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MANAGEMENT OF
TRAUMA PATIENT
OVERVIEW
- SIX STAGES OF AN AMBULANCE CALL.
- TRAUMA ASSESSMENT.
- PRELIMINARY ACTIONS AT THE SCENE
- PATIENT ASSESMENT AND MANAGEMENT
- CRITICAL INJURIES/CONDITION.
- SECONDARY SURVEY
- REASSESMENT SURVEY.
SIX STAGE OF AN
AMBULANCE CALL.
1. PREDISPATCH.
2. DISPATCH.
3. TRAVEL TO SCENE
4. ACTIONS AT THE SCENE
5. TRAVEL TO THE HOSPITAL
6. ACTIONS AT THE HOSPITAL
SCENE SURVEY
1. ASSESS FOR HAZADS
2. EXTRICATION REQUIRED.
HAZARDS
LOOK BEFORE YOU LEAP
. PARK VEHICLE IN NEAREST SAFE PLACE.
SAFETY FIRST
YOUR FIRST
RESPONBILITY IS TO
TAKE CARE OF YOURSELF
ESSENTIAL EQUIPMENT
1. PERSONAL PROTECTION EQUIPMENT.
2. LONG BACK BOARD
3. CERVICAL COLLAR.
4. AIRWAY EQUUIPMENT - OXYGEN
- SUCTION.
5. TRAUMA BOX.
INTERVENTIONS
3. SECONDARY SURVEY
4. REASSESSMENT SURVEY.
PRIMARY SURVEY
- RAPID HEAD -TO-FEET EXAM.
- FOCUS ON IMMEDIATE LIVE THEATENING
CONDITION.
- SHOULD TAKE NO LONGER THAN 2 MINUTE.
- STOP SURVEY ONLY FOR AIRWAY OBSTRUCTION
OR CARDIAC ARREST.
- CONTROL MAYOR BLEEDING DURING THIS TIME.
PRIMARY SURVEY
-TOTAL OVERVIEW OF PATIENT SITUATION
WHILE YOU APPROACH.
TRANSPORT DECISION
AND
CRITICAL
INTERVENTIONS.
- TENDER ABDOMEN
- PELVIC INSTABILITY
- BILATERAL FEMUR FRACTURES
IN LOAD AND GO
SITUATIONS..
- ON-SCENE INTERVENTIONS ARE LIMITED TO
CORRECTING IMMEDATE THREATS TO LIFE :
- AIRWAY
- DECOMPRESS TENSION PNEUMOTHORAX.
-CONTOL MAYOR BLEEDING.
SECONDARY SURVEY
- DETAILED EXAM
- PROVIDES BASELINE FOR FUTURE DECISIONS
- SPLINT FRACTURES
- DRESS WOUNDS
- RECORD YOUR FINDINGS.
SECONDARY SURVEY
- VITAL SIGN
- HISTORY
- HEAD-TO-TOE EXAM
HISTORY OF INJURY
- S YMPTOMS
- A LLERGIES.
- M EDICATIONS
- P AST MEDICAL HISTORY
- L MAST MEAL
- E VENT PRECEDING THE INJURY
- SOURCES OF INFORMATION
- PERSONAL OBSERVATION.
- PATIENT & BYSTANDRES
NEUROLOGICAL EXAM
LEVEL OF CONSIOUSNESS
A - ALLERT
V - RESPON TO VERBAL
P - RESPON TO PAIN
U - UNRESPONSIVE
MOTOR
SENSATION
PUPILS
REASSESSMENT SURVEY
- PURPOSE:
- TO MONITOR FOR CHANGES IN PATIENTS
CONDITION.
- PERFORM :
- EVERY 5 MINUTES DURING TRANSPORT
REASSESSMENT SURVEY
- LOC
- AIRWAY
- BREATHING
- RATE & QUALITY
REASSESSMENT SURVEY
. CHECK ABDOMEN
- ASSESS ANY PERTINENT FINDING
NOTE IN PRIMARY OR SECONDARY SURVEY
- CHECK INTERVENTIONS
- INTUBATIONS
- DRESSINGS
- SPLINTS
COMMUNICATIONS WITH
MEDICAL DIRECTION
- EARLY CONTACT
- CONCISE AND TO THE POINT
- DESTINATION AND ETA (estimated time of arrival)
SUMMARY
. PRELIMINARY ACTIONS AT THE SCENE
- SCENE AND PERSONAL SAFETY
- MECHANISM OF INJURY
- PATIENT ASSESSMENT AND MANAGEMENT
- PRIMARY SURVEY
- CRITICAL INJURIES/CONDITIONS
- TRANSPORT DECISION
- SECONADRY SURVEY
- REASSESSMENT SURVEY
- CONTANT MEDICAL DE\IRECTION AT HOSPITAL
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