Temple College EMSP1 Introduction to Trauma Management

Temple College EMSP2 Trauma zLeading cause of death ages 1-40 zThird leading cause in all age groups

Temple College EMSP3 Trauma z50,000,000 injuries/year need medical attention z12% of all hospital beds occupied by trauma z22,000,000 bed-days/year accounted for by trauma z350,000 permanently disabled/year

Temple College EMSP4 Trauma z100,000 to150,000 deaths/year z3,750,000 years of life lost--More than any other disease Why does trauma account for more years of life lost than any other disease?

Temple College EMSP5 Trauma One-fifth to one-third of all deaths may be preventable

Temple College EMSP6 Trauma Cost per Year

Temple College EMSP7 Research Spending $550,000,000 $1,000,000,000 $15,000,000 “Trauma: The Neglected Disease of Modern Society”

Temple College EMSP8 Time to Care vs Survival What do these numbers suggest about trauma care strategies?

Temple College EMSP9 When Trauma Deaths Occur “The Trimodal Distribution”

Temple College EMSP10 Immediate Deaths(<1 hour) zLoss of Airway zBrain Stem Laceration zHigh C-Spine Lesion zAortic/Heart Rupture What can be done about these deaths? What role does EMS play?

Temple College EMSP11 Early Deaths (1-3 hours) zEpidural Hematoma zSubdural Hematoma zHemo/Pneumothorax zIntra-abdominal Bleeding zPelvic Fractures zFemur Fractures zMultiple Long Bone Fractures Why do these patients die?

Temple College EMSP12 Late (2-4 weeks) zSepsis zMultiple Organ System Failure How can these deaths be avoided?

Temple College EMSP13 Trauma Care Conclusions zDefinitive Trauma Care = Surgeon’s Knife zShort time to surgery = Improved survival zEMS improves survival by: yRecognizing critical trauma ySupporting oxygenation, ventilation, perfusion yTransporting rapidly to definitive care

Temple College EMSP14 Where should the patient go? The most appropriate facility Not necessarily the closest one!

Temple College EMSP15 PowerPoint Source Slides for this presentation from Temple College EMS: owerpoint.html owerpoint.html