refresher course b
TRANSCRIPT
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Prehospital Trauma Life Support
Part
2Managing the
Multi-SystemTrauma Patient
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Thoracic trauma deaths occurbecause of...
Inadequateventilation
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Inadequatecirculation
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Pathophysiology
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Changes in chest wall motion.
Changes in lung expansion.
Changes in diffusion.
Changes in circulation.
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Single isolated rib fractures.
Multiple fractures may produce flail chest.
Rib Fractures
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Closed Pneumothorax
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Thoracic Trauma
Management
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Pathophysiology
Key indicator
Abdominal Trauma
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Suspect Intra-abdominal Bleeding
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When signs of shock are NOTexplained by other serious injuries.
Head injury. Thoracic injury.
External hemorrhage.
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On-Scene Management
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En-Route Management
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Head Trauma
Skull fractures. Depressed.
Linear.
Basilar fractures. CSF from ears, nose.
Bleeding from ears.
Raccoon eyes.
Battles sign.R-43
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Concussion & Contusion
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Intracranial Hemorrhage
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Acute
Subacute
Chronic
Subdural Hematomas
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Subduralhematoma
Dura mater
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Suspect possible subdural hematoma.
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Head Trauma Physiology
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Cerebral perfusion.
Mean arterial pressure.
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Increased intracranial pressure.
CO2 Potential Vasodilator
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Hyperventilation
Hyperoxygenation
CO2 Potent Vasodilator
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Spine & Musculoskeletal
Trauma Pathophysiology
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Spine trauma...
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A lack of neurological
deficit does not rule out
an unstable spine.
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Signs
Symptoms
Spine Trauma
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Method
Spine Trauma Summary
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Priorities of care.
Missed injuries.
Musculoskeletal Trauma
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All musculoskeletal injuries must be
treated as fractures by EMTs.
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Concealed internal bleeding.
Musculoskeletal Trauma
Special Considerations
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Thermal Injuries
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First treat other
trauma,then
treatthe burn!
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Smoke inhalation.
Burn Trauma
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Chemical Burns
Management.
Remove the agent.
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Cause of death.
Other damage.
Electrical Burns
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Burn Trauma Summary
Primary considerations.
Management of thermal burns.
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Recognize critical needs of the patient.
Efficiency of care.
Aggressive intervention. Rapid packaging.
Rapid transport.
Continue treatment.
Nearest appropriate hospital.
Key Considerations
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