey D Baseline neurologic evaluation GCS Scoring Pupillary response Continuously reassess for deterioration/changes
20 Exposure Primary Survey E Completely undress the patient Environment core temperature prevent hypothermia
21 Resuscitation Protect and secure the airway Ventilate and oxygenate Stop the bleeding Protect from hypothermia
22 Adjuncts to Primary Survey Vital Signs/ECG monitoring ABGs POX/CO2 Urinary/gastric catheters Urinary output ECG
23 Adjuncts to Primary Survey Diagnostic tools CXR, C-spine, Pelvis DPL Ultrasound
24
25
26
27 Adjuncts to Primary Survey Consider Early Transfer do not delay transfer for diagnostic tests time to transfer=resuscitation
28 Reevaluate Proceed to secondary survey after: Primary survey completed ABCDE s reassessed initial resuscitation of vital functions
29 Secondary Survey Key Components History Complete head-to-toe examination Tubes and Fingers in every orifice Complete Neuro exam Special diagnostic tests Reevaluation
30 A Allergies M Medications Secondary Survey History P Past Medical/Surgical History/Pregnancy L Last meal E Events/Environment related to injury
31 Secondary Survey Head Complete Neuro exam GCS Score Comprehensive eye/ear exams Pitfalls: unconscious patient periorbital edema occluded auditory canal
32 Secondary Survey Maxillofacial Bony crepitus/stability Palpable deformity Pitfalls: potential airway obstruction cribriform plate fracture frequently missed injuries
33 Secondary Survey Cervical Spine Palpate for tenderness/stepoffs/crepitus Complete motor/sensory exams Reflexes C-spine imaging Pitfalls: altered LOC for any reason distracting injury
34 Secondary Survey Neck (soft tissues) Mechanism: blunt vs penetrating Symptoms: airway obstruction, hoarseness Findings: crepitus, hematoma, stridor, bruit Pitfalls: may have delayed symptoms/signs progressive airway obstruction occult injuries
35 Inspect Palpate Percuss Auscultate X-rays Pitfalls: Secondary Survey Chest elderly, children
36
37 Secondary Survey Abdomen Inspect, auscultate, palpate, percuss Reevaluate frequently Special studies Pitfalls: hollow viscus and retroperitoneal injuries excessive pelvic manipulation
38
39 Secondary Survey Perineum-contusions, hematomas, lacerations, urethral blood Rectum-sphincter tone, prostate, pelvic fracture, rectal wall integrity, blood Vagina-blood, lacerations Pitfalls: urethral injury, pregnancy
40 Secondary Survey Musculoskeletal:Extremities contusion, deformity pain perfusion peripheral NV status X-rays as indicated
41
42 Secondary Survey Musculoskeletal:Pelvis Pain on palpation increased symphysis width uneven leg length instability special X-rays as indicated
43 Pitfalls: Secondary Survey Musculoskeletal potential blood loss missed fractures soft-tissue or ligamentous injuries compartment syndrome
44 Spine/Cord: Secondary Survey Neurologic complete motor and sensory exams reflexes imaging as indicated CNS: frequent reevaluation prevent secondary brain injury Early neurosurgical consultation
45 Pitfalls: Secondary Survey Neurologic incomplete immobilization subtle increases in ICP with manipulation rapid deterioration
46 Adjuncts to Secondary Survey Special diagnostic tests as indicated Pitfalls: patient deterioration delay of transfer
47 Reevaluation Minimizing missed injuries high index of suspicion frequent reevaluation and continuous monitoring
48 Reevaluation Pain Management relief of pain/anxiety IV titration monitor carefully
49 Patient Definitive Care? Transfer injuries physiologic status concurrent diseases factors that may alter prognisis Hospital overall capabilities specialized care
50 Records, Legal Considerations concise, complete, chronologic documentation consent for treatment forensic evidence
51 Summary Primary Survey Resuscitation Adjuncts Secondary Survey Adjuncts Definitive Care
Trauma is a Disease Lets Get it Right A Good Trauma Examination Gives Your Patient Increased Odds for a Good Outcome
A Good Trauma Examination Gives Your Patient Increased Odds for a Good Outcome druffol@lumc.edu 708.216.4541 Lets Get it Right Trauma is a Disease Importance of Trauma Care and the trauma provider role
More informationEmergency 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
More informationChapter 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 informationPre-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,
More informationPatient 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 informationAPPROACH TO TRAUMA. Dr E.Memary Anesthesiologist Assistant Professor of SBMU
APPROACH TO TRAUMA Dr E.Memary Anesthesiologist Assistant Professor of SBMU Objectives Describe the initial approach to the injured patient, including the primary and secondary surveys. Identify the types
More informationEuropean 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
More informationTNP 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
More informationIntroduction to Advanced Trauma Life Support ATLS
Introduction to Advanced Trauma Life Support ATLS Objectives Concepts of primary & secondary survey Priorities & Life threatening conditions Clinical & Surgical skills Basic knowledge Rapid assessment
More informationINTERNATIONAL 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 informationACUTE CLINICAL MANAGEMENT OF TRAUMA Tina Gaarder, MD, PhD
ACUTE CLINICAL MANAGEMENT OF TRAUMA Tina Gaarder, MD, PhD Trauma represents a leading cause of disability and preventable death and is mainly affecting people between 15 and 40 years of age, accounting
More informationOverview. 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 informationoriented 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
More informationPatient Care Report Guidelines
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.
More informationShenandoah 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 informationAnesthesia 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
More informationPEDIATRIC TRAUMA I: ABDOMINAL TRAUMA BURNS. December 19, 2012
PEDIATRIC TRAUMA I: ABDOMINAL TRAUMA BURNS Niel F. Miele,, M.D. December 19, 2012 EPIDEMIOLOGY Major Trauma responsible for
More informationPRE-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
More informationMASSACHUSETTS 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 informationEMS 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 informationAbdomen 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 informationEMS 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 informationCHEST 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
More informationPRACTICE GUIDELINE. DEFINITIONS: Mild head injury: Glasgow Coma Scale* (GCS) score Moderate head injury: GCS 9-12 Severe head injury: GCS 3-8
PRACTICE GUIDELINE Effective Date: 9-1-2012 Manual Reference: Deaconess Trauma Services TITLE: TRAUMATIC BRAIN INJURY GUIDELINE OBJECTIVE: To provide practice management guidelines for traumatic brain
More informationFace 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 informationBasic 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
More information3. 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
More informationTRAUMA 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
More informationEmergency 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
More informationFocused 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
More informationChapter 39 Trauma in the Elderly
Chapter 39 Trauma in the Elderly Episode Overview 1) 5 Risk Factors for falls in the elderly? 2) What anatomic and physiologic changes in the elderly patient are important for the management of trauma
More informationPaediatric Trauma. A/Prof Drew Richardson. The Canberra Hospital May MB BS (Hons) FACEM Grad CertHE MD
Paediatric Trauma A/Prof Drew Richardson MB BS (Hons) FACEM Grad CertHE MD The Canberra Hospital May 2013 Objectives Identify unique anatomic and physiologic characteristics of injured children Describe
More informationChapter 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.
More informationStudent 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
More informationPRE-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
More informationHistory 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.
More informationChapter 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
More informationAirway 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 informationAbdominal 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
More informationRestore 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,
More informationAurora 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
More informationHeartCode PALS. PALS Actions Overview > Legend. Contents
HeartCode PALS PALS Actions Overview > Legend Action buttons (round buttons) Clicking a round button initiates an action. Clicking this button, for example, checks the child s carotid pulse. Menu buttons
More informationInjuries 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
More informationPreparation. Re-evaluation. OR Ward ICU. ABCDE Resuscitation Adjunct. AMPLE Head to toe Adjunct. Secondary survey. Primary survey.
Preparation ABCDE Resuscitation Adjunct Primary survey Secondary survey AMPLE Head to toe Adjunct OR Ward ICU Definite care Re-evaluation Where is location of pitfall? ER WARD OR ICU A : Airway with cervical
More informationChapter 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
More informationCompetency 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
More informationPediatric 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
More informationThe Primary Survey. C. Clay Cothren, MD FACS. Attending Surgeon, Denver Health Medical Center Assistant Professor of Surgery, University of Colorado
The Primary Survey C. Clay Cothren, MD FACS Attending Surgeon, Denver Health Medical Center Assistant Professor of Surgery, University of Colorado Outlining the ABCs Why do we need such an approach? The
More informationControversies in Spinal Immobilization
Controversies in Spinal Immobilization Ken Berumen, BSN, MD, FACEP Medical Director El Paso Fire Department Medical Director Emergency Services District #1 Network Director EM Sierra Providence Health
More informationDaniel 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
More informationChapter 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
More informationTable 2 - ATLS 8 th Edition Compendium of Changes (The Evidence for change, Jtrauma, Vol 64, number 6, pages )
Table 2 - ATLS 8 th Edition Compendium of Changes (The Evidence for change, Jtrauma, Vol 64, number 6, pages 1638-1650) Chapter Subject 7 th Edition 8th Edition 1. Initial Assessment Rectal examination
More informationTime 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
More informationAlgorithms for managing the common trauma patient
ALGORITHMS Algorithms for managing the common trauma patient J John, MB ChB Department of Urology, Frere Hospital, East London Hospital Complex, East London, South Africa Corresponding author: J John (jeffveenajohn@gmail.com)
More informationPediatric 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
More informationMEMORANDUM 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,
More informationAssessment 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 informationMcHenry Western Lake County EMS System Paramedic, EMT-B and PHRN Optional Continuing Education 2019 #3 Penetrating Neck Trauma
McHenry Western Lake County EMS System Paramedic, EMT-B and PHRN Optional Continuing Education 2019 #3 Penetrating Neck Trauma Penetrating neck injury (PNI) comprises 5 to 10 percent of traumatic injuries
More informationThe Primary Survey. Clay Cothren Burlew, MD FACS
The Primary Survey Clay Cothren Burlew, MD FACS Director, Surgical Intensive Care Unit Attending Surgeon, Denver Health Medical Center Associate Professor of Surgery, University of Colorado Outlining the
More informationMuscle 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 informationCombined CFRN and CTRN Detailed Content Outline
Clinical items (primarily category, Assessment (15-20%), 1. General principles of transport nursing practice 19 31 A. Transport physiology 1. Physiologic stressors of transport 2. Effects of altitude on
More informationThe Management of Trauma. Trauma. Ways of Trauma Management. Why it s important 08/06/2012. RTC s account for most injuries. Injury is a disease
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
More informationSPINE EVALUATION AND CLEARANCE Basic Principles
SPINE EVALUATION AND CLEARANCE Basic Principles General 1. Entire spine is immobilized during primary survey. 2. Radiographic clearance of the spine is not required before emergent surgical procedures.
More informationCHANHASSEN 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
More informationAcute spinal cord injury
Acute spinal cord injury Thakul Oearsakul Songklanagarind hospital Hat Yai Songkhla Introduction New SCI 10000-12000 cases Approximately 4.0-5.3 per 100000 population Common causes of traumatic SCI :Motor
More information17. 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
More informationPediatric Trauma Management For EMS
Pediatric Trauma Management For EMS Michael D. McGonigal MD Objectives Discuss important concepts in initial pediatric trauma care, including sports and head injuries Review several pediatric trauma cases
More informationWe have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it.
Author(s): Tim Maxim, BA, RN, 2011 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike 3.0 License: http://creativecommons.org/licenses/by-sa/3.0/
More informationWest Yorkshire Major Trauma Network Clinical Guidelines 2015
WYMTN: Pelvic fracture with urogenital trauma KEY RECOMMENDATIONS 1. During the initial exploratory survey / secondary survey, a. The external urethral meatus and the transurethral bladder catheter (if
More informationTrauma 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
More informationITLS 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
More information1. 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
More informationTALK 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
More informationEmergency Medical Training Services Emergency Medical Technician Basic Program Outlines Outline Topic: ASSESSMENT Revised: 11/2013
Emergency Medical Training Services Emergency Medical Technician Basic Program Outlines Outline Topic: ASSESSMENT Revised: 11/2013 DEFINITIONS General Impression - EMT develops a plan of action from the
More informationIMMEDIATE EMERGENCY BURN CARE » THERMAL BURNS » ELECTRICAL BURNS » CHEMICAL BURNS FIRST AID FOR THE THREE MAJOR CATEGORIES
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
More informationChapter 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 informationOral and Maxillofacial Surgeons and the seriously injured patient. Barts and The London NHS Trust
Oral and Maxillofacial Surgeons and the seriously injured patient Barts and The London NHS Trust How do you assess this? Primary Survey A B C D E Airway & Cervical Spine Breathing & Ventilation Circulation
More informationMODULE IV. Pediatric Trauma
MODULE IV Pediatric Trauma PRE-HOSPITAL HIGH RISK CRITERIA Blunt injury Significant injury; physiologic compromise Penetrating injuries Thorax, abdomen, head and neck High risk burns: > 10% second degree
More informationSEMINOLE 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 informationEmergency 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
More informationLesson Plans and Objectives: Review material for article Prep work for article Picture recovery Review for placement on-line.
Lesson Plans and Objectives: Review material for article Prep work for article Picture recovery Review for placement on-line. After reading the article, the staff will be able to: Define facial trauma
More informationChapter 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
More informationMedical 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
More informationPolytrauma. Same stuff-different day! 9/14/2012. Managing the difficult airway in Multi-Systems Trauma. Jerry J Ryman CRT
Managing the difficult airway in Multi-Systems Trauma Jerry J Ryman CRT Polytrauma More than 1 organ system involved Pulmonary Circulatory Neurological Integumentary Musculo-skeletal Genito-urinary Endocrine
More informationTrauma 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 informationCompliance Department ELEMENTS OF GENITOURINARY EXAMINATION 11/2010
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,
More informationCenter for Reconstructive Urethral Surgery Guido Barbagli Center for Reconstructive Urethral Surgery Arezzo - Italy
Guido Barbagli Arezzo - Italy E-mail: guido@rdn.it Website: www.urethralcenter.it 23 rd ANNUAL EAU CONGRESS Sub-plenary Session on Male urinary incontinence 26 29 March 2008 Milan Italy Incontinence following
More informationEvaluation & Management of Penetrating Wounds to the NECK
Evaluation & Management of Penetrating Wounds to the NECK Goal Effectively identify patients with a high probability of injury requiring surgical intervention Define the role of diagnostic tests in assessing
More informationThe 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
More informationOBJECTIVES: 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 informationHypotension / 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
More information1. 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
More informationTrauma, severe injury. dr. Péter Kanizsai Semmelweis University, Dept. of Anaesthesia and Intensive Care Division of Oxyology and Emergency Medicine
Trauma, severe injury dr. Péter Kanizsai Semmelweis University, Dept. of Anaesthesia and Intensive Care Division of Oxyology and Emergency Medicine What is severe injury? Severe injury : a significant
More informationPediatric 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
More informationEMT. Chapter 8 Review
EMT Chapter 8 Review 1. During the scene size-up, you should routinely determine all of the following, EXCEPT: A. the mechanism of injury or nature of illness. B. the ratio of pediatric patients to adult
More informationMed 536 Communicating About Prognosis Workshop. Case 2
Med 536 Communicating About Prognosis Workshop Case 2 ID / CC: 33 year-old man with intracranial hemorrhage History of the Presenting Illness 33 year-old man with a prior history of melanoma of the neck
More informationMANAGEMENT OF FRACTURE. Sudi maiteh (seminar 2 )
MANAGEMENT OF FRACTURE Sudi maiteh (seminar 2 ) Management of fracture Subjects : _ general management of fractures & Orthopedic patient evaluation _ Closed and open fractures management (Conservative,
More informationOUTLINE 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 informationInitial 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
More informationChapter Goal. Learning Objectives 9/12/2012. Chapter 36. Geriatrics. Use assessment findings to formulate management plan for geriatric patients
Chapter 36 Geriatrics Chapter Goal Use assessment findings to formulate management plan for geriatric patients Learning Objectives Describe dependent & independent living environments Identify local resources
More information