Refresher Course A
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Transcript of Refresher Course A
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7/27/2019 Refresher Course A
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Prehospital Trauma Life Support
Introduction
REFRESHER COURSE
4thEdition
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Developed by the
National Association ofEmergency Medical Technicians
In cooperation with
The Committee on Trauma,American College of Surgeons
This slide presentation is intended for use only
in approved PHTLS courses. R-2
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Purpose of Refresher Course
Review.
Amend.
Revise and update.
Reaffirm.
R-3
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PHTLS Refresher Course
Trauma Summary
R-4
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Prehospital Trauma Life Support
R-5
Part
1Managing the
Multi-SystemTrauma Patient
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PHTLS Refresher Course
Trauma
R-6
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PHTLS Refresher Course
Causes of Trauma Deaths
R-7
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Platinum 10 minutes.
Transportation.
Emergency department intervention.
Surgical intervention.
Golden Hour
R-8
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Scene
Safety
Situation
Priorities
R-9
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Mechanism of injury is the key indication
for the treatment of spinal injury.
R-10
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PHTLS Refresher Course
Law of
Conservation of Energy
R-11
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Shear
Blunt Trauma
R-12
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Vehicular Collisions
Three impacts.
Vehicle.
Occupant.
Internal organs.
R-13
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Head-on, frontal.
Rear-end.
Lateral, side.
Rotational, pivot.Roll-over.
Types of Impact
R-14
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Primary Survey
R-15
Global assessment.
In-depth systems.
Locate life-threatening injuries.
Manage life-threateningconditions.
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Airway Management
R-16
Manual
Mechanical
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PHTLS Refresher Course
Ventilation
Minute Volume
R-17
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PHTLS Refresher Course
Ventilatory Rate
R-18
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PHTLS Refresher Course
Oxygen Concentrations
R-19
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Goal:
Ensure adequate oxygenation of cells.
Manage airway.
Assure adequate ventilation.
Assure adequate oxygenation.
R-20
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Pulse.
Skin.
Capillary refill.
Overt hemorrhage.
Consider shock.
Circulation
R-21
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Adequate Circulation
R-22
Pump
Volume of fluid
Container
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Adequately oxygenated RBCs.
Adequate number of RBCs.
Adequate circulation of oxygenated RBCs.
RBCs able to off-load oxygen to cells.
Fick Principle
R-23
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Cellular Response to Shock
R-24
Anaerobic metabolism.
Cellular death. Organ death.
Organism death.
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R-25
Management of shock inthe first hourdetermines
outcome 2 - 21 dayslater!
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Neurological Assessment
R-26
Check for responsiveness.
Check pupils.
Check for deficit.
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Early recognition.
Meaningful intervention.
Efficiency of care.
Rapid intervention.
Keys to Effective Prehospital Care
R-27
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PHTLS Refresher Course
Management: Shock
R-28
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Resuscitation phase...
Re-evaluate.
R-29
Correct keyproblems
as found.