National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 17 Principles of Trauma.

Slides:

Advertisements

Similar presentations

Chapter 30 Putting It All Together for the Trauma Patient

Advertisements

Limmer et al., Emergency Care Update, 10th Edition © 2007 by Pearson Education, Inc. Upper Saddle River, NJ CHAPTER 30 Putting It All Together for the.

Limmer et al., Emergency Care, 11th Edition © 2009 by Pearson Education, Inc., Upper Saddle River, NJ DOT Directory Chapter 12 Ongoing Assessment.

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 7 Patient Assessment.

National Ski Patrol, Outdoor Emergency Care, 5 th Ed ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 22 Face, Eye, and Neck Injuries.

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 18 Soft-Tissue Injuries.

Medical Communications and Documentation

National Ski Patrol, Outdoor Emergency Care, 5th ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Shock Chapter 10.

Principles of Patient Assessment in EMS By: Bob Elling, MPA, EMT-P & Kirsten Elling, BS, EMT-P.

Limmer et al., Emergency Care Update, 10th Edition © 2007 by Pearson Education, Inc. Upper Saddle River, NJ CHAPTER 33 Ambulance Operations.

Bledsoe et al., Essentials of Paramedic Care: Division 1II © 2006 by Pearson Education, Inc. Upper Saddle River, NJ Division 3 Trauma Emergencies.

Bledsoe et al., Paramedic Care Principles & Practice Volume 4: Trauma © 2006 by Pearson Education, Inc. Upper Saddle River, NJ Paramedic Care: Principles.

Limmer et al., Emergency Care Update, 10th Edition © 2007 by Pearson Education, Inc. Upper Saddle River, NJ CHAPTER 35 Special Operations.

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 21 Head and Spine Injuries.

Limmer et al., Emergency Care, 11th Edition © 2009 by Pearson Education, Inc., Upper Saddle River, NJ DOT Directory Chapter 15 General Pharmacology.

Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ CHAPTER 5 Lifting and Moving Patients.

Bergeron et al., First Responder, 7 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Introduction to EMS Systems CHAPTER 1 Unit 1 Preparatory.

Limmer et al., Emergency Care, 11th Edition © 2009 by Pearson Education, Inc., Upper Saddle River, NJ DOT Directory Chapter 14 Documentation.

National Ski Patrol, Outdoor Emergency Care, 5th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Emergency Care Systems Chapter 2.

Lesson 3 Scene Assessment and Primary Assessment

Bledsoe et al., Paramedic Care Principles & Practice Volume 4: Trauma © 2006 by Pearson Education, Inc. Upper Saddle River, NJ Trauma and Trauma Systems.

Bledsoe et al., Essentials of Paramedic Care: Division 1 © 2007 by Pearson Education, Inc. Upper Saddle River, NJ Division 1 Introduction to Advanced Prehospital.

Braking System Principles

Bledsoe et al., Paramedic Care Principles & Practice Volume 2: Patient Assessment © 2006 by Pearson Education, Inc. Upper Saddle River, NJ Chapter 5 Communications.

Bledsoe et al., Paramedic Care Principles & Practice Volume 5: Special Considerations © 2006 by Pearson Education, Inc. Upper Saddle River, NJ Chapter.

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 7 Patient Assessment.

National Ski Patrol, Outdoor Emergency Care, 5/e ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Burns Chapter 19.

Bledsoe et al., Paramedic Care Principles & Practice Volume 3: Medical © 2006 by Pearson Education, Inc. Upper Saddle River, NJ Chapter 5 Allergies and.

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 16 Gastrointestinal and Genitourinary.

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 3: Medical Emergencies, 3rd Ed. © 2009 by Pearson Education, Inc. Upper Saddle River, NJ.

Bledsoe et al., Essentials of Paramedic Care: Division 1V © 2006 by Pearson Education, Inc. Upper Saddle River, NJ Division 4 Medical Emergencies.

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Incident Command and Triage Chapter.

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 29 Water Emergencies.

National Ski Patrol, Outdoor Emergency Care, 5th ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Shock Chapter 10.

Limmer et al., Emergency Care Update, 10th Edition © 2007 by Pearson Education, Inc. Upper Saddle River, NJ CHAPTER 26 Bleeding and Shock.

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 8 Medical Communications and.

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 2: Patient Assessment, 3rd Ed. © 2009 by Pearson Education, Inc. Upper Saddle River, NJ Paramedic.

National Ski Patrol, Outdoor Emergency Care, 5 th Ed ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 22 Face, Eye, and Neck Injuries.

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 17 Principles of Trauma.

International Trauma Life Support for Prehospital Care Providers Sixth Edition for Prehospital Care Providers Sixth Edition Patricia M. Hicks, MS, NREMTP.

Limmer et al., Emergency Care Update, 10th Edition © 2007 by Pearson Education, Inc. Upper Saddle River, NJ CHAPTER 18 Acute Abdominal Emergencies.

Lesson 10 Summation Putting It All Together. Key Points (1 of 4) Safety of providers and patients –Number one priority Prearrival preparedness and scene.

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 24 Abdominal and Pelvic Trauma.

Limmer et al., Emergency Care Update, 10th Edition © 2007 by Pearson Education, Inc. Upper Saddle River, NJ CHAPTER 34 Gaining Access and Rescue Operations.

Kinematics of Trauma.

Limmer et al., Emergency Care, 11th Edition © 2009 by Pearson Education, Inc., Upper Saddle River, NJ DOT Directory Chapter 35 Gaining Access and Rescue.

Chapter 41 Multisystem Trauma

Limmer, First Responder: A Skills Approach, 7 th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ Chapter 1 Introduction to the EMS System.

Lindsey/Patrick Emergency Vehicle Operations © 2007 by Pearson Education, Inc. Upper Saddle River, NJ Chapter 1 Leadership and Management.

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 18 Soft-Tissue Injuries.

Principles of Trauma.

Bledsoe et al., Essentials of Paramedic Care: Division 1 © 2007 by Pearson Education, Inc. Upper Saddle River, NJ Division 1 Introduction to Advanced Prehospital.

Copyright (c) The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 33 Trauma Overview.

Principles of Patient Assessment in EMS. Focused History & Physical Exam Trauma Patient.

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 20, Section 2 Musculoskeletal.

National Ski Patrol, Outdoor Emergency Care, 5 th ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 34 Obstetric and Gynecologic Emergencies.

National Ski Patrol, Outdoor Emergency Care, 5th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Rescue Basics Chapter 3.

Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson Introduction to Emergency Medical.

Section 5: Trauma. Chapter 18 Mechanisms and Patterns of Injury.

Trauma Assessment. Objectives Explain how the EMS provider’s assessment of the MOI is critical to the management of the trauma patient. Explain how the.

Principles of Trauma.

Paramedic Care: Principles & Practice Volume 4 Trauma Emergencies

Chapter 17 Principles of Trauma.

Chapter 22 Trauma Overview.

Chapter 5 Patient Assessment

Presentation transcript:

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 17 Principles of Trauma

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Kinematics and Mechanism of Injury Kinematics: laws of motion. Consider : ◦ Mass of patient or object that struck patient ◦ Speed of patient or object that struck patient ◦ Energy transmitted

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Kinematics and Mechanism of Injury Kinematics ◦ Kinetic Energy (KE) = mass x velocity 2 2 This means that the speed the patient is traveling is more important than their weight. continued

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Kinematics and Mechanism of Injury Kinematics ◦ Stopping Distance ◦ Kinetic energy to the body of a patient traveling at a constant speed More=hitting a tree Less= hitting a pliable net continued

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Pathophysiology Severity of bodily injuries is directly related to Mechanism of Injury (MOI) MOI = amount of kinetic energy absorbed + direction the energy travels + density of the structures impacted continued

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Pathophysiology Five Mechanisms of Injury: ◦ Blunt ◦ Penetrating ◦ Rotational ◦ Crush ◦ Blast continued

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Injury Phases Pre-injury ◦ Events and conditions leading up to injury ◦ Includes preventive intervention efforts Injury ◦ Energy transfer damages Patroller will develop an index of suspicion based on MOI continued

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Injury Phases Post-Injury ◦ Immediately after energy transfer ◦ Three “peaks” when death generally occurs First few seconds to minutes – Life saving interventions Minutes to an hour – “Golden Hour” Days to weeks – Complications ◦ Back country rescues increase difficulty of care and transport continued

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Trauma Systems Designations for patient destinations Levels I to V based on staff qualifications and experience with trauma ◦ More severe injuries = higher trauma level ◦ Specialized centers are available for pediatrics

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Assessment Trauma assessment implements all previously covered skills (Ch 7) Additional topics may include ◦ MOI and the forces involved ◦ Treatment rendered before your arrival Determine treatment and transportation plan Reassessment is vital

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Management Mitigate hazards Correct immediate life threats ◦ Spinal stabilization Use oxygen Monitor/treat for shock Prepare patient for transport Document your assessment and treatment

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter Summary Trauma prevention is as important as trauma management. Injuries can be divided into three phases: pre-injury, injury, and post- injury. The five mechanisms of trauma are penetrating injury, blunt injury, crush injury, rotational injury, and blast injury. continued

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter Summary A trauma center is a specialized medical facility geared toward addressing the specific needs of trauma patients. Whenever possible, multi-system trauma patients should be taken to a trauma center. continued

National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter Summary When indicated by the MOI, early immobilization of a trauma patient’s spine is essential. The three goals of serious trauma management are early recognition, correction of threats to life, and rapid transportation to a trauma center.