Ensuring your personal protection begins by looking for what possible dangers as you approach the scene and before you step out of the vehicle?
leaking fluids and fumes
Broken utility poles and downed electrical wires
Aggravated or hostile bystanders with potential violence
Smoke or Fire
Possible hazardous or toxic materials
Crash or rescue scenes with unstable elements
Violence and crime scenes
Define Mechanism of injury
With a traumatic injury, the body has been exposed to some force or energy that has resulted in a temporary injury, permanent damage, or even death.
with blunt trauma, the force of the injury occurs over a broad area, and the skin is usually not broken
with penetrating trauma, the force of the injury occurs at a small point of contact between the skin and the object. The object pierces the skin and creates an open wound that carries a high potential for infection.
What are examples of high priorty patients that should be transported immediatly?
Poor general impression
Unresponsive with no gag or cough reflexes
Severe chest pain, especially when the systolic blood pressure is less than 100mm Hg
Pale skin, or other signs of poor perfusion
Responsive But unable to follow commands
Severe pain in any area of the body
Inability to move any part of the body
What are Significant MOI's?
Ejection from a vehicle
Death of another occupant of the vehicle
Any fall equal to or greater than the patients hight, especially if the head strikes a firm surface first, or simultaneosly with the torso.
High-speed vehicle collision
Motorcycle or bicycle crash
Unresponsive or altered mental status following trauma
Penetrating trauma to the head, chest or abdomen.
What questions should you ask and answer during the Ongoing assessment.
Is treatment improving the patients condition?
Has an already identified problem got better or worse?
What is the Nature of any newly identified problems?
What steps of the ongoing assessment?
1. Repeat the initial assessment
2. Reassess and record vital signs
3. Repeat your focused assessment regarding pt's C/O
4. Check interventions
What are the steps for the Initial assessment?
Approach and form a general impression
Assess Mental status
Assess the airway
Identify Priority pt's and make transport dicisions
An ariway Obstruction in an unconscious pt is most commonly due to relaxation of the tongue muscles, allowing the tongue to fall to the back of the throat. What are signs of airway obstructions?
Obvious trauma, blood or other obstructions
Noisy breathing, such as snoring, bubbling, gurgling, crowing, or other abnormal sounds
Extremely shallow or absent breathing
When assessing the pt's breathing you should ask yourself what questions?
Does the pt appear to be choking?
Is the respiratory rate too fast or to slow?
Are the pt's respirations shallow or deep?
Is the pt cyanotic?
Do you hear abnormal sounds when listening to the lungs?
Is the pt moving air into and out of the lungs on both sides?
A grating or grinding sensation caused by fratured bone ends or joints rubbing together; also air bubbles under the skin that produce a crackling sound or crinkly feeling.
A condition in which the internal body temperature falls below 95F (35C) after exposure to a cold envirnment.
The motion of the chest wall section that is detatched in a flail chest; the motion is exactly the opposite of normal motion during breathing.
Crackling, rattling, breath sound that signals fluid in the air spaces of the lungs; also called crackles
Coarse, low-ptched breath sounds heard in pt's with chronic mucus in the upper airways.