assessment of the trauma patient - ems training incemstraininginc.com/guest/chapter 10 - assesment...
TRANSCRIPT
![Page 1: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/1.jpg)
EMS TRAINING INC. 2003 ©
Assessment ofAssessment ofthe Traumathe Trauma
PatientPatientChapter 10Chapter 10
![Page 2: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/2.jpg)
EMS TRAINING INC. 2003 ©
TRAUMATRAUMA
![Page 3: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/3.jpg)
EMS TRAINING INC. 2003 ©
The Trauma PatientThe Trauma Patient
!! Trauma means “injury”Trauma means “injury”!! Injuries can be internal or externalInjuries can be internal or external!! Patient can deny injuriesPatient can deny injuries!! The Golden HourThe Golden Hour
![Page 4: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/4.jpg)
EMS TRAINING INC. 2003 ©
The Trauma PatientThe Trauma Patient!! Signs & symptoms may not be evidentSigns & symptoms may not be evident
immediatelyimmediately!! We must determine the appropriate facilityWe must determine the appropriate facility
to transport toto transport to!! We want to bring in viable patients …We want to bring in viable patients … ……
not dead packaged patientsnot dead packaged patients
![Page 5: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/5.jpg)
EMS TRAINING INC. 2003 ©
What are you looking for?What are you looking for?
!! DCAP - BTLSDCAP - BTLS!!DeformitiesDeformities BurnsBurns!!ContusionsContusions TendernessTenderness!!AbrasionsAbrasions LacerationsLacerations!!Penetrations/Penetrations/ SwellingSwelling
PuncturesPunctures
![Page 6: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/6.jpg)
EMS TRAINING INC. 2003 ©
The Trauma PatientThe Trauma Patient
!! We must have an organized assessmentWe must have an organized assessmentplan ….plan ….
Why? Why?
![Page 7: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/7.jpg)
EMS TRAINING INC. 2003 ©
The Trauma PatientThe Trauma Patient!! We must have an organized assessmentWe must have an organized assessment
plan ….plan ….!!To find life threatening injuriesTo find life threatening injuries!!Prioritize the treatment of injuriesPrioritize the treatment of injuries!!Determine what patients are treatedDetermine what patients are treated
firstfirst
![Page 8: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/8.jpg)
EMS TRAINING INC. 2003 ©
The Trauma AssessmentThe Trauma Assessment
Trauma Patient Medical patient
Initial Assessment
Scene Survey
![Page 9: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/9.jpg)
EMS TRAINING INC. 2003 ©
Trauma PatientTrauma PatientAssessmentAssessment
!! Reconsider the MOIReconsider the MOI
WHY?WHY?
![Page 10: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/10.jpg)
EMS TRAINING INC. 2003 ©
Reconsider the MOIReconsider the MOI
!! To help you determine how quickly youTo help you determine how quickly youmust transport the patient & whichmust transport the patient & whichassessment to use…assessment to use…
!!Significant MOISignificant MOI!!No Significant MOINo Significant MOI
![Page 11: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/11.jpg)
EMS TRAINING INC. 2003 ©
The Trauma AssessmentThe Trauma Assessment
Significant MOI No Significant MOI
Trauma Patient Medical patient
Initial Assessment
Scene Survey
![Page 12: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/12.jpg)
EMS TRAINING INC. 2003 ©
No Significant MOINo Significant MOI
!! No significant MOI & no lifeNo significant MOI & no lifethreatening injuriesthreatening injuries
![Page 13: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/13.jpg)
EMS TRAINING INC. 2003 ©
No Significant MOINo Significant MOI!! Reconsider the MOIReconsider the MOI!! Determine the chief complaintDetermine the chief complaint!! Perform a “Focused Physical Exam”Perform a “Focused Physical Exam”!! Obtain baseline vital signsObtain baseline vital signs!! Take a SAMPLE historyTake a SAMPLE history!! TransportTransport!! Perform an “On-going Assessment”Perform an “On-going Assessment”
![Page 14: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/14.jpg)
EMS TRAINING INC. 2003 ©
No Significant MOINo Significant MOI
!! Why reconsider the MOI?Why reconsider the MOI?Because when you 1st arrive you Because when you 1st arrive you are looking at many things and you are looking at many things and you
could miss something significantcould miss something significant
![Page 15: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/15.jpg)
EMS TRAINING INC. 2003 ©
No Significant MOINo Significant MOI
!! Determine the chief complaintDetermine the chief complaint!!ASK them what hurtsASK them what hurts
![Page 16: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/16.jpg)
EMS TRAINING INC. 2003 ©
No Significant MOINo Significant MOI!! Focused Physical examFocused Physical exam
!!make sure you INSPECT &make sure you INSPECT &PALPATEPALPATE
!!assess the areas of injuryassess the areas of injury!!you will need to expose the injuryyou will need to expose the injury
sitesite!!may lead you to assess other areasmay lead you to assess other areas
![Page 17: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/17.jpg)
EMS TRAINING INC. 2003 ©
No Significant MOINo Significant MOI
!! Baseline Vital SignsBaseline Vital Signs!! SAMPLE history SAMPLE history
!! These are done after youThese are done after youassess injuriesassess injuries
![Page 18: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/18.jpg)
EMS TRAINING INC. 2003 ©
The Trauma AssessmentThe Trauma Assessment
Significant MOI No Significant MOI
Trauma Patient Medical patient
Initial Assessment
Scene Survey
![Page 19: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/19.jpg)
EMS TRAINING INC. 2003 ©
Examples of SignificantExamples of SignificantMOIMOI
!! Ejected from a vehicleEjected from a vehicle!! Death in the same passengerDeath in the same passenger
compartmentcompartment!! Falls > 15 feetFalls > 15 feet!! Falls > 3 times the patients heightFalls > 3 times the patients height!! Roll overRoll over
![Page 20: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/20.jpg)
EMS TRAINING INC. 2003 ©
Examples of SignificantExamples of SignificantMOIMOI
!! High speed MVCHigh speed MVC!! Auto - pedestrian accidentAuto - pedestrian accident!! Motorcycle accidentsMotorcycle accidents!! Penetrating trauma Penetrating trauma
… shooting, stabbing… shooting, stabbing
![Page 21: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/21.jpg)
EMS TRAINING INC. 2003 ©
Examples of SignificantExamples of SignificantMOIMOI
!! Special considerations for childrenSpecial considerations for children!!Falls from 10 feet or >Falls from 10 feet or >!!Bicycle collisionsBicycle collisions!!Medium speed vehicle collisionsMedium speed vehicle collisions!!Damaged car seatsDamaged car seats
![Page 22: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/22.jpg)
EMS TRAINING INC. 2003 ©
Significant MOISignificant MOI!! C-spine stabilization, call for ALS,C-spine stabilization, call for ALS,
transport as soon as possibletransport as soon as possible!! “Rapid Trauma Assessment”“Rapid Trauma Assessment”!! Baseline vital signs & SAMPLEBaseline vital signs & SAMPLE!! TransportTransport!! “Detailed Physical Exam”“Detailed Physical Exam”!! “On-going Assessment”“On-going Assessment”
![Page 23: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/23.jpg)
EMS TRAINING INC. 2003 ©
Rapid TraumaRapid TraumaAssessmentAssessment
!! HeadHead!! Neck & apply cervical collarNeck & apply cervical collar!! ChestChest!! AbdomenAbdomen!! PelvisPelvis!! ExtremitiesExtremities!! Posterior bodyPosterior body!! Immobilize patient on a LBBImmobilize patient on a LBB
![Page 24: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/24.jpg)
EMS TRAINING INC. 2003 ©
Rapid Trauma AssessmentRapid Trauma Assessment
!! HeadHead!!check for DCAP - BTLScheck for DCAP - BTLS!!crepitationcrepitation!!massive bleedingmassive bleeding!!check for airwaycheck for airway
obstructionsobstructions
![Page 25: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/25.jpg)
EMS TRAINING INC. 2003 ©
Rapid Trauma AssessmentRapid Trauma Assessment!! NeckNeck
!!check for DCAP - BTLScheck for DCAP - BTLS!!JVDJVD!!tracheal deviationtracheal deviation
!! Apply a cervical collar nowApply a cervical collar now!!what is the function of the cervicalwhat is the function of the cervical
collar?collar?
![Page 26: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/26.jpg)
EMS TRAINING INC. 2003 ©
Applying the CervicalApplying the CervicalCollarCollar
!! It must be the right size … so measureIt must be the right size … so measurecorrectlycorrectly
!!size depends on the length of the necksize depends on the length of the necknot the widthnot the width
!! Assess the neck before applying the collarAssess the neck before applying the collar!! Explain what you are doing to the patientExplain what you are doing to the patient
![Page 27: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/27.jpg)
EMS TRAINING INC. 2003 ©
Applying the Cervical CollarApplying the Cervical Collar!! Keep the head in neutral positionKeep the head in neutral position!! Try to remove necklaces, earrings, hair ifTry to remove necklaces, earrings, hair if
time permitstime permits!! Cervical collars do NOT provideCervical collars do NOT provide
adequate immobilization by themselvesadequate immobilization by themselves!! You must maintain stabilization untilYou must maintain stabilization until
secured to a LBBsecured to a LBB
![Page 28: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/28.jpg)
EMS TRAINING INC. 2003 ©
Stabilize and measureStabilize and measure
![Page 29: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/29.jpg)
EMS TRAINING INC. 2003 ©
Choose correct collar sizeChoose correct collar size
![Page 30: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/30.jpg)
EMS TRAINING INC. 2003 ©
Prepare collarPrepare collar
![Page 31: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/31.jpg)
EMS TRAINING INC. 2003 ©
Slide collar under chinSlide collar under chin
![Page 32: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/32.jpg)
EMS TRAINING INC. 2003 ©
Secure collar; Secure collar; maintain in-line positionmaintain in-line position
![Page 33: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/33.jpg)
EMS TRAINING INC. 2003 ©
Applying the cervical collar toApplying the cervical collar toa supine patienta supine patient
![Page 34: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/34.jpg)
EMS TRAINING INC. 2003 ©
Supine PatientSupine Patient
![Page 35: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/35.jpg)
EMS TRAINING INC. 2003 ©
Stabilize the headStabilize the head
![Page 36: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/36.jpg)
EMS TRAINING INC. 2003 ©
Measure, slide the collar in placeMeasure, slide the collar in place
![Page 37: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/37.jpg)
EMS TRAINING INC. 2003 ©
Secure the collarSecure the collar
![Page 38: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/38.jpg)
EMS TRAINING INC. 2003 ©
Rapid Trauma AssessmentRapid Trauma Assessment!! ChestChest
!!check for DCAP - BTLScheck for DCAP - BTLS!!paradoxical movementparadoxical movement!!crepitationcrepitation!!listen for breath soundslisten for breath sounds
![Page 39: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/39.jpg)
EMS TRAINING INC. 2003 ©
Assessing the ChestAssessing the Chest
![Page 40: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/40.jpg)
EMS TRAINING INC. 2003 ©
AscultatingAscultating Breath Sounds Breath Sounds
![Page 41: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/41.jpg)
EMS TRAINING INC. 2003 ©
Rapid Trauma AssessmentRapid Trauma Assessment
!! AbdomenAbdomen!!check for DCAP - BTLScheck for DCAP - BTLS!!distentiondistention!!rigidityrigidity!!eviscerationevisceration!!palpate a tender area lastpalpate a tender area last
![Page 42: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/42.jpg)
EMS TRAINING INC. 2003 ©
Assessing the AbdomenAssessing the Abdomen
![Page 43: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/43.jpg)
EMS TRAINING INC. 2003 ©
Rapid Trauma AssessmentRapid Trauma Assessment!! PelvisPelvis
!!check for DCAP - BTLScheck for DCAP - BTLS!!priapismpriapism!!instabilityinstability!!crepitationcrepitation
!! If the patient complains of pain doIf the patient complains of pain donot palpate the pelvisnot palpate the pelvis
![Page 44: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/44.jpg)
EMS TRAINING INC. 2003 ©
Assessing the PelvisAssessing the Pelvis
![Page 45: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/45.jpg)
EMS TRAINING INC. 2003 ©
Rapid Trauma AssessmentRapid Trauma Assessment
!! ExtremitiesExtremities!!check for DCAP - BTLScheck for DCAP - BTLS!!distal distal CSM’sCSM’s!!when would you splint a injuredwhen would you splint a injured
extremity in a high priorityextremity in a high prioritypatient? patient?
Page 215Page 215
![Page 46: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/46.jpg)
EMS TRAINING INC. 2003 ©
Assessing the ExtremitiesAssessing the Extremities
![Page 47: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/47.jpg)
EMS TRAINING INC. 2003 ©
Rapid Trauma AssessmentRapid Trauma Assessment
!! Posterior bodyPosterior body!!check for DCAP - BTLScheck for DCAP - BTLS!!check down to the buttockscheck down to the buttocks
!! Immobilize onto a LBBImmobilize onto a LBB
![Page 48: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/48.jpg)
EMS TRAINING INC. 2003 ©
Assessing the Posterior Assessing the Posterior
![Page 49: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/49.jpg)
EMS TRAINING INC. 2003 ©
Baseline Vital Signs &Baseline Vital Signs &SAMPLESAMPLE
!! Which vital signs should you be taking?Which vital signs should you be taking?
!! What are the SAMPLE questions?What are the SAMPLE questions?
![Page 50: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/50.jpg)
EMS TRAINING INC. 2003 ©
TransportTransport
!! Make your decision to transport asMake your decision to transport assoon as you see:soon as you see:
!!significant MOIsignificant MOI!!life threatening conditionslife threatening conditions!!after you have completed yourafter you have completed your
“Rapid Trauma Exam”“Rapid Trauma Exam”
![Page 51: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/51.jpg)
EMS TRAINING INC. 2003 ©
Detailed Physical ExamDetailed Physical Exam!! Repeat the “Initial Assessment”Repeat the “Initial Assessment”
!!list those steps list those steps
!! Complete all critical interventionsComplete all critical interventions!!what are critical interventionswhat are critical interventions
![Page 52: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/52.jpg)
EMS TRAINING INC. 2003 ©
Detailed Physical ExamDetailed Physical Exam!! HeadHead!! NeckNeck!! ChestChest!! AbdomenAbdomen!! PelvisPelvis!! ExtremitiesExtremities!! Posterior bodyPosterior body!! Reassess vital signsReassess vital signs
![Page 53: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/53.jpg)
EMS TRAINING INC. 2003 ©
Detailed Physical ExamDetailed Physical Exam
!! HeadHead!!check for DCAP - BTLScheck for DCAP - BTLS!!pupilspupils!!ears (blood & CSF)ears (blood & CSF)!!nose (blood & CSF)nose (blood & CSF)!!mouthmouth
![Page 54: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/54.jpg)
EMS TRAINING INC. 2003 ©
Detailed Physical ExamDetailed Physical Exam!! NeckNeck
!!check for DCAP - BTLScheck for DCAP - BTLS!!JVDJVD!!tracheal deviationtracheal deviation!!crepitationcrepitation
!!c-collar should already be onc-collar should already be on
![Page 55: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/55.jpg)
EMS TRAINING INC. 2003 ©
Detailed Physical ExamDetailed Physical Exam
!! ChestChest!!check for DCAP - BTLScheck for DCAP - BTLS!!listen to breath soundslisten to breath sounds!!crepitationcrepitation!!paradoxical movementsparadoxical movements
![Page 56: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/56.jpg)
EMS TRAINING INC. 2003 ©
Detailed Physical ExamDetailed Physical Exam
!! AbdomenAbdomen!!check for DCAP - BTLScheck for DCAP - BTLS!!distentiondistention!!rigidityrigidity!!softnesssoftness!!rebound tendernessrebound tenderness
![Page 57: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/57.jpg)
EMS TRAINING INC. 2003 ©
Detailed Physical ExamDetailed Physical Exam!! PelvisPelvis
!!check for DCAP - BTLScheck for DCAP - BTLS!!stabilitystability!!tendernesstenderness!!painpain!!priapismpriapism!!vaginal bleedingvaginal bleeding
![Page 58: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/58.jpg)
EMS TRAINING INC. 2003 ©
Detailed Physical ExamDetailed Physical Exam
!! ExtremitiesExtremities!!Check for DCAP - BTLSCheck for DCAP - BTLS!!distal CSM’sdistal CSM’s
![Page 59: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/59.jpg)
EMS TRAINING INC. 2003 ©
Detailed Physical ExamDetailed Physical Exam
!! Posterior bodyPosterior body!!check for DCAP - BTLScheck for DCAP - BTLS!!check down to the buttockscheck down to the buttocks
!! Patient should already be on LBBPatient should already be on LBB
![Page 60: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/60.jpg)
EMS TRAINING INC. 2003 ©
On - Going AssessmentOn - Going Assessment
!! Repeat the “Initial Assessment”Repeat the “Initial Assessment”!! Reassess vital signsReassess vital signs!! Repeat the “Focused Assessment”Repeat the “Focused Assessment”
related to specific complaints orrelated to specific complaints orinjuriesinjuries
!! Check interventionsCheck interventions
![Page 61: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/61.jpg)
EMS TRAINING INC. 2003 ©
General PrinciplesGeneral Principles
!! Tell the patient what you are doingTell the patient what you are doing!! Stress the importance of the assessment ifStress the importance of the assessment if
patient is reluctant to allow you topatient is reluctant to allow you toproperly assess themproperly assess them
!! Exposure injured areas before examiningExposure injured areas before examining!! Try to maintain eye contactTry to maintain eye contact
![Page 62: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/62.jpg)
EMS TRAINING INC. 2003 ©
General PrinciplesGeneral Principles
!! Assume spinal injuries existAssume spinal injuries exist!! Apply the cervical collar during the “rapidApply the cervical collar during the “rapid
trauma exam”trauma exam”!! You should perform the “detailed physicalYou should perform the “detailed physical
exam” only after all critical interventions areexam” only after all critical interventions arecompletecomplete
![Page 63: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/63.jpg)
EMS TRAINING INC. 2003 ©
General PrinciplesGeneral Principles!! The “detailed physical exam” is done mostThe “detailed physical exam” is done most
often on trauma patients with significantoften on trauma patients with significantMOIMOI
!! Practicing this often will help you performPracticing this often will help you performbetter when you have a critically injuredbetter when you have a critically injuredpatient!patient!
!! Know this assessment … someone’s life willKnow this assessment … someone’s life willdepend on your ability to do this!depend on your ability to do this!
![Page 64: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/64.jpg)
EMS TRAINING INC. 2003 ©
The Trauma AssessmentThe Trauma Assessment
Significant MOI No Significant MOI
Trauma Patient Medical patient
Initial Assessment
Scene Survey
![Page 65: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/65.jpg)
EMS TRAINING INC. 2003 ©
![Page 66: Assessment of the Trauma Patient - EMS Training Incemstraininginc.com/guest/CHAPTER 10 - ASSESMENT OF THE TRAUM… · Assessment of the Trauma Patient ... Deformities Burns!Contusions](https://reader031.vdocuments.us/reader031/viewer/2022013014/5ac288d97f8b9a433f8e2e6a/html5/thumbnails/66.jpg)
EMS TRAINING INC. 2003 ©
Questions aboutQuestions aboutTraumaTrauma
Assessment?Assessment?