BATLS Flashcards
Describe TRaPS?
Tactical Rapid Primary Survey
CABCDE
C = Reassess A = Check + Clear + Maintain B = RISE N FALL C = Manage Bleed [Floor + 4 More] D = AVPU + Pupils + Analgesia E = ATMIST
Describe RISE N FALL Assessment?
R = Resp Rate I = Injuries S = Symmetry E = Effort Of Breathing
N = Neck [TWELVE]
F = Feel Chest A = Assess Percussion L = Listen L = Look @ Back
Describe TWELVE Neck Assessment?
T = Trachea Central? W = Wounds On Neck? E = Emphysema Palpable? L = Larynx Damaged? V = Veins Engorged? E = EVERY TIME BEFORE COLLAR APPLIED
BATLS Assessment?
Tactical Rapid Primary Survey
Traumatic Limb Amputation - 1st Step?
Combat Application Tourniquet
[CAT]
Reasons For Applying CAT?
Uncontrolled Catastrophic Haemorrhage From Limb
Non Permissive Situation With Limb Injury [No Time/Visibility]
Bleeding Reoccurs Post Initial CAT Application [Add 2nd]
How Do You Apply CAT?
Immediate Actions Should Bleeding Reoccur Post CAT?
Reassess Previous CAT
Apply 2nd CAT [2x Fingers Proximal]
What Is Celox?
Haemostatic Agent Made From Chitostan
Types Of Celox?
Celox Gause
Celox Rapide
Areas Celox CANNOT Be Used?
1] Open Skull #
2] Chest Cavity
3] Abdominal Cavity
Direct Pressure Time For Types Of Celox?
Celox Gause = 3 Minutes
Celox Rapide = 1 Minute
Uses For Celox?
Junctional + Compressible Bleeds
Severe Bleeds Not Controlled By Emergency Care Bandage
Demonstrate Application Of Celox?
Describe SAFE Approach?
S = Shout MAN DOWN A = Assess F = Find + Free Casualties E = Evaluate C + A
[NON PERMISSIBLE ENVIRONMENT]
Assess Airway In TRaPS?
Ask Patient Name [Speak = Patent]
Look = Obstructions [Using Torch/Depressor] Listen = Breath Sounds Feel = Breath On Cheek
Actions On For Airway?
Manual Manoeuvres [Jaw Thrust / Head Tilt + Jaw Lift]
NPA + OPA
iGel + LMA
Surgical Airway / ET Tube
How to Remove Debris From Airway?
Magill Forceps [Only What You See]
Suction
Postural Drainage [3/4 Prone]
Causes Of Airway Obstruction?
Liquids = Blood + Vomit Solids = FB + Teeth Swelling = Anaphylaxis + Burns Structural = Trauma Deformity
Reasons For Using Airway Adjunct?
Maintain Airway [Prevent Tongue Obstructing Throat]
Unable To Continue Manual Manoeuvres
Standard NPA Size For Male + Female?
Male = 7
Female = 6
[Measure From Targums > Nostril]
Describe NPA Insertion?
How Do You Size OPA?
Angle Of Jaw > Centre Of Mouth
Describe OPA Insertion?
How Do You Size iGel?
Based On Estimated Casualty Weight
Describe iGel Insertion?
Indications For Surgical Airway?
1] Airway Trauma/Burns/Swelling
2] Definitive Airway Required BUT NO SEDATION AVAILABLE
3] All Other Airway Methods Have Failed
Identify Cricoid Cartilage / Thyroid Cartilage + Cricothyroid Membrane On Yourself?
Describe Surgical Airway Procedure?
Complications Of Surgical Airway?
Cuff Puncture
False Passage
Bleeding/Haematoma
Surgical Emphysema
11 Signs + Symptoms Of Tension Pneumothorax?
1] Increased Resp Rate 2] Splayed Ribs 3] Asymmetrical Chest Movement 4] Emphysema 5] Increased Effort Of Breathing 6] Tracheal Deviation [AWAY] 7] Distended Neck Veins 8] Chest Pain 9] Hyper Resonant Percussion [SAME] 10] Decreased Breath Sounds [SAME] 11] Low O2 Sats
Locate 2 Sites For Needle Decompression Of Tension Pneumothorax
2nd ICS MCL
5th ICS MAL
Describe Needle Decompression?
Management Of Air Release System Failure?
Re-Flush
Attempt 2nd Insertion Lateral In 2nd ICS MCL
Move To 5th ICS MAL
Reasons For IO Insertion?
1] 2x Failed IV Access Attempts
2] No Available IV Access Sites [Burn/Fracture/Amputation]
3] Cardiac Arrest + Immediate Access Required
Contraindication For IO?
Fractured Limb
Sites + Devices For IO Access?
1] Tibial Tuberosity [EZ-IO]
2] Sternum [FAST]
3] Humeral Head [EZ-IO]
Colour + Location Of IO Needles?
Pink [15mm] = Paeds
Blue [25mm] = Adult Tibial Tuberosity
Yellow [45mm] = Adult Humeral Head
[Red = Training]
Describe EZ-IO Insertion?
Next Step Post 5x50ml IO Bolus?
Recheck Radial Pulse
[Absent = Repeat]
Contraindications For FAST Insertion?
1] Surgical Scar @ Site
2] ?# Sternum
3] Under 12
Describe Fast Device Insertion?
Location For Tibial Tuberosity EZ-IO?
2x Fingers Inferior + Medial
Location For Humeral Head EZ-IO?
Internally Rotated Arm + 2x Fingers Inferior To Acromiom
BATLS Indications For ?Pelvic #?
1] Mechanism 2] Pelvic Pain 3] Leg Length Discrepancy 4] Perineal OR Scrotal Bruising 5] Urethral Meatus Blood
Benefits Of Applying Pelvic Binder?
1] Reduce Pain
2] Prevent Further Blood Loss
Describe Pelvic Binder Application?
Benefits Of Applying Kendrick Traction Device?
1] Reduce Pain
2] Reduce Blood Loss
Indications For Kendrick Traction Device?
Mid-shaft Femur #
Contraindications For Kendrick Traction Device?
1] Knee Injury
2] Tib OR Fib # [Same Side]
3] Ankle # [Same Side]
4] Amputation Of Limb
Describe Kendrick Traction Device Application?
TXA Mechanism Of Action?
Blocks Fibrin Binding Site On Plasminogen
Initial Dose Of TXA?
1g IV [10 Minutes]
[Within 1 Hour]
Second Dose Of TXA?
1g IV [8Hours]
Use Of TXA?
Anyone @ Risk Of Dying From Bleed
Battlefield Analgesia?
800mcg Fentanyl Lozenge
Indications For 800mcg Fentanyl Lozenge?
2 Or 3 Pain Scale
Alert Or Voice
Describe Triage Sieve?
1] Walking? YES = T3 + NO = CONTINUE
2] Breathing? NO = Dead Or T1 [Opens With Procedure] + YES = CONTINUE
3] Cat Hem? YES = T1 + NO = CONTINUE
4] Resp Rate? <10 OR >30 = T1 + 10-30 = CONTINUE
5] HR + Response? Unconscious OR >120 = T1 + Conscious AND <120 = T2
Causes Of Life Threatening Chest Trauma?
BLATOM FC
Blast Lung Airway Obstruction Tension Pneumothorax Open Pneumothorax Massive Haemothorax Flail Chest Cardiac Tamponade
BATLS Pain Scale?
0 = None 1 = Mild 2 = Moderate 3= Severe
Method For Prolonged Field Care?
HITMAN
H = Head To Toe + Hydration + Hygiene I = Infection T = Tubes M = Meds A = Analgesia N = Nutrition
