trauma rules

Upload: nali

Post on 08-Jul-2018

216 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/19/2019 Trauma Rules

    1/70

  • 8/19/2019 Trauma Rules

    2/70

    ANXIETY PROVOKESANXIETY PROVOKES

    MEMORY LOSSMEMORY LOSS

    SO LEARN A SYSTEMSO LEARN A SYSTEM

    ANDAND

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER11

  • 8/19/2019 Trauma Rules

    3/70

  • 8/19/2019 Trauma Rules

    4/70

    SAVE YOUSELFSAVE YOUSELF

    BEFOREBEFORE

    THE CASUALTY THE CASUALTY

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER22

  • 8/19/2019 Trauma Rules

    5/70

  • 8/19/2019 Trauma Rules

    6/70

    ASSUME THE WORSTASSUME THE WORST

    ANDAND

    PROCEEDPROCEEDACCORDINGLY ACCORDINGLY

    TRAUMA RULE NUMBER 3TRAUMA RULE NUMBER 3

  • 8/19/2019 Trauma Rules

    7/70

  • 8/19/2019 Trauma Rules

    8/70

    DO A FRISKDO A FRISK

    OROR

    TAKE A RISKTAKE A RISK

    TRAUMA RULE NUMBER 4TRAUMA RULE NUMBER 4

  • 8/19/2019 Trauma Rules

    9/70

  • 8/19/2019 Trauma Rules

    10/70

    DON’T LET THE OBVIOUSDON’T LET THE OBVIOUS

    DISTRACTDISTRACT

    FROM THE OCCULTFROM THE OCCULT

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    55

  • 8/19/2019 Trauma Rules

    11/70

  • 8/19/2019 Trauma Rules

    12/70

    THE TRAUMA TEAMTHE TRAUMA TEAM

    CAN ONLY CAN ONLY

    LOOK OR LISTENLOOK OR LISTEN

    NOT BOTHNOT BOTH

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    66

  • 8/19/2019 Trauma Rules

    13/70

  • 8/19/2019 Trauma Rules

    14/70

    ALL TRAUMA PATIENTSALL TRAUMA PATIENTS

    ARE DYINGARE DYING

    FOR OXYGENFOR OXYGEN

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

  • 8/19/2019 Trauma Rules

    15/70

  • 8/19/2019 Trauma Rules

    16/70

    THE AIRWAY IS MORETHE AIRWAY IS MORE

    IMPORTANT THANIMPORTANT THAN

    THE CERVICAL SPINETHE CERVICAL SPINE

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER!!

  • 8/19/2019 Trauma Rules

    17/70

  • 8/19/2019 Trauma Rules

    18/70

  • 8/19/2019 Trauma Rules

    19/70

  • 8/19/2019 Trauma Rules

    20/70

    DO NOT DELAY DO NOT DELAY

    WITHWITH

    A BURNED AIRWAY A BURNED AIRWAY

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER1$1$

  • 8/19/2019 Trauma Rules

    21/70

  • 8/19/2019 Trauma Rules

    22/70

    THINK OFTHINK OF

    CRICOTHYROTOMY CRICOTHYROTOMY

    WHEN ALL ELSE FAILSWHEN ALL ELSE FAILS

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER1111

  • 8/19/2019 Trauma Rules

    23/70

  • 8/19/2019 Trauma Rules

    24/70

    LOOK AT THE NECK LOOK AT THE NECK

    SIX TIMESSIX TIMES

    IN THE PRIMARY SURVEY IN THE PRIMARY SURVEY

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER1212

  • 8/19/2019 Trauma Rules

    25/70

  • 8/19/2019 Trauma Rules

    26/70

  • 8/19/2019 Trauma Rules

    27/70

  • 8/19/2019 Trauma Rules

    28/70

    WHEN PATIENTS WITHWHEN PATIENTS WITH

    FACIAL IN%URIESFACIAL IN%URIES

    LOOK UP AT HEAVENLOOK UP AT HEAVEN

    THEY WILL SOON BETHEY WILL SOON BE

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    1414

  • 8/19/2019 Trauma Rules

    29/70

  • 8/19/2019 Trauma Rules

    30/70

    BLOOD ON THE FLOORBLOOD ON THE FLOOR

    IS FOREVER LOSTIS FOREVER LOST

    TO THE PATIENTTO THE PATIENT

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    1515

  • 8/19/2019 Trauma Rules

    31/70

  • 8/19/2019 Trauma Rules

    32/70

    THE STABBEDTHE STABBED

    STAY STABBEDSTAY STABBED

    UNTIL THEY REACHUNTIL THEY REACH THE ORTHE OR

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    1616

  • 8/19/2019 Trauma Rules

    33/70

  • 8/19/2019 Trauma Rules

    34/70

    AN IN%URY ABOVEAN IN%URY ABOVE ANDAND

    BELOW THE ABDOMENBELOW THE ABDOMEN

    IMPLIES ANIMPLIES ANIN%URY IN THE ABDOMENIN%URY IN THE ABDOMEN

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    11

  • 8/19/2019 Trauma Rules

    35/70

  • 8/19/2019 Trauma Rules

    36/70

    HEAD IN%URY ALONEHEAD IN%URY ALONE

    DOES NOT CAUSEDOES NOT CAUSE

    HYPOTENSIONHYPOTENSION

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    1!1!

  • 8/19/2019 Trauma Rules

    37/70

  • 8/19/2019 Trauma Rules

    38/70

    LIMB SPLINTAGELIMB SPLINTAGE

    IS PART OFIS PART OF

    RESUSCITATIONRESUSCITATION

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    1#1#

  • 8/19/2019 Trauma Rules

    39/70

  • 8/19/2019 Trauma Rules

    40/70

    A PATIENT HASA PATIENT HAS

    A FRONT AND A BACK"A FRONT AND A BACK"

    TWO SIDES"TWO SIDES"

    A TOP AND BOTTOMA TOP AND BOTTOM

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    2$2$

  • 8/19/2019 Trauma Rules

    41/70

  • 8/19/2019 Trauma Rules

    42/70

    THE AGITATED PATIENTTHE AGITATED PATIENT

    WILL CALM DOWNWILL CALM DOWN

    WHILSTWHILST

    DETERIORATINGDETERIORATING

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    2121

  • 8/19/2019 Trauma Rules

    43/70

  • 8/19/2019 Trauma Rules

    44/70

    YOU ARE NOT DEAD YOU ARE NOT DEAD

    UNTIL YOU AREUNTIL YOU ARE

    DEATH WARMED UPDEATH WARMED UP

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    2222

  • 8/19/2019 Trauma Rules

    45/70

  • 8/19/2019 Trauma Rules

    46/70

    THE GOLDEN RULETHE GOLDEN RULE

    IS GOLDEN FLUIDIS GOLDEN FLUID

    IN THEIN THE

    GOLDEN HOURGOLDEN HOUR

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    2323

  • 8/19/2019 Trauma Rules

    47/70

  • 8/19/2019 Trauma Rules

    48/70

    IT DOESN’T HURTIT DOESN’T HURT

    TO GIVETO GIVE

    ANALGESIAANALGESIA

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    2424

  • 8/19/2019 Trauma Rules

    49/70

  • 8/19/2019 Trauma Rules

    50/70

    THE TEAM LEADERTHE TEAM LEADER

    IS ALWAYSIS ALWAYS

    RIGHTRIGHT

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    2525

  • 8/19/2019 Trauma Rules

    51/70

  • 8/19/2019 Trauma Rules

    52/70

    THE GOLDEN HOURTHE GOLDEN HOUR

    BELONGS TOBELONGS TO

    THE PATIENTTHE PATIENT

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    2626

  • 8/19/2019 Trauma Rules

    53/70

  • 8/19/2019 Trauma Rules

    54/70

    A TENSIONA TENSION

    PNEUMOTHORAXPNEUMOTHORAXCANNOT BE DIAGNOSEDCANNOT BE DIAGNOSED

    ON AON A

    CHEST X&RAYCHEST X&RAY

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    22

  • 8/19/2019 Trauma Rules

    55/70

  • 8/19/2019 Trauma Rules

    56/70

    THE RADIOLOGYTHE RADIOLOGYDEPARTMENT IS ADEPARTMENT IS A

    DANGEROUS PLACEDANGEROUS PLACE

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    2!2!

  • 8/19/2019 Trauma Rules

    57/70

  • 8/19/2019 Trauma Rules

    58/70

    PATIENTS AREPATIENTS ARE

    TRANSFERRED" NOTTRANSFERRED" NOT THEIRTHEIR

    IN%URIES OR INVESTIGATIONIN%URIES OR INVESTIGATION

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    2#2#

  • 8/19/2019 Trauma Rules

    59/70

  • 8/19/2019 Trauma Rules

    60/70

    BETTER A NEGATIVEBETTER A NEGATIVE

    LAPAROTOMY THANLAPAROTOMY THANA POSITIVEA POSITIVE

    POST&MORTEMPOST&MORTEM

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    3$3$

  • 8/19/2019 Trauma Rules

    61/70

  • 8/19/2019 Trauma Rules

    62/70

    BIOLOGY ISBIOLOGY IS

    THE MOTHER OFTHE MOTHER OFALL FIXATIONALL FIXATION

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    3131

  • 8/19/2019 Trauma Rules

    63/70

  • 8/19/2019 Trauma Rules

    64/70

    THE SOLUTIONTHE SOLUTION

    TO POLLUTIONTO POLLUTION

    IS DILUTIONIS DILUTION

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    3232

  • 8/19/2019 Trauma Rules

    65/70

  • 8/19/2019 Trauma Rules

    66/70

    A MISSEDA MISSED

    TERITARY SURVEY ISTERITARY SURVEY IS

    A MISSED IN%URY A MISSED IN%URY

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    3333

  • 8/19/2019 Trauma Rules

    67/70

  • 8/19/2019 Trauma Rules

    68/70

    WITH MULTIPLEWITH MULTIPLE

    CASUALTIES DO THECASUALTIES DO THE

    MOSTMOSTFOR THE MOSTFOR THE MOST

    TRAUMA RULE NUMBERTRAUMA RULE NUMBER

    3434

  • 8/19/2019 Trauma Rules

    69/70

  • 8/19/2019 Trauma Rules

    70/70