2010 Flashcards
(14 cards)
TRAUMA ARREST 2010
If patient does not meet unquestionable death criteria as listed in Guideline 1130, follow this guideline.
TREATMENT
Use of an AutoPulse is contraindicated in trauma patients
• Control ____
•Refer to Hemorrhage Control Guideline 2140 if applicable for uncontrolled hemorrhage
•Refer to appropriate medical cardiac arrest and advanced airway guidelines
•Provide ___ immobilization if indicated
BLEEDING
SPINAL
MULTI-SYTEM TRAUMA 2020
Patients with multi-system involvement may ____ rapidly.
___ and ___ is a priority.
TREATMENT
- Maintain ____ ___
- Provide ____ immobilization
- Infants and children less than ____ lbs, use Pedi-Immobilizer™
• Airway/breathing management
- Administer O2 via proper adjunct to maintain adequate oxygen saturation of ___% or greater
- Consider ___ pelvic splint (Appendix N) for pelvic fractures
- ____ impaled objects in place unless the object must be removed to _____ the airway
- Control bleeding
- Refer to Hemorrhage Control Guideline 2140 if applicable for uncontrolled hemorrhage
- Bleeding from the nose and/or ears should not be stopped, but a ___ ____ should be placed over the nose and/or ears
- Therapeutic goal is Systolic ___ mm/Hg
- Determine Blood Glucose Level
DETERIORATE LOAD . GO BODY WARMTH SPINAL 60LB 95 SAM IMMOBILIZE . STABILIZE STERILE DRESSING 90
HEAD TRAUMA 2030
TREATMENT
- Maintain ____ ____
- Provide ___ immobilization if indicated (Appendix O)
- Infants and children less than ___ lbs, use Pedi-Immobilizer™
• Spinal immobilization of patient with helmet:
- All helmets other than ___ should be removed
• Patients wearing football helmets
Indications for football helmet removal:
- Helmet in place and no ___ ___
- ___/___ trauma
- Cervical/spinal regions are ____ because the helmet fits poorly
- Airway management cannot be achieved with just __/__ removal
- Patient is in __ __ (requires removal of shoulder pads)
• Helmet removal procedure:
- Stabilize helmet in a ____ in-line position
- Second individual removes the ___ ___
- The individual that removes the chin strap will support the ____ and ____ of the patient
- The individual that stabilized the helmet then gently removes the helmet
- Once helmet is removed, apply C-Collar and immobilize on a long back board, ___ or pediatric immobilization device •
• If unable to remove helmet:
- Assure airway access by removing the ___ ___/___
- An athletic trainer may be on scene with designated ____
- Assure spinal immobilization with ___ and ___
• Airway/breathing management
- Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater •
- Refer to Advanced Airway Guideline 9020 as indicated
- Immobilize impaled objects in place unless the object must be removed to stabilize the airway
- Control ____
- Refer to Hemorrhage Control Guideline 2140 if applicable for uncontrolled hemorrhage
- Bleeding from the nose and/or ears should not be stopped, but a sterile dressing should be placed ___ the nose and/or ears
- It’s important to avoid _____ in a head trauma patient
- Determine Blood Glucose Level
BODY WARMTH
SPINAL
60
FOOTBALL
SHOULDER PADS
HEAD/FACIAL
UNSTABLE
FACE/ MASK
CARDIAC ARREST
NEUTRAL
CHIN STRAP
OCCIPITAL . MANDIBLE
KED
FACE SHEILD/MASK
TOOLS
TAPE . TOWELS
BLEEDING
OVER
HYPOTENSION
SPINALTRAUMA 2040
In cases of isolated spinal injuries, scene time is ___ critical and care should be taken in performing proper spinal immobilization.
TREATMENT
- Provide spinal immobilization if indicated (Appendix O)
- Procedure for spinal immobilization of patients with helmets :
- All helmets other than football should be removed
• Patients wearing football helmets
Indications for football helmet removal - Helmet in place and no shoulder pads
- Head/facial trauma
- Cervical/spinal regions are unstable because the helmet fits poorly
- Airway management cannot be achieved with just face mask removal
- Patient is in cardiac arrest (requires removal of shoulder pads)
• Helmet removal procedure - Stabilize helmet in a neutral in-line position
- Second individual removes the chin strap
- The individual that removes the chin strap will support the occipital and mandible of the patient while another crew member removes the helmet
- Once helmet is removed, apply a C-Collar and immobilize on a long back board, KED or pediatric immobilization device •
• If unable to remove helmet: - Assure airway access by removing the face shield/mask •
- Assure spinal immobilization with tape and towels
• Airway/breathing management
- Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
- High cervical injury may cause _____
- Refer to Advanced Airway Guideline 9020 as indicated
- Consider SAM pelvic splint (Appendix N) for pelvic fractures
- Immobilize impaled objects in place unless the object must be removed to stabilize the airway
- Therapeutic goal is Systolic 90 mm/Hg
LESS
APNEA
CHEST TRAUMA 2050
Chest Trauma patients may ____ rapidly. ___ and ____ is a priority.
TREATMENT
- Maintain ___ ___
- Transport to a Trauma Center when ______, severe ____, ____ or respiratory distress are present
- Consider ____ ____ based on EMT/Paramedic judgement
- Provide ____ immobilization if indicated (Appendix O)
- Airway/breathing management
- Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
- Refer to Advanced Airway Guideline 9020 as indicated
- Immobilize _____ objects in place
- Control ____
- Refer to Hemorrhage Control Guideline 2140 if applicable for uncontrolled hemorrhage
- Treatments based on injuries:
- Sucking Chest Wound
- Apply ____-type ____ dressing(s) to cover the wound(s)
- Cover the occlusive dressing with ____ 4X4s
- Tape the dressing on ___ sides
• Therapeutic goal is Systolic 90 mm/Hg
DETERIORATE
LOAD . GO
BODY WARMTH
DISCOLORATION
TENDERNESS
CREPITUS
TRAUMA ALERT
SPINAL
IMPALED
BLEEDING
VASELINE . OCCLUSIVE
STERILE
THREE
Abdominal Trauma 2060
_____ of injury is the most important indicator of abdominal trauma. The best treatment for the patient with severe abdominal trauma is ____ transport.
TREATMENT
- Maintain body ____
- Transport to a Trauma Center when ____ and/or severe tenderness are present
- Consider ____ ___ based on EMT/Paramedic judgement
- Provide ____ immobilization if indicated (Appendix O)
- Airway/breathing management
- Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
- Refer to Advanced Airway Guideline 9020 as indicated
*Immobilize ___ objects in place
- Control bleeding
- Refer to Hemorrhage Control Guideline 2140 if applicable for uncontrolled hemorrhage
- Therapeutic goal is Systolic 90 mm/Hg
- Abdominal Evisceration
- Never ____ abdominal viscera
- Cover with sterile dressing and moisten with ____ ___ (may need to periodically ___)
- ___ the wet dressing in place if possible
mechanism
RAPID
WARMTH
TRAUMA ALERT
SPINAL
IMPALED
REPLACE STERILE . INTRAVENOUS FLUID
REMOISTEN
SECURE
TRAUMA PREGNANCY 2070
Signs and symptoms of SHOCK may be ___ due to increased maternal blood volume.
TREATMENT
- Maintain body ___
- Provide ___ immobilization if indicated (Appendix O)
- Immobilizing a pregnant patient greater than ___ weeks may cause supine HYPOTENSION syndrome from pressure on the ___ vena cava and may also impair ventilation as the ___ and the ____ press against the diaphragm
- ___ immobilization is complete and patient is secure, elevate the patient’s ____ side of the LSB approximately __ inches. This will ___ the uterus and fetus to the left side and off of the inferior vena cava
- If the long spine board (LSB) cannot be elevated, ___ displace the uterus to the ___ as much as possible without causing spinal movement and maintain this displacement throughout the transport
• Airway/breathing management
- Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater •
- Refer to Advanced Airway Guideline 9020 as indicated
- Immobilize impaled objects in place
- Control bleeding
- Refer to Hemorrhage Control Guideline 2140 if applicable for uncontrolled hemorrhage
- Therapeutic goal is Systolic 90 mm/Hg
- Determine Blood Glucose Level
DELAYED
WARMTH
SPINAL
INFERIOR
FETUS . UTERUS
AFTER
RIGHT
6
DISPLACE
MANUALLY
LEFT
EXTREMITY TRAUMA 2080
This guideline does NOT apply to a ___-___ trauma patient.
TREATMENT
- Maintain body warmth
- Provide spinal immobilization if indicated (Appendix O)
- Infants and children less than 60 lbs, use Pedi-Immobilizer™
• Airway/breathing management
- Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
- Consider SAM pelvic splint (Appendix N) for pelvic fractures
- Immobilize impaled objects in place
- Control bleeding
- Refer to Hemorrhage Control Guideline 2140 if applicable for uncontrolled hemorrhage
• ___ all areas of tenderness or ___
- May consider pain management ___ to patient movement or splinting
- Splint dislocations and joint injuries in the position ___
- Consider ___ ___ to reduce swelling and pain
- Reduce fractures (open or closed) by ___ traction if absence of __ pulses
- Consider traction splint for presumed ___ fracture
- ___ the EXTREMITY when practical
- Locate, ___ and monitor distal pulses. Record sensation and motor function before and after splinting
• Amputation
- Place the amputated part in sterile gauze, moisten with ____ fluids
- Keep amputated part ___
- ___ and ___ partial amputations in alignment with the extremity, being careful to avoid torsion
- Do not clamp ____
- Therapeutic goal is Systolic 90 mm/Hg
- Assess patient for injuries and provide ___ management
MULTI-SYSTEM
SPLINT . DEFORMITY
PRIOR
FOUND
ICE PACK AXIAL DISTAL FEMURE ELEVATE MARK
INTRAVANEOUS
COOL
DRESS . SPLINT
VESSELS
PAIN
CRUSH INJURY2090
The patient’s overall health status, total amount of entrapped ___ surface area, ___ of the entrapment and weight of the object dictate the extent of the symptoms. Crush injury is to be distinguished from a simple entrapment.
TREATMENT
- Maintain body warmth
- . Provide spinal immobilization if indicated (Appendix O)
- Airway/breathing management
- Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
• Control bleeding
- Refer to Hemorrhage Control Guideline 2140 if applicable for uncontrolled hemorrhage
BODY
LENGTH
TASER TRAUMA 2100
Only law enforcement officers are permitted to remove ____(s).
• Patient Transport
• The patient should be transported to the hospital if any of the following underlying circumstances apply:
- History of delirium, ___, or irrational bizarre behavior ___ being tased
- ____ vital signs
- History or physical findings consistent with
amphetamine or _____ drug use •
- Cardiac history
- Altered level of consciousness or aggressive, violent behavior including resistance to evaluation
- Evidence of ____
- JSO unable or unwilling to ___ probe(s)
- Any patient that meets the JFRD ___ criteria
TREATMENT
- Provide spinal immobilization if indicated (Appendix O)
- Airway/breathing management
- Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
- Immobilize impaled objects in place unless the object must be removed to stabilize the airway
- Control bleeding
- Refer to Hemorrhage Control Guideline 2140 if applicable for uncontrolled hemorrhage
• Determine Blood Glucose Level
PROBE
MANIA
BEFORE
ABNORMAL
HALLUCINOGENIC
CARDIAC
HYPERTHERMIA
REMOVE
TRANSPORT
BURNS 2110
Burns are classified according to type (___, ___, and ___) and thickness. Use the Rule of Nines or the “___ of hand method” (palm of the patient’s hand is __% of body surface area) to estimate burn area.
ASSESSMENT
Burn Trauma Alert Criteria:
• Adult
• Partial/full thickness (2nd/3rd degree) burns equal to or greater than __% of the BSA
• Pediatric
• Partial/full thickness (2nd/3rd degree) burns equal to or greater than __% of the BSA
- Maintain body ____
- Airway/breathing management
- Patients with known inhalation injury or with signs of potential airway burns who are in respiratory distress should be intubated early to prevent airway collapse
- Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
- Refer to Advanced Airway Guideline 9020 as indicated
- Remove all clothing, jewelry or constricting items from the burned area unless adhered to the patient
- Request ____ ___ when appropriate
- Treatment
• Chemical burns (____ involving Lime, Carbolic Acid, Sulfuric Acid, Solid Potassium or Sodium metals)
- Irrigate with intravenous fluid for ____ minutes
• Chemical burns involving Lime, ____ Acid, ___ Acid, Solid ____ or ___ ___
- Do NOT flush wound(s) with water, intravenous fluids, sterile water, etc.
- Contact receiving _____ for treatment
• Superficial burns
- Apply burn ___ dressing(s) if needed
• Partial-Thickness/Full-Thickness burns
- Apply ___, ___ dressing(s)
- Leave ___ intact
• Adult and pediatric ___ management
THERMAL . ELECTRICAL . CHEMICAL
PALM
1
15
10
TEMPERATURE
HAZMAT TEAM
NOT
20
CARBOLIC . SULFURIC . POTASSIUM .
SODIUM METALS
PHYSICIAN
GEL
DRY . STERILE
BLISTERS
PAIN
ELECTRICAL BURNS 2120
Florida experiences more lightning strikes than any other state in the nation, which increases the risk of exposure to electrical injuries.
TREATMENT
- Maintain body ____
- Provide spinal immobilization if indicated (Appendix O)
- Airway/breathing management
- Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
- Therapeutic goal is Systolic 90 mm/Hg
- On lightning strike scenes where there are multiple patients, ____ triage shall be applied and patients in ___ arrest shall be worked first
- Assess patient for injuries and provide pain management, if appropriate
WARMTH
REVERSE
CARDIAC
EYE TRAUMA 2130
TREATMENT
• Airway/breathing management
- Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
- . Immobilize impaled objects in place unless the object must be removed to stabilize the airway
- Penetrating injury to the eye shall be considered a ___ ___
- Remove contact lenses when applicable
- Therapeutic goal is Systolic 90 mm/Hg
• Assess ____ of ophthalmologic emergency
• Direct Trauma
- Patch both eyes gently without ____ to the globes
- Maintain patient in ____ position to reduce ____ of fluids from the eye
- If blood is noted in anterior chamber, place the patient in ___-____
- Stabilize any impaled object and cover __ eyes
- ___ lights for patient comfort
• Chemical/Irritant Exposure (e.g., pepper spray, tear gas)
- Irrigate affected eye with ____ fluids during transport
- Apply ___ sterile dressings to both eyes
- ___ lights for patient comfort
• Atraumatic
- Patch both eyes gently without pressure to the ___
- Dim lights for patient comfort
TRAUMA ALERT
CONTACT LENSES
NATURE
PRESSURE
SUPINE
LEAKAGE
SEMI-FOWLER’S
BOTH
DIM
INTRAVANEOUS
DRY
DIM
GLOBES
Hemorrhage Control
2140
____ management of hemorrhage can mean the difference between life and death.
Bleeding to extremity
• Life-threatening (Signs/Symptoms include amputation, profuse ____ bleeding, blood ___ through pressure bandage and signs of ____ with continuous bleeding)
- Immediately apply tourniquet (Appendix M)
• Non-life-threatening
- Control with direct pressure to bleeding area or ____
- Apply ____ dressing
- Apply pressure bandage on top of any ____ applied dressing
Bleeding to Head, Neck, or Torso
• Life-threatening
1. Control with direct pressure to bleeding area or vessel
2. Apply ___ dressing if available. Otherwise, apply trauma dressing
3. Apply pressure bandage on top of any previously applied dressing
• Non-life threatening
1. Control with direct pressure to bleeding area or vessel
2. Apply trauma dressing
3. Apply pressure bandage on top of any previously applied dressing
EARLY
PULSATING
SOAKING
SHOCK
VESSEL
TRAUMA
PREVIOUSLY
HEMOSTATIC
