Chapters 5-6

 After Primary Survey  HOPS  History, Observation, Palpation, Special Tests  HIPS  History, Inspection, Palpation, Special Tests  HITS  History, Inspection, Touch

 Details: How, what, when, why, where? Mechanism of injury Acute or Chronic Type of pain Crepitus Medication, previous history, other medical conditions.

 Bleeding  Skin appearance  Pupils  Deformities  Signs of sudden illness  Swelling  Discoloration  Ability to walk  Position of upper extremety

 Deformity  Inflammation 5 signs of inflammation  Heat  Redness  Swelling  Point tenderness  Loss of function

Radial – Thumb side Carotid – neck Children ; Adolescents 75-85; Adults Practice!!!

 Blood Borne Pathogens Protect yourself prior to treating  Arterial bleeding Bright red, rapid or spurting bleeding  Venous Dark red, rapid, bleeding

 Direct Pressure with gauze  Place more gauze over soaked gauze  Elevation  Pressure Points

 Splint above and below injury In Joint, splint two bones on each side Bone, splint joint above and below.

 PRICE Protection Rest Ice Compression Elevation

 Don’t move, treat until EMS arrives  Respiratory or cardiac arrest  Breathing difficulties  Closed head, neck, or back injury  Shock  Profuse bleeding  Internal injuries  Unresponsiveness  Large joint dislocations  Compound fractures  Serious fracture  Displaced fracture  First time seizures  Serious eye injuries

 Danger of further harm Environmental emergencies  Lightening, tornado, hurricane, fire, downed electrical lines, flooding Dangerous Scene  Traffic, animals, etc.  Unable to provide Care Unresponsive person lying on stomach Heatstroke

 Log Roll   One Person Drag  Walking Assist  Hand Carry