chapters 5-6. after primary survey hops history, observation, palpation, special tests hips ...

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 60-120; Adolescents 75-85; Adults 60-100

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 http://www.youtube.com/watch?v=QhQDm60_Px

c One Person Drag Walking Assist Hand Carry