Transcript Subpart D - DISASTER info DESASTRES

Emergency Care and
Treatment (ECAT)
Lesson 1
Incident Size-up
and Personnel
Safety
Incident Size-up &
Personnel Safety
•
Objectives
1. Describe how your local command structure
and response system works and how to
perform within it.
2. Recognize the potential hazards in the
emergency response and what can be done
to remain safe.
3. Identify danger signs that may be observed at
an emergency scene.
4. Describe several actions that may be taken to
prevent injuries of the responder.
Emergency Care And Treatment
(ECAT) in Disasters
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Incident Size-up and
Personnel Safety
What hazards are evident in this scene?
Emergency Care And Treatment
(ECAT) in Disasters
3
Incident Size-up & Personnel Safety
What hazards are evident in this scene?
Emergency Care And Treatment
(ECAT) in Disasters
4
Incident Size-up & Personnel Safety
What hazards are evident in this scene?
Emergency Care And Treatment
(ECAT) in Disasters
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Incident Size-up & Personnel Safety
What hazards are evident in this scene?
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(ECAT) in Disasters
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Incident Size-up and
Personnel Safety
I.
Communication: A Safety Issue
A. First Impressions
1. How the Patient Sees You
2. Appearance and Attitude
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Incident Size-up and
Personnel Safety
I.
Communication: A Safety Issue (cont’d)
B. Communication Tools
C. Interview Techniques
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Incident Size-up and
Personnel Safety
II.
Driving and Traffic Safety
A. Driving for Safety
1. Basic Safety Tips
2. Seat Belts
3. Lights and Sirens
4. Hearing Protection
5. Protecting the Patient
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Incident Size-up and
Personnel Safety
II.
Driving and Traffic Safety (cont’d)
B. Staying Safe in Traffic on Foot
1. Park for Maximum Safety
2. Get out of the Vehicle Safely
3. Wear Protective Equipment
4. Channel Traffic Away from the Scene
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Incident Size-up and
Personnel Safety
II.
Driving and Traffic Safety
(cont’d)
C. Protecting Those in the Patient
Compartment
1. Hanging On and Bracing
2. Securing the Patient
3. Securing Equipment
4. Performing CPR in a Moving Ambulance
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Incident Size-up and
Personnel Safety
III. Scene Safety
A. Plan
B. Observe
C. React
1. Retreat
2. Radio
3. Reevaluate
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Incident Size-up and
Personnel Safety
IV. Personal Safety
A.
Protecting Yourself from Hostile People
I.
2.
The Hostile Scene
Protect Your Health
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Incident Size-up and
Personnel Safety
VI. Personal Safety (cont’d)
B. Infectious Disease Precautions
1. The Process of Transmission
2. Universal Precautions
3. Infectious Diseases
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Incident Size-up and
Personnel Safety
VI. Personal Safety (cont’d)
C. Diseases of Concern
1. Hepatitis B
a. Signs and Symptoms
b. Protective Procedures
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Incident Size-up and
Personnel Safety
VI. Personal Safety (cont’d)
2. Tuberculosis
a. Signs and Symptoms
b. Protective Procedures
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Incident Size-up and
Personnel Safety
VI. Personal Safety (cont’d)
3. Acquired Immunodeficiency
Syndrome (AIDS)
a. Signs and Symptoms
b. Protective Procedures
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Incident Size-up and
Personnel Safety
VI.
Personal Safety (cont’d)
D. Preventing Infection
1. CPR and Infection
2. Recommended Immunizations
3. Hand Washing Guidelines
4. General Guidelines
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Don’t be blinded!
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Emergency Care and
Treatment (ECAT)
Lesson 2
Kinematics of Trauma
Kinematics of Trauma
• Objectives
1. Identify mechanism of injury as an important part of the
assessment of a trauma patient.
2. Identify the injuries associated with common vehicular
accidents.
3. Explain the types of trauma caused by falls, stabbings,
bullet wounds, and blast injuries.
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Kinematics of Trauma
Introduction
I.
Common Mechanisms of Injury
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Kinematics of Trauma
I.
Common Mechanisms of Injury
(cont’d.)
A. Automobile Accidents
1. Head-on Impact
2.
3.
4.
5.
6.
7.
Rear Impact
Side Impact
Rotational Impact
Rollover
Ejections/Projections
Restraints
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Kinematics of Trauma
I.
Common Mechanisms of Injury
(cont’d.)
B. Motorcycle Accidents
1. Head-on Impact
2. Angular Impact
3. Ejection
4. Laying the Bike Down
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Kinematics of Trauma
I.
Common Mechanisms of Injury
(cont’d.)
C. Recreational Vehicle Accidents
1. All terrain Vehicle
2. Personal Water Craft
D. Boats
E. Falls
1. Feet-first impact
2. Head-first Impact
3. Angular Impact
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Kinematics of Trauma
I.
Common Mechanisms of Injury (cont’d.)
F. Penetrating Trauma
1. Low-Velocity Injuries
2. Medium and High-Velocity Injuries
G. Blast Injuries
II.
Patient Assessment
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Motion and Movement !
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Emergency Care and
Treatment (ECAT)
Lesson 3
Airway and Breathing with
Spinal Management
Airway & Breathing with Spinal
Management
• Objectives
1. List the initial steps of opening the airway of a
patient with a spinal injury.
2. Describe how to maintain spinal immobilization
when maintaining and open airway of a patient
with a spinal injury.
……..(more)
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Airway & Breathing with Spinal
Management
• Objectives (cont’d)
3. Describe the signs of respiratory distress
4. Demonstrate the steps to use an oral airway and
bag-valve mask.
5. Understand the need for supplemental oxygen
and how to properly and safely deliver it.
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Airway & Breathing with Spinal
Management
I. Spinal Management
A. Manual immobilization
B. Cervical Collar
C. Other ways to immobilize the C-spine
D. Use of a backboard
(covered in lesson 5)
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Airway & Breathing with Spinal
Management
II. Airway
A. Patient Assessment
1. Determine Unresponsiveness
a) Adults
b) Infants and Children
c) Head, Neck, and Spine Injuries
2. Open the Airway
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Airway & Breathing with Spinal
Management
III.
Breathing
A. Assessment
1. Signs of effective breathing
2. Signs of ineffective breathing
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Airway and Breathing with Spinal
Management
IV.
Assisting Breathing of the Patient
A. Oral Airway
B. Bag-Valve-Mask (BVM)
C. Oxygen Delivery Equipment
1. Safety precautions
2. Oxygen Administration Equipment
a) Nasal Canula
b) Plastic Face Masks
c) Non re-breathing Masks
d) Venturi Masks
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CPR Review
I. Basic Life Support: Cardiopulmonary Resuscitation (CPR)
A. How the Heart Works
B. When the Heart Stops
1. Performing Chest Compressions
2. One-Person CPR
a) A Second Rescuer Takes Over
3. Two-Person CPR
a) Changing Positions
b) Monitoring the Patient
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CPR Review
Basic Life Support: Cardiopulmonary Resuscitation (cont’d)
C. Signs of Successful CPR
D. Mistakes in Performing CPR
E. Complications Caused by CPR
F. CPR for Infants and Children
1. Establishing Unresponsiveness or Respiratory Difficulty
2. Determining Pulselessness
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CPR Review
Basic Life Support: Cardiopulmonary Resuscitation (cont’d)
F. CPR for Infants and Children (cont’d)
3. Performing CPR
4. Signs of Successful CPR
5. Complications of CPR in Children
G. Pre-hospital Defibrillation
1. Management of the Sudden Cardiac
Death Patient
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CPR Review
Basic Life Support: Cardiopulmonary Resuscitation (cont’d)
G. Pre-hospital Defibrillation (cont’d)
2. Automated Defibrillation
a) Step 1: Anticipation and Planning
While En Route to the Scene
b) Step 2: Scene Entry and Placement
c) Step 3: Check Patient and Start CPR
d) Step 4: Prepare Patient and Attach
Electrodes
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CPR Review
Basic Life Support: Cardiopulmonary Resuscitation (cont’d)
G. Pre-hospital Defibrillation (cont’d)
2. Automated Defibrillation (cont’d)
e) Step 5: Power On and Rhythm
Analysis
(1)
(2)
(3)
(4)
Narration
Getting Clear
Assessment
Charging
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CPR Review
Basic Life Support: Cardiopulmonary Resuscitation (cont’d)
G. Pre-hospital Defibrillation (cont’d)
2. Automated Defibrillation (cont’d)
f) Step 6: Defibrillation
(1) Semiautomatic AED
(2) Automatic AED
(3) Outcomes of Use of AEDS
g) Step 7: Patient Stabilization and
Maintenance
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CPR Review
Basic Life Support: Cardiopulmonary Resuscitation (cont’d)
G. Pre-hospital Defibrillation (cont’d)
2. Automated Defibrillation (cont’d)
h) Step 8: Family Notification and
Spectators
i) Step 9: Transport
j) Step 10: Transfer of Care to Hospital
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CPR Review
Basic Life Support: Cardiopulmonary Resuscitation (cont’d)
H. Maintenance Checklist
I. When to Terminate or Withhold CPR
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CPR Review
II. Obstructed Airway Emergencies
A. Types of Airway Obstruction
1.
Partial Obstruction
2.
Complete Obstruction
B. Emergency Care for Airway Obstruction
1.
The Heimlich Maneuver
a) The Patient is Standing or Sitting
b) The Patient is Lying Down
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CPR Review
III. Obstructed Airway Emergencies (cont’d)
B. Emergency Care for Airway Obstruction
(cont’d)
1. The Heimlich Maneuver (cont’d)
c) The Patient is Obese or Pregnant
d) You are Alone and Choking
e) The Patient is Found Unconscious
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CPR Review
II.
Obstructed Airway Emergencies (cont’d)
B. Emergency Care for Airway Obstruction (cont’d)
2.
Obstructed Airway in the Infant or Child
a) Signs and Symptoms
b) The Choking Infant
c) The Choking Infant: Unconscious
d) The Child Over the Age of One Year
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CPR Review
Basic Life Support: Artificial Ventilation (cont’d)
B. Rescue Breathing (cont’d)
3. Mouth-to-Stoma Ventilation
4. Mouth-to-Barrier Device Ventilation
a) Pocket Masks
b) Face Shields
5. Ventilating Infants and Children
C. Gastric Distention
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CPR Review
III. Optional Aids to Resuscitation
The Use of Airway Adjuncts
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Overcoming Obstacles!
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Emergency Care and
Treatment (ECAT)
Lesson 4
Patient Head-to-Toe Exam
and What Vital Signs Mean
Patient Head-to-Toe Exam
Objectives
1. Understand the organization of proper patient
assessment.
2. Describe the steps of the initial assessment.
3. Understand normal and recognize abnormal vital
signs.
…..(more)
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Patient Head-to-Toe Exam
Objectives (cont’d)
4. Understand the sequence and application of the
Physical Examination.
5. Describe how to conduct a head-to-toe examination
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Patient Head-to-Toe Exam
I.
Personal and Scene Safe
A. Arrive at the Scene
1. What is the current situation?
2. Where is it going?
3. How do you control it?
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Patient Head-to-Toe Exam
I.
Personal and Scene Safety (cont’d)
B. Control the Scene
1) Establish Authority
2) Gather Information at the Scene
3) Build Rapport with the Patient
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Patient Head-to-Toe Exam
II.
The Initial Assessment
A. Check Life-Threatening Conditions
1) Responsiveness (AVPU)
2) Airway and Cervical Spine
3) Breathing
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Patient Head-to-Toe Exam
II.
The Initial Assessment (cont’d)
A. Check Life-Threatening Conditions (cont’d)
4) Circulation and Bleeding
5) Disability
6) Expose and Examine
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Patient Head-to-Toe Exam
III. The Physical Examination
Look for D.O.T.S.
Deformity
Open Wounds
Tenderness
Swelling
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Patient Head-to-Toe Exam
A.
The Primary Trauma Survey
Conduct a Head-to-Toe Examination
looking for D.O.T.S.
1) Head and Neck
2) Face
3) Shoulders and Clavicles
4) Chest
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Patient Head-to-Toe Exam
A. The Primary Trauma Survey (cont’d)
Conduct a Head-to-Toe Examination (cont’d)
5) Abdomen
6) Pelvis and Lower Back
7) Lower Limbs and Feet
8) Arms, Wrists, and Hands
9) Back
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Patient Head-to-Toe Exam
B.
The Secondary Survey (cont’d)
Check Vital Signs
1) Respiration
2) Pulse
3) Skin
4) Blood Pressure
C.
Check for Medical Information Devices
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Patient Head-to-Toe Exam
D.
Gather Patient History
“S.A.M.P.L.E”
a) Signs and Symptoms
b) Allergies
c) Medications
d) Past Medical History
e) Last meal
f) Events leading to illness
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Patient Head-to-Toe exam
E. Ongoing Assessment
F. Patient Hand-off Report
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Gotta get him to examine him!
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(ECAT) in Disasters
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Emergency Care and
Treatment (ECAT)
Lesson 5
Lifting and
Moving Patients
Lifting and Moving Patients
Objectives
1. Understand the general guidelines of lifting and moving
patients.
2. Describe and demonstrate how to use the various lifts,
carries and equipment when moving patients.
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Lifting and Moving Patients
Introduction
I.
General Guidelines for Moving Patients
A. When to make an Emergency Move
B. When to Make Emergency Moves
C. Lifting Techniques
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Lifting and Moving Patients
II.
Basic Patient Moves
A. One-Rescuer Techniques
1. The Blanket Drag
2.
3.
4.
5.
The Shirt Drag
The Sheet Drag
The Firefighter’s Carry
Other Emergency Moves
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Lifting and Moving Patients
II.
Basic Techniques (cont’d)
B. Two- and Three-Rescuer Techniques
1. Seat Carries (Two Rescuers)
2.
3.
4.
5.
Extremity Lift (Two Rescuers)
Chair Litter Carry (Two Rescuers)
Flat Lift (Two Rescuers)
Flat Lift and Carry (Three Rescuers)
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Lifting and Moving Patients
II.
Basic Techniques (cont’d)
C. Stretchers and Backboards
1. The Canvas Litter/Pole Stretcher
2.
3.
4.
5.
Backboards
Blanket Stretcher
Improvised Stretcher
Stretcher Transportation
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Lifting and Moving Patients
D. Putting a Patient on a backboard
1. From the Side
2. In Line
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Practice makes perfect!
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Emergency Care and
Treatment (ECAT)
Lesson 6
Basic Injuries and Treatment
Basic Injuries and Treatment
• Objectives
Upon completion of this lesson, the participants shall be able to:
• 1
Describe the various types of open wounds and the treatment
for them.
• 2
Describe the various types of closed wounds and the treatment
for them.
• 3
Describe how to care for amputated parts.
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Basic Injuries and Treatment
I.
Soft-Tissue Injuries: Closed Wounds
A. Contusions
B. Blunt Trauma
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Basic Injuries and Treatment
II. Soft-Tissue Injuries: Open Wounds
A. Abrasions
1. Emergency Care
B. Incisions
1. Emergency Care
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Basic Injuries and Treatment
II.
Soft-Tissue Injuries: Open Wounds (cont’d)
C. Lacerations
1. Emergency Care
D. Punctures
1. Emergency Care
E. Avulsions
1. Emergency Care
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Basic Injuries and Treatment
II.
Soft-Tissue Injuries: Open Wounds (cont’d)
F. Bites
1. Emergency Care
III. Traumatic Amputations
1. Emergency Care for the Wound
2. Emergency Care for the Amputated Part
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Basic Injuries and Treatment
IV. Crushing, Clamping & Penetrating Injuries
A. Crushing Injuries
1. Emergency Care
B. Penetrating Trauma: Stab Wounds
1. Emergency Care
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Basic Injuries and Treatment
IV. Crushing, Clamping, and Penetrating Injuries (cont’d)
D. Penetrating Trauma: Gunshot Wounds
1. Emergency Care
E. Impaled Objects
1. General Emergency Care
2. Emergency Care for the Cheek
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Basic Injuries and Treatment
V.
Burns
1.
Type of burns
a)
b)
c)
d)
e)
f)
Thermal
Chemical
Electricity
Light
Lightning
Radiation
2. Degree of Burns
a) First degree
b) Second degree
c) Third degree
3. Emergency Care
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Taking the Checkered Flag?
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Emergency Care and
Treatment (ECAT)
Lesson 7
Injuries to the Head,
Face and Neck
Injuries to the Head, Face & Neck
• Objectives
Upon completion of this lesson, the participants shall be able to:
• 1.
Recognize the signs and symptoms of head injuries.
• 2. Describe and demonstrate the proper emergency
care for head, neck and face injuries.
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Injuries to the Head, Face & Neck
I.
Injuries to the Head
A. Neurological Examination
Alert?
Verbal response?
Pain response?
Unconscious?
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Injuries to the Head, Face & Neck
I.
Injuries to the Head (cont’d)
B. Specific Types of Head Injury
1. General Signs and Symptoms
2. Skull Fracture
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Injuries to the Head, Face & Neck
I.
Injuries to the Head (cont’d)
3. Injuries to the Brain
a)
b)
c)
d)
e)
f)
g)
General Signs and Symptoms
Concussion
Cerebral Contusion
Subdural Hematoma
Epidural Hemaoma
Penetrating Wound
Open and Closed Head Injuries
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Injuries to the Head, Face & Neck
II.
Injuries to the Face
A. Trauma to the Mouth and Jaw
1. Signs and Symptoms
2. Emergency Care
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Injuries to the Head, Face & Neck
III. Injuries to the Face (cont’d)
B. Fractures to the Face and Lower Jaw
1. The Face
a) Signs and Symptoms
b) Emergency Care
2. The Lower Jaw
a) Signs and Symptoms
b) Emergency Care
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Injuries to the Head, Face & Neck
III. Injuries to the Face (cont’d)
C. Objects Impaled in the Cheek
D. Injuries to the Nose
E. Injuries to the Ear
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Injuries to the Head, Face & Neck
III. Injuries to the Face (cont’d)
F. Injuries to the Eye
1.
2.
3.
4.
5.
6.
7.
8.
9.
Foreign Objects in the Eye
Injuries to the Orbit
Lid Injuries
Injuries to the Globe
Chemical burns to the Eye
Impaled Objects in the Eye
Eviscerated Eyeball
Removing hard or flexible contact lenses
Basic rules for the Emergency Eye Care
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Injuries to the Head, Face & Neck
III. Injuries to the Neck
A. Signs and Symptoms
B. Emergency Care
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Alert?
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Emergency Care and
Treatment (ECAT)
Lesson 8
Injuries to the
Chest and Back
Injuries to the Chest & Back
• Objectives
Upon completion of this lesson, the participants shall be able to:
• 1.
Recognize the signs and symptoms of injuries to the
chest and back.
• 2. Describe and demonstrate the proper emergency care
for injuries to the chest and back.
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Injuries to the Chest and Back
Introduction
I.
General Guidelines for Patient Care
A. Anatomy of the Chest
B. Major Signs and Symptoms
1. Open and Closed Injuries
C. Principles of Emergency Care
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Injuries to the Chest and Back
II.
Specific Chest Injuries
A. Flail Chest
1. Signs and Symptoms
2. Patient Assessment
3. Emergency Care
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Injuries to the Chest and Back
II.
Specific Chest Injuries (cont’d)
B. Severe Blunt Injuries, Compression
Injuries, and Traumatic Asphyxia
1. Signs and Symptoms
2. Emergency Care
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Injuries to the Chest and Back
II.
Specific Chest Injuries (cont’d)
C. Broken Ribs
1. Signs and Symptoms
2. Emergency Care
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Injuries to the Chest and Back
II.
Specific Chest Injuries (cont’d)
D. Sucking Chest Wound
1. Signs and Symptoms
2. Emergency Care
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Injuries to the Chest and Back
II.
Specific Chest Injuries (cont’d)
E. Pneumothorax & Tension Pneumothorax
1. Signs and Symptoms
2. Emergency Care
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Injuries to the Chest and Back
II.
Specific Chest Injuries (cont’d)
F. Hemothorax
1. Signs and Symptoms
2. Emergency Care
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Injuries to the Chest and Back
II.
Specific Chest Injuries (cont’d)
G. Subcutaneous Emphysema
1. Signs and Symptoms
2. Emergency Care
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Injuries to the Chest and Back
II.
Specific Chest Injuries (cont’d)
H. Penetrating Injury
1. Signs and Symptoms
2. Emergency Care
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Injuries to the Chest and Back
III. Injuries to the Spine:
Mechanisms of Spinal Injury
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Injuries to the Chest and Back
IV.
Care for Spinal Injury
A. Patient Assessment
B. Signs and Symptoms
C. Emergency Care
D. Helmet Removal
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Keep hacking….. you’d get it!
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Emergency Care and
Treatment (ECAT)
Lesson 9
Injuries to the
Abdomen and Pelvis
Injuries to the Abdomen & pelvis
• Objectives
Upon completion of this lesson, the participants shall be able to:
• 1. Recognize the signs and symptoms of injuries to the
abdomen and pelvis.
• 2.
Describe and demonstrate the proper emergency care
for injuries to the abdomen and pelvis.
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Injuries to the Abdomen & Pelvis
I. Abdominal Injuries
A. The Abdominal Cavity
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Injuries to the Abdomen & Pelvis
I.
Abdominal Injuries (cont’d.)
B. General Guidelines for Patient Care
1. Patient Assessment
a) Open Wounds
b) Closed Wounds
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Injuries to the Abdomen & Pelvis
I.
Abdominal Injuries (cont’d.)
2. General Signs and Symptoms
a) Open Wounds
b) Closed Wounds
3. General Emergency Care
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Injuries to the Abdomen & Pelvis
I.
Abdominal Injuries (cont’d.)
C. Specific Abdominal Injuries
1. Abdominal Evisceration
2. Hernia
3. Impaled Objects in the Abdomen
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Injuries to the Abdomen & Pelvis
II.
Pelvic Injuries
1. Fractures
2. Impaled Objects in the Pelvis
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Got the Guts?
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Emergency Care and
Treatment (ECAT)
Lesson 10
Injuries to the
Extremities
Injuries to the Extremities
• Objectives
Upon completion of this lesson, the participants shall be able to:
• 1.
Recognize the signs and symptoms of injuries to the
extremities.
• 2.
Describe and demonstrate the proper emergency
care for injuries to the extremities.
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Injuries to the Extremities
Introduction
I.
Anatomy
of the
Musculoskeletal
System
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Injuries to the Extremities
II.
Causes and Types of
Musculoskeletal Injuries
A. Forces that Cause Injury
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Injuries to the Extremities
II.
Causes and Types of Musculoskeletal Injuries (cont’d)
B. Sprains and Strains
1. Signs and Symptoms
2. Emergency Care
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Injuries to the Extremities
II.
Causes and Types of Musculoskeletal Injuries (cont’d)
C. Fractures
1. Types of Fractures
Open
Closed
2. Signs and Symptoms of Fractures
3. Emergency Care
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Injuries to the Extremities
II.
Causes and Types of Musculoskeletal Injuries (cont’d)
D. Dislocations
1. Signs and Symptoms
2. Emergency Care
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Injuries to the Extremities
III.
General Principles of Care
A. Types of Splints
1.
2.
3.
4.
5.
6.
Improvised Splint and Sling
Self-Splint
Sling and Swathe
Pillow Splint
Fixation Splint
Air Splint
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Injuries to the Extremities
III. General Principles of Care (cont’d)
B. Splinting of Fractured or Dislocated
Limbs
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Injuries to the Extremities
III. General Principles of Care (cont’d)
C. Control of Bleeding
1. Dress open wounds
2. Check:
distal pulses
sensation
and function
before and after bandaging and splinting
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Injuries to the Extremities
IV. Emergency Care for Specific Injuries of
the Upper Extremities
1. Dislocation of the Shoulder
2. Fractures of the Clavicle
3. Fractures of the Scapula
4. Fractures of the Humerus
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Injuries to the Extremities
IV. Emergency Care for Specific Injuries of
the Upper Extremities (cont’d)
5. Dislocation of the Elbow
6. Fractures of the Forearm and Wrist
7. Fractures of the Fingers and Hand
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Injuries to the Extremities
V.
Emergency Care for Specific Injuries to
the Lower Extremities
1. Fractures of the Pelvis
2. Fractures of the Hip
3. Fractures of the Femur
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Injuries to the Extremities
V.
Emergency Care for Specific Injuries to
the Lower Extremities (cont’d)
4. Dislocation of the Knee
5. Fractures of the Tibia and Fibula
6. Fractures of the Ankle and Foot
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Keep ‘em moving!
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Emergency Care and
Treatment (ECAT)
Lesson 11
Medical Concerns in
the Field
Medical Concerns in the Field
• Objectives
Upon completion of this lesson, the participants shall be able
to:
• 1.
Recognize the signs and symptoms of medical
problems in the field.
• 2.
Describe and demonstrate the proper emergency
care for medical problems in the field.
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Medical Concerns in the Field
I. The Scene
A. Arrive at the scene - safety
B. Control the scene
1. Establish authority – command structure
2. Gather information
3. Build rapport with patient
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Medical Concerns in the
Field
II.
Scene Safety
A. Removal of medical patient from hazardous
environment
B. Triage area
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Medical Concerns in the Field
III. Recognizing Medical Conditions in the
Field
A. Types of medical conditions you may
encounter
1.
2.
3.
4.
5.
6.
Heart attack
Stroke
Heat stroke – exhaustion
Diabetic Emergencies
Shock
Seizure
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Medical Concerns in the Field
III. Recognizing Medical Conditions in the
Field (cont’d)
B. Treatment of medical problems
1. Priority
2. Ambulatory
3. Not treatable
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Medical Concerns in the Field
IV.
Primary Survey
A. Check for life-threatening conditions
1.
2.
3.
4.
5.
Airway at C-spine
Breathing
Circulation and bleeding
Disability
Expose and examine
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Medical Concerns in the Field
V.
The Secondary Survey
A. Medical Survey
1. Appearance
2. Level of consciousness
3. Chief complaint
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Medical Concerns in the Field
V.
The Secondary Survey (cont’d)
B. History of Present Illness
1. Pain
2. Quality
3. Radiation
4. Severity
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Medical Concerns in the Field
V.
The Secondary Survey (cont’d)
C. Field Check of Vital Signs
1. Respirations
2. Pulse
3. Skin Quality
4. Blood pressure
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Medical Concerns in the Field
V.
The Secondary Survey (cont’d)
D. Conduct head-to-toe examinations
1. Medical information devices
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No problem, mon!
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Emergency Care and
Treatment (ECAT)
Lesson 12
Problem-solving in
the Field
Problem-solving in the Field
• Objective
Upon completion of this lesson, the participants
shall be able to:
1. Learn how to use what is at hand to provide
proper care for the patient in a disaster
situation.
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Problem-solving in the Field
I. The Scene
A.
B.
C.
D.
E.
Arrive at the scene - safety
Size up
Situational awareness
Gaining access to the scene
Stabilizing the environment
1. Stabilizing cars, boats and heavy equipment
2. Stabilizing buildings
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Problem-solving in the Field
II. Patient Treatment
A. Recognizing and locating medical supplies
B. Recognizing and locating splinting material
C. Short distance transfers of patients
1. Patient carries
D. Stretchers in the field
1. Finding material
2. Building a stretcher
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Problem-solving in the Field
III. Patient Care
A. Organizing the moving of the patient
1.
Use of bystanders, etc.
2. Vehicles such as boats for transportation
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Problem-solving in the Field
III. Patient Care
(cont’d)
B. Moving patient to safe area
C. Basic water rescue
1. Safety of rescuer
2. Removal of patient from the water
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THE END
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