Refresher Course B

7/27/2019 Refresher Course B

1/36

Prehospital Trauma Life Support

Part

2Managing the

Multi-SystemTrauma Patient

R-30


2/36

Thoracic trauma deaths occurbecause of...

Inadequateventilation

R-31

Inadequatecirculation


3/36

Pathophysiology

R-32

Changes in chest wall motion.

Changes in lung expansion.

Changes in diffusion.

Changes in circulation.


4/36

Single isolated rib fractures.

Multiple fractures may produce flail chest.

Rib Fractures

R-33


5/36

PHTLS Refresher Course

Closed Pneumothorax

R-34


6/36


7/36


8/36

Thoracic Trauma

Management

R-37


9/36

Pathophysiology

Key indicator

Abdominal Trauma

R-38


10/36

Suspect Intra-abdominal Bleeding

R-39

When signs of shock are NOTexplained by other serious injuries.

Head injury. Thoracic injury.

External hemorrhage.


11/36


On-Scene Management

R-40


12/36


En-Route Management

R-41


13/36


14/36

Head Trauma

Skull fractures. Depressed.

Linear.

Basilar fractures. CSF from ears, nose.

Bleeding from ears.

Raccoon eyes.

Battles sign.R-43


15/36


Concussion & Contusion

R-44


16/36


Intracranial Hemorrhage

R-45


17/36

Acute

Subacute

Chronic

Subdural Hematomas

R-46

Subduralhematoma

Dura mater


18/36

Suspect possible subdural hematoma.

R-47


19/36

Head Trauma Physiology

R-48

Cerebral perfusion.

Mean arterial pressure.


20/36

Increased intracranial pressure.

CO2 Potential Vasodilator

R-49


21/36

Hyperventilation

Hyperoxygenation

CO2 Potent Vasodilator

R-50


22/36


Spine & Musculoskeletal

Trauma Pathophysiology

R-51


23/36

Spine trauma...

R-52

A lack of neurological

deficit does not rule out

an unstable spine.


24/36

Signs

Symptoms

Spine Trauma

R-53


25/36

Method

Spine Trauma Summary

R-54


26/36

Priorities of care.

Missed injuries.

Musculoskeletal Trauma

R-55


27/36

All musculoskeletal injuries must be

treated as fractures by EMTs.

R-56


28/36

Concealed internal bleeding.

Musculoskeletal Trauma

Special Considerations

R-57


29/36


Thermal Injuries

R-58


30/36


31/36

First treat other

trauma,then

treatthe burn!

R-60


32/36

Smoke inhalation.

Burn Trauma

R-61


33/36

Chemical Burns

Management.

Remove the agent.

R-62


34/36

Cause of death.

Other damage.

Electrical Burns

R-63


35/36

Burn Trauma Summary

Primary considerations.

Management of thermal burns.

R-64


36/36

Recognize critical needs of the patient.

Efficiency of care.

Aggressive intervention. Rapid packaging.

Rapid transport.

Continue treatment.

Nearest appropriate hospital.

Key Considerations

R 65

Refresher Course B

Documents

Transcript of Refresher Course B