1. Module 5-3 Injuries to Muscles and Bones

2. Review of the Musculoskeletal System Injuries to Bones and Joints Injuries to the Spine Injuries to the Brain and Skull

3. Injuries to Muscles and Bones The Musculoskeletal System

4. The Skeletal System Gives the Body Shape Protects Vital Internal Organs

5. The Skull

6. Divisions of the Spine

7. The Skeleton

8. Types of Joints (immovable)

9. Types of Joints (slightly movable)

10. Types of Joints (freely movable)

11. The Muscular System Gives the Body Shape Protects Vital Internal Organs Provides for movement

12. SkeletalCardiacSmooth Types of Muscle

13. Injuries to Muscles and Bones Injuries to Bones and Joints

14. Types of Force

15. Closed vs. Open

16. Signs and Symptoms Deformity or angulation Pain and Tenderness Grating Swelling Bruising (discoloration) Exposed bone ends Joint locked into position

17. Open Fracture

18. Angulated Fracture

19. Closed Fracture

20. B.S.I. Emergency Medical Care “After life threats have been controlled, allow patient to remain in a position of comfort.” Cold Pack Stabilize

21. Manual Stabilization

22. Manual Stabilization (continued)

23. Emergency Medical Care Support above and below an injury. Cover open wounds with a sterile dressing. When in doubt, manually stabilize the injury.

24. Injuries to Muscles and Bones Injuries to the Spine

25. Mechanism of Injury Motor vehicle crashes Pedestrian - vehicle collisions Falls Blunt and Penetrating trauma Diving accidents Hangings Unresponsive trauma patients

26. Signs and Symptoms Tenderness in area of injury. Pain associated with movement. Numbness, weakness, or tingling in the extremities. Loss of bladder/bowel control. Respiratory impairment. Loss of sensation or paralysis.

27. Signs and Symptoms “Ability of the patient to walk, move extremities or feel sensation; lack of pain to spinal column DOES NOT rule out the possibility of spinal column or cord damage.”

28. Responsive Patients Mechanism of Injury? Does your neck or back hurt? Where does it hurt?

29. Manual Stabilization

30. Hand Movement

31. Foot Movement

32. Touch finger.

33. Touch toe.

34. Unresponsive Patients Maintain airway and breathing. Stabilize head and neck manually in position found.

35. In-line Stabilization with Jaw Thrust

36. Pinch hand.

37. Pinch foot.

38. Emergency Medical Care Body Substance Isolation (B.S.I.) Maintain Manual Stabilization Perform Initial Assessment Pulse, Motor, Sensation

39. Feel for Pulse.

40. Injuries to Muscles and Bones Injuries to the Brain and Skull

41. Signs and Symptoms of Skull Fracture

42. Open Head Injury

43. Closed Head Injuries

44. Emergency Medical Care Body Substance Isolation (B.S.I.) Maintain Manual Stabilization Perform Initial Assessment

45. Emergency Medical Care Closely monitor mental status for deterioration. Be prepared for changes in patient condition. Control bleeding.