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Controversies in Pre-Hospital Care Master Paramedic Panel Robin Barber Andrew Bernard Carol Coyle Randy Fathbruckner Les Fryman John Hultgren
Case 1 Traction or not? Fall from a roof 50 YOM Screaming in pain Angulated LE Exposed femur No pedal pulse
Case 2 How then the airway? 25 YOM Rollover MVC Entrapped GCS 8 RR 8 Laryngoscopy attempted No view Jaws tight
Case 3 By Land or by Air? MVC Adult female Short extrication Awake HR 120 SBP 90 Abdominal pain 30 minutes to level 1
Case 4 How much is enough? Shooting Male RUQ wound, only SBP 80 Palpable radial pulse 15 minute ETA to level 3
Case 5 What to say? School bus crash 50 elementary schoolers 15 to hospital Some severe Reporters have been on scene
Limmer et al., Emergency Care, 11th Edition © 2009 by Pearson Education, Inc., Upper Saddle River, NJ Chapter 30 Putting It All Together for the Trauma.
Circle Theorems Bingo!. Use any 9 of these numbers 105 o 240 o 55 o 14 o 65 o 50 o 90 o 45 o 60 o 40 o 110 o 155 o 15 o 74 o 120 o 12 o.
Yaniv Berliner. Scene survey EMS must first evaluate the safety of the scene. Downed power lines, fire, traffic Is there a need for specialized.
Trauma Triage Scenario 2. Scenario 2 Scene Info uMVC rollover uFreeway speed u30 y/o pregnant female, ejected uMajor damage to vehicle What does this.
1 1 = = = 18 9 = 30 5 = = 36 9 =
Trauma Triage Criteria Inservice 1998 Composed by: Laurie A. Romig, MD, FACEP Bayflite/Bayfront Medical Center.
TRIAD VI PA Emergency Medicine Experience with PA-POLST Only for Scientific Presentations Ferdinando L. Mirarchi, D.O.FAAEM, FACEP Principal Investigator.
Trauma Triage Scenario 3. Scenario 3 Scene Info uSwimmer struck by a boat uBoat was traveling “fast” u76 y/o male patient uConscious, but “hurt bad”
Triage Tags Patients brought by EMS Tag will be applied to patient by EMS Patients directed to appropriate treatment area in the hospital based on.
Ozone Level ppb (parts per billion) % 20% 40% 50% 60% 70% 30% 80% 90% 100% Schönbein number.
Regional Emergency Medicine The American experience Paul Mc Quaid NREMT-P.
Principles of Trauma Symphony of Surgery Dr. Hassan Bukhari Depart of Surgery
Artrelle Fragher & Robert walker. 1 you look for the median 1 you look for the median 2 then you look for the min and max 2 then you look for the min.
RESPONDING TO EMERGENCIES. Recognize an emergency Emergencies can be recognized because of unusual sights, appearances and behaviors, odors, and noises.
MathOnMonday® Presents: Building Math Courage® A program designed for Adults or Kids who have struggled to learn their Math in the traditional classroom!
1 1 = = = = = 6.
Beat the Computer Drill Divide 10s Becky Afghani, LBUSD Math Curriculum Office, 2004 Vertical Format.
Year 6/7 mental test 5 second questions Addition and Subtraction Addition.
Trauma Triage Scenario 1. Scenario 1 Scene Info uMotorcycle v. Pickup Truck uTruck traveling 40 mph, ? Cycle speed u30 y/o male thrown 20 feet uTruck.
START Triage During a Mass Casualty Gina Smith RN Director of Emergency Management.
Least Common Multiples and Greatest Common Factors Lesson 4.3.
Name: Date: Read temperatures on a thermometer Independent / Some adult support / A lot of adult support
Limmer et al., Emergency Care Update, 10th Edition © 2007 by Pearson Education, Inc. Upper Saddle River, NJ CHAPTER 30 Putting It All Together for the.
Sean Rogoff, EMT-P REACH Air Medical Services. We will be available and prepared to provide customer-oriented, high-quality patient care, in a safe and.
The Back History and Examination Liz Hinton 14 February 2008.
Retroperitoneal Injury. Outline –General approach. –Anatomical boundaries. –Retroperitoneal Zones. –Cases. –Surgical Exposure.
PCP Recertification Trauma TOR. TOR - Overview Objectives Blunt Trauma Penetrating Trauma TOR Key Points Special Circumstances.
DOCUMENTATION Takes, or verbalizes, body substance isolation precautions Determines the scene is safe Dispatched to the above location for shortness of.
Arterial Blood Gas Analysis. By the end of this session you should understand: The normal ranges for arterial blood gas values How to use the 5-step approach.
Multiplication X 1 1 x 1 = 1 2 x 1 = 2 3 x 1 = 3 4 x 1 = 4 5 x 1 = 5 6 x 1 = 6 7 x 1 = 7 8 x 1 = 8 9 x 1 = 9 10 x 1 = x 1 = x 1 = 12 X 2 1.
1 1 Slides by John Loucks St. Edwards University Modifications by A. Asef-Vaziri.
Division ÷ 1 1 ÷ 1 = 1 2 ÷ 1 = 2 3 ÷ 1 = 3 4 ÷ 1 = 4 5 ÷ 1 = 5 6 ÷ 1 = 6 7 ÷ 1 = 7 8 ÷ 1 = 8 9 ÷ 1 = 9 10 ÷ 1 = ÷ 1 = ÷ 1 = 12 ÷ 2 2 ÷ 2 =
Case Presentation: BLS to ALS Handoff 21 year old male Unrestrained driver, single vehicle MVC 20mph; sedan vs. concrete barrier No airbag Starred windshield.
Chapter 35 Chest Trauma. Part 1 While you are working as a paramedic for a local aeromedical service, your helicopter is requested by a nearby township.
Number bonds to 10, = = = = = = = = 10 Making 10, 20 and 100 Adding can be a lot easier.
Comparison of X-ray diffraction patterns of La 2 CuO 4+ from different crystals at room temperature Pia Jensen.
TRAVEL MATHS TRAVEL MATHS SPEED SPEED DISTANCE TRAVELLED DISTANCE TRAVELLED JOURNEY TIME JOURNEY TIME D TS.
Copyright (c) The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 36 Abdominal and Genitourinary Trauma.
CQI ISSUES Applying the Trauma Triage Guidelines.
1 One-Man Adult CPR. 2 Remember: CPR can save lives. Do it well. Do it right. And the victim gets a chance at life.
Best Best of of Med Flight Med Flight. Ken Heller Flight Nurse.
Primary Survey. When do you use it? What is it? Rapid assessment Identify anything that can kill Pt Look for anything that’s not right Not just for.
STEP 1: List the first 10 multiples of the greater number. STEP 2: List the multiples of the lesser number. Stop when you get to a multiple that was.
Project 2 Set up: all girls 3 story dorm on UGA campus. Saturday morning at 3:30 am, a bomb explodes on the 3 rd floor.
Fractions Simplify: 36/48 = 36/48 = ¾ 125/225 = 125/225 = 25/45 = 5/9 8/12 = 8/12 = 2/3 Simplify: 75/250 = 75/250 = 3/10 125/250 = 125/250 = ½ 3/225 =
Emergency Dept Case Studies Change in MS You receive a call on C-med radio- 5-minute ETA with a 32 yo male found in his car, responding to painful stimuli.
Journal September 18, 2009 When checking an adult victim, what are two things to look for that will help determine the care needed? Grab the green “Child/Infant.
Case 2 84 year old female Kenneth Koncilja Aravind Reddy Meghan Kaumaya Andrew Williams.
Special Shortcuts for and Triangles.
Triage “To Sort” Look at medical needs and urgency of each individual patient Triage in Daily Emergencies –Do the best for each individual Disaster Triage.
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