ASSESSMENT AND INITIAL

OF TRAUMA PATIENT

OVERVIEW
- SIX STAGES OF AN AMBULANCE CALL.
- TRAUMA ASSESSMENT.
- PRELIMINARY ACTIONS AT THE SCENE
- PATIENT ASSESMENT AND MANAGEMENT
- CRITICAL INJURIES/CONDITION.
- SECONDARY SURVEY
- REASSESMENT SURVEY.

SIX STAGE OF AN
AMBULANCE CALL.
1. PREDISPATCH.
2. DISPATCH.
3. TRAVEL TO SCENE
4. ACTIONS AT THE SCENE
5. TRAVEL TO THE HOSPITAL
6. ACTIONS AT THE HOSPITAL

SCENE SURVEY
1. ASSESS FOR HAZADS
2. EXTRICATION / SPECIAL APROACH REQUIRED.
3. NOTE MECHANIMS OF INJURY.
4. NOTE NUMBER OF VICTIMS.
5. REQURIES ANY ADDITIONAL HELP NOW!

HAZARDS
LOOK BEFORE YOU LEAP
. PARK VEHICLE IN NEAREST SAFE PLACE.
- IS IT SAFE TO APPROCH VICTIM ?
- IS SPESIAL EQUYIPMENT NEEDED ?
- IS IMMEDIATE MOVEMENT OF VICTIM INDICATED
?

SAFETY FIRST
YOUR FIRST
RESPONBILITY IS TO
TAKE CARE OF YOURSELF

ESSENTIAL EQUIPMENT
1. PERSONAL PROTECTION EQUIPMENT.
2. LONG BACK BOARD
3. CERVICAL COLLAR.
4. AIRWAY EQUUIPMENT - OXYGEN
- SUCTION.
5. TRAUMA BOX.

ASSESSMENT AND INITIAL

MANAGEMENT
1. PRIMARY SURVEY - ABCs.
2. TRANSPORT DECISION AND CRITICAL
INTERVENTIONS
3. SECONDARY SURVEY
4. REASSESSMENT SURVEY.

PRIMARY SURVEY
- RAPID HEAD -TO-FEET EXAM.
- FOCUS ON IMMEDIATE LIVE THEATENING
CONDITION.
- SHOULD TAKE NO LONGER THAN 2 MINUTE.
- STOP SURVEY ONLY FOR AIRWAY OBSTRUCTION
OR CARDIAC ARREST.
- CONTROL MAYOR BLEEDING DURING THIS TIME.

PRIMARY SURVEY
-TOTAL OVERVIEW OF PATIENT SITUATION
WHILE YOU APPROACH.
- AIRWAY, C-SPINE CONTROL., AND L O C
- BREATHING.
- CIRCULATION
- CONTROL HEMORRHAGE.

WHEN PRIMARY SURVEY

COMPLETED...
. TRANSFER PATIENT TO BACKBOARD
- CHECK BACK.
- MAKE TRANSPORT AND CRITICAL DECISIONS.

TRANSPORT DECISION
AND
CRITICAL
INTERVENTIONS.

LOAD AND GO SITUATIONS

- TRANSPORT THESE PATIENTS IMMEDIATELY !
- ABNORMAAL RESPIRATION
- ABNORMAL CIRCULATION
- SHOCK.
- UNCONTROLLABLE BLEEDING
- DECREASED LOC
- TENDER ABDOMEN
- PELVIC INSTABILITY
- BILATERAL FEMUR FRACTURES

IN LOAD AND GO
SITUATIONS..
- ON-SCENE INTERVENTIONS ARE LIMITED TO
CORRECTING IMMEDATE THREATS TO LIFE :
- AIRWAY
- DECOMPRESS TENSION PNEUMOTHORAX.
-CONTOL MAYOR BLEEDING.
- ALL OTHER INTERVENTIONS SHOULD TAKE
PLACE ENROUTE TO HOSPITAL

SECODARY SURVEY
- DETAILED EXAM
- PROVIDES BASELINE FOR FUTURE DECISIONS
- SPLINT FRACTURES
- DRESS WOUNDS
- RECORD YOUR FINDINGS.

SECODARY SURVEY
- VITAL SIGN
- HISTORY
- HEAD-TO-TOE EXAM
- FURTHER BANDAGING AND SPLINTING
- CONTINUALLY MONITOR

HISTORY OF INJURY
- S YMPTOMS
- A LLERGIES.
- M EDICATIONS
- P AST MEDICAL HISTORY
- L MAST MEAL
- E VENT PRECEDING THE INJURY
- SOURCES OF INFORMATION
- PERSONAL OBSERVATION.
- PATIENT & BYSTANDRES

NEUROLOGICAL EXAM
LEVEL OF CONSIOUSNESS
A - ALLERT
V - RESPON TO VERBAL
P - RESPON TO PAIN
U - UNRESPONSIVE
MOTOR
SENSATION
PUPILS

REASSESSMENT SURVEY
- PURPOSE:
- TO MONITOR FOR CHANGES IN PATIENTS
CONDITION.
- PERFORM :
- EVERY 5 MINUTES DURING TRANSPORT
- ANYTIME PATIENTS CONDITION WORSENS

REASSESSMENT SURVEY
- LOC
- AIRWAY
- BREATHING
- RATE & QUALITY
- CHECK FOR JVD & TRACHEA POSITION
- LISTEN FOR BEATH SOUNDS
- CIRCULATION
- PULSE RATE AND QUALITY
- BLOOD PREASSURE
- SKIN CONDITION

REASSESSMENT SURVEY
. CHECK ABDOMEN
- ASSESS ANY PERTINENT FINDING
NOTE IN PRIMARY OR SECONDARY SURVEY
- CHECK INTERVENTIONS
- INTUBATIONS
- DRESSINGS
- SPLINTS

COMMUNICATIONS WITH
MEDICAL DIRECTION
- EARLY CONTACT
- CONCISE AND TO THE POINT
- DESTINATION AND ETA

SUMMARY
. PRELIMINARY ACTIONS AT THE SCENE
- SCENE AND PERSONAL SAFETY
- MECHANISM OF INJURY
- PATIENT ASSESSMENT AND MANAGEMENT
- PRIMARY SURVEY
- CRITICAL INJURIES/CONDITIONS
- TRANSPORT DECISION
- SECONADRY SURVEY
- REASSESSMENT SURVEY
- CONTANT MEDICAL DE\IRECTION AT HOSPITAL

THANK YOU