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FALLSProtocol 17By Adnan ahmed

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DefinationTo drop down from a height iscalled Fall. It can be accidentalor even intentional .

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R

isk Factors60% of falls occur at home.Fall rates are highest children age 0-4 years and adults age 75 and older.At least one -third of all falls amongolder people involve environmental

hazards in the home.Fall is one of the leading cause of trauma (serious injury).

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C

ausesAccidentalDizzinessElectrocaution/LightningFainted/Nearly Fainted

Jumped

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K

ey QuestionsHow f ar did patient fall?

What caused the fall?Is there any S erious Bleeding ?

What part of the body isinjured ?When did this happen ?

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The height o f the victim from where he fall isvery impotant to know.

EXTREME FALL:The patient has fallen from a distance of

30f t/10m or higher .

LONG FALL:The patient has fallen from a distance of Adult/Child> 10-29 f t (3-9 m)

Infant >6

-29f t (2-9 m)

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U n-conscious (Arrest) / Not Alert

Check BreathingMaintain AirwayDo not move H ead / Neck

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Dangerous Body AreaAbdomenAmputation (exculding finger/toe)

BackChest (breathing normally)Genitalia

Head (alert)Leg, upper (obvious deformity)Neck (breathing normally)

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P

roximal Body AreaArm, upperCollar (clavicle) boneHip/PelvisKnee

Leg, lower (tibia)Leg, upper (without deformity)Shoulder

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Distal Body AreaAnkleElbow

FingerFootForearm

HandToeWrist

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W orker are at great risk o f f all

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Serious BleedingU ncontrolled bleeding(spurting/pouring) from any bodyarea is S erious Bleeding .

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Suffixes

J = Jumper (suicide attempt)

G = On the Ground or Floor

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I mportant P ointsDistance of the fall is very important.Not Alert with INEFFECTIVE

BREATH

ING

, the EMD should ProtectLIFE over Limb and open the Airway.Time is very of fall is very important(more than 6 hours is Non-Recent )Ground level falls caused byFainting/Dizziness should be handledon P rotocol 31 .

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Sp inal InjuryIf Spinal injury in a breathing patient and PAI sare not necessary. EMD should encouragenot to move and stabilise patient s head andneck.Abnormal breathingDiving accidentExtreme or Long fallFacial or Head injuryTingling sensation or numbess in LimbsUnconsciousness at a Trauma scene

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18 OCT 20 1 0 2 8 FEB 20 11 (453)

1. Malir

2. Bin Qasim

3. Korangi

5. Gulberg

6 . North Karachi

7. North Nazimabad

8. Site Area

9 . Clifton

10 . Baldia Town

11. PECHS

77

75

77

48

44

36

13

33

37

13

Calls/S tations

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18 OCT 20 1 0 2 8 FEB 20 11 (453)

223 196

0 319 12

S hif ting W ise

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18 OCT 20 1 0 2 8 FEB 20 11 (453)

148

189

10115

Category W ise

D (Delta)

B (Bravo)

A (Alpha)

O (Omega)

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18 OCT 20 1 0 2 8 FEB 20 11 (453)

223

126

104

G ender W ise

1. Male2. Female3. Children

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Thank YouFOR YOUR

PAT IENCE