Trauma, Multiple Casualties. Polytrauma Multisystem trauma Terminology: 4 Injury = the result of harmful event that arieses from the release of specific.

Slides:

Advertisements

Similar presentations

ED Approach to the Trauma Patient

Advertisements

Head and Spinal Trauma RIFLES LIFESAVERS.

RESPONDING TO EMERGENCIES

Emergency Scene Management

First Aid Review (a) Each operator of a surface coal mine shall make arrangements with a licensed physician, medical service, medical clinic,

Principles of Trauma Symphony of Surgery

Road Traffic Accident Procedures (5) Service Delivery 2.

First Aid Module 1 Introduction to First Aid Role of First Aider.

TRAUMA ASSESSMENT By Julia Tracy. Scenario You are a newly qualified doctor and have just seen someone get hit by a car. What would you do?

First Aid Presentation – Slide 2-1 TITLE SLIDE Insert your information directly into the text boxes provided to customize your presentation F I R S T A.

Taking Action in Emergency Situations

BRONZE MEDALLION PUA21012 Certificate II in Public Safety (Aquatic Rescue) RESUSCITATION Chapter 4 Ver 5.1 May 2013.

Finding Out What’s Wrong

TRANSITION SERIES Topics for the Advanced EMT CHAPTER Assessment of the Trauma Patient 15.

CHEST TRAUMA RIFLES LIFESAVERS. CHEST ANATOMY Heart Lungs Major vessels Thoracic Cage – –Ribs, thoracic vertebrae and sternum.

Disaster Medical Operations — Part 1 CERT Basic Training Unit 3.

EVALUATE A CASUALTY TACTICAL COMBAT CASUALTY CARE 1.

Evaluating a Casualty. NBC Warning If there are any signs of nerve agent poisoning, stop the evaluation, take the necessary NBC protective measures, and.

Trauma, multiple casualties. Polytrauma Multisystem trauma Terminology: 4 Injury = the result of harmful event that arieses from the release of specific.

Treat a Casualty with a Closed Head Injury. Combat Trauma Treatment 2Head Injury Introduction Most common for individuals working in hazardous environments.

Chapter 4 First Aid and CPR Health Care Science Technology Copyright © The McGraw-Hill Companies, Inc.

The Initial Assessment OF THE MULTIPLY INJURED PATIENT.

Focused History and Physical Examination of the

Chapter 9 Common surgical problems Trauma. Case study: Hamid 14 year old boy was involved in the accident with a car.

Management of the Trauma Patient Hieu Ton-That, MD, FACS Loyola University Medical Center Division of Burns, Trauma and Surgical Critical Care.

First Aid. Responding to a health emergency Injury and acute illness Interactions with local emergency medical services 1a.

Patient Assessment INITIAL ASSESSMENT. Patient Assessment 2 Components of the Initial Assessment Develop a general impression Assess mental status Assess.

Taking Action In An Emergency: Initial Assessment.

Disaster First Aid 1. Identify the “killers.” 2. Apply techniques for opening airways, controlling bleeding, and treating for shock. 3. Fractures/ Splinting.

Disaster Medical Operations — Part 1 CERT Basic Training Unit 3.

Patient Assessment And Management 1 By Ethan Bjorklund Dave Furey Grant Riedemann.

First Aid Chapter 3 Finding Out What ’ s Wrong. Victim Assessment Logical Helps you evaluate 2 parts.

POLYTRAUMA, RTA, MULTIPLE CASUALTIES University Hospital Brno, December 2013.

Finding Out What’s Wrong

In the Event of an Accident,by Law You Must  YOU MUST STOP if involved in an accident  You must give your name and address and registration number to.

PRIMARY SURVEY. CARE UNDER FIRE 1. Scene Assessment  Return fire as directed or required  Casualty should return fire if able  Keep yourself from getting.

First Aid 2011 Lukáš Dadák, M.D. Dept. of Anesthesia &ICU FN USA

Basic First Aid. basic first aid  Definition: –First Aid is the initial response and assistance to an accident/injury situation. –First Aid commonly.

Chapter 3 Victim Assessment and Urgent Care. Lesson Objectives Explain the importance of performing a detailed and systematic assessment. List what to.

Check, Call, Care Taking Action in Emergency Situations.

EMERGENCY MEDICAL CARE State of Georgia BASIC FIRE FIGHTER TRAINING COURSE Module 1.

1 TRAUMA CASUALTY ASSESSMENT RIFLES LIFESAVERS. 2 Tactical Combat Casualty Care Care Under Fire –“The best medicine on any battlefield is fire superiority”

First Aid for Colleges and Universities 10th Edition Chapter 30 © 2012 Pearson Education, Inc. Vehicle Stabilization and Extrication Slide Presentation.

PATIENT ASSESSMENT. Patient assessment in emergency medicine as performed by First Responders & EMS providers consists of 7 parts: 1._________________________________________________.

Singapore Red Cross Society Red Cross Youth

CPR (Cardiopulmonary Resuscitation) Korean Red Cross Important Definitions  Cardiac Arrest: Condition in which the heart has stopped or is too weak to.

1 st AID & CPR Basic skills to treat anyone. 1 st AID  1) Size up the scene Is it safe for everyone Use appropriate protective equipment (gloves) What.

FIRST AID CPR GRADE 10 P.E.

Copyright (c) The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 33 Trauma Overview.

Scenario: Road Crash Initial Scene Management. Scenario. Initial Action. Prevent further crashes. Check the Scene. First Aid. Preserve Evidence Scenario.

Chapter 7 Basic Life Support. Life-Saving Procedures Clearing an obstructed airway Cardiopulmonary resuscitation (CPR) Use of automated external defibrillator.

Visual 3.1 Unit Objectives 1. Identify the “killers.” 2. Apply techniques for opening airways, controlling bleeding, and treating for shock. 3. Conduct.

Evaluate a Casualty Tactical Combat Casualty Care

Dilawaiz Nadeem MCh Orth, MD, FRCS (Ed) Trauma & Orth Professor /Consultant Orthopaedic Surgeon SIMS / Services Hospital, Lahore Find Online Presentations.

P-MARCH-P OVERVIEW.

Reference Handout for Disaster Medicine— Triage SAVING LIVES: Airway (Head-Tile/Chin-Lift) Bleeding (Pressure/Elevation) Shock (Keep Warm/Lie Down) TRIAGE.

Patient Assessment.

Responding to Emergencies

Patient Assessment.

Kerbala university / college of medicine

Unit 3 Lesson 2: AVPU, GCS, and PEARL

TRAUMA: The Golden Hour

Primary & Secondary Survey

Chapter 5 Patient Assessment

Chapter 5 Patient Assessment

Assessment of the trauma patient

Circulation and haemorrhage control

PRIMARY ASSESSMENT: Detect immediate threats to life

Presentation transcript:

Trauma, Multiple Casualties

Polytrauma Multisystem trauma Terminology: 4 Injury = the result of harmful event that arieses from the release of specific forms of energy. 4 “Polytrauma” = Multisystem trauma = injury of two or more systems, one or the combination imperil vital signs.

Trauma deaths First peak 4 Within minutes of injury 4 Due to major neurological or vascular injury 4 Medical treatment can rarely improve outcome Second peak 4 Occurs during the 'golden hour' 4 Due to intracranial haematoma, major thoracic or abdominal injury 4 Primary focus of intervention for the Advanced Trauma Life Support (ATLS) methodology Third peak 4 Occurs after days or weeks 4 Due to sepsis and multiple organ failure

Assessment of the injured patient 4 Primary survey and resuscitation –A = Airway and cervical spine –B = Breathing –C = Circulation and haemorrhage control –D = Dysfunction of the central nervous system –E = Exposure 4 Secondary survey 4 Definitive treatment

Airway and cervical spine 4 Always assume that patient has cervical spine injury 4 If patient can talk then he is able to maintain own airway 4 If airway compromised initially attempt a chin lift and clear airway of foreign bodies 4 Intubate or cricothyroidotomy 4 Give 100% Oxygen

Breathing 4 Check position of trachea, respiratory rate and air entry 4 If clinical evidence of tension pneumothorax will need immediate relief 4 Place venous cannula through second intercostal space in the mid-clavicular line 4 If open chest wound seal with occlusive dressing

Circulation and haemorrhage control 4 Assess pulse, capillary return and state of neck veins 4 Identify exsanguinating haemorrhage and apply direct pressure 4 Place two large calibre intravenous cannulas Give intravenous fluids (crystalloid or colloid) 4 Attach patient to ECG monitor

Dysfunction Assess level of consciousness using AVPU method A = alert V = responding to voice P = responding to pain U = unresponsive Assess pupil size, equality and responsiveness

Exposure 4 Avoid hypothermia Fully undress patients Avoid hypothermia

Multiple casualties 4 Several causalities at the same time. 1. Alarm ER services 2. Assess the scene - without putting your safety at risk. 3. Triage 'do the most for the most'

Triage 4 Ability to walk 4 Airway 4 Respiratory rate 4 Pulse rate or capillary return

Road accidents 4 Fall from a bicycle …. major incident with many causalities. 4 Serious risks to safety - traffic

1. Make the area safe 4 Protect yourself, the causality and other road users. –Park your car safely, turn lights on, set hazard lights flashing. –Do not across a busy motorway to reach other side –Set others to warn other coming drivers –Set up warning triangles or lights 200 metres in each direction. 4 Switch off ignition of any damaged vehicle. 4 Is anyone smoking?

2. Check all caulsalities 4 Quick assess 4 No moving 4 Apply life-saving treatment

3. Treat 4 In the position found 4 First life-threatening or potentially serious injuries

4. Search all area

How to move unconscious casualty 4 Do not move the casualty unless it is absolutely necessary 4 Assume neck injury until proved otherwise –Support head and neck with your hands, so he can breathe freely Apply a collar, if possible –There should be only 1 axis (head, neck, thorax) no moving to sides, no flexion, no extension. –With other 3-4 people 1 support head (he is directing others), other one shoulders and chest, other one hips and abdomen, last one - legs.