Casualty Evaluation and Evacuation Flashcards
Systematic Process for assessment of the trauma casualty and is essential for recognizing life-threatening conditions, identifying injuries, and determining priorities of care based on assesment findings
Casualty Assessment.
4 diagnostics sings in the primary survey of a casualty
Pulse, respiration, skin color, state of consciousness
Primary Survey Steps
- Scene safe?
- How many casualties do I have?
- Do I have any help?
- Determine the consciousness?
- Call for help?
- Position the casualty. No sign of spinal or head, roll to back.
- Open the aiway
- Check for signs of breathing
- If no breathing, give two rescue breaths
- Check for signs of circulation
- What is the mechanism of injury.
- What caused the injuries?
- How bad are the injuries?
- Does the cas have a c-spine injury?
Considerations before eval and evac of cas
- Return fire and take cover
- Direct cas to move to cover and apply self aid if able
- Provide sup fire before cas care
- limit med care should be atte while exposed to hostile fire
- Hemorrhage control is the top priority
- Med Equipment limitations
- Med Evac
4 Lifesaving steps
- Open the airway
- Check for breathing
- Check for signs of circulation
- Treat for shock
Open the Airway
hand on forehead, tilt head backward
place fingers on bony part of their lower jaw
Check for Breathing
Give two breaths
Look, listen and feel
Check for circulation
check pulse, slide fore and middle fingers along carotid artery. Keep in place for 5 to 10 seconds
Heimlich maneuver
Position yourself behind the victim, and explain the procedures you are going to perform
Stand behind vic, place thumb side of your fist against abdomen above navel and below rib cage
Thrust upward and repeat until obstruction is cleared
Chest Thrusts
Place both hands in the middle of sternum, make sure hands are above lower tip of breastbone
Exert quick thrusts with the hands
Continue to do chest thrust until vic begins to breathe, cough, or loses consciousness
Mouth to mouth rescue breathing
Determine Unresponsiveness
Call for help
Place vic on back
Use head tilt/chin lift method to open the airway
Check for breathing. Look, listen, and feel
Check for pulse (12 breaths per minute, one breath every 5 sec)
Mouth to Nose rescue breathing
Blow into nose and pinch lips closed
May be necessary to seperate cas’s lips to allow air to escape during exhalation.
One breath every 5 sec
Cycle of Compressions
15 compressions at the rate of 80 to 100 per min, then two rescue breaths
Check the pulse and breathing after 1 minute, every fourth cycle and then every 2 min thereafter
Recovery Position
Place vic on side if CPR and rescue breathing was effective
When to stop rescue breathing
Mission does not permit
More competent med assistance help arrives
Physically unable to continue due to fatigue
Casualty recovers
