trauma Flashcards
Principles of Trauma
Identify & manage
Minimise time to definitive care
Pain management
Hypothermia, acidosis coagulation increase mortality in trauma
what conditions does the haemorrhagic hypovolaemic guideline not cover
- PPH
- APH
- Spinal cord injury
- TBI
If a Pt presents with a BP <70mmHg how are they managed?
250ml repeat 250ml max of 2000ml
Signs of simple pneumothorax
Low SPO2 on RA
Unequal breath sounds
Subcutaneous emphysema
Signs of tension pneumothorax
Increasing resp distress Increasing inspiratory peak pressure or stiff bag Decrease ETCO2 JVP trachea deviation Decreasing GCS Hypotension/tachycardia Tachypnoea Low SPO@ on supp Oxygen
Whats SMART stand for?
Second intercostal space Midclavicle line Above the rib below Right angle Towards the spine
check with another paramedic
When is an ALS paramedic indicated to decompress a chest?
When cardiac arrest imminent
Pt GCS less than 10
BP <70mmHg
Otherwise, upon consultation with clin
How to admin lignocaine in TPT in pt with GCS >10
Prepare in 10ml syringe locate site of decompression swab admin 5ml decompress chest
Evidence of respiratory tract burns
Burns to chest, neck, face sooty sputum singed facial hair Facial/upper airway oedema Burns in enclosed space Signs of hypoxia (tachy, spo2) Signs of respiratory distress
Fluid calculation for adults
TBSA x Weight = fluid, admin over 2hrs
Burns for 15 yrs & less are treated as adult or children
children
How is fluid calculated for 12-15 yr old
TSBA x weight x 3 = fluid, over 24hrs, with half admin in first 8 hrs
Management of burns
Reassure
Oxygen
Cool burns - 20/60
Pain relief
If burns partial or full thickness >15%TBSA
Fluid
Elevate burns
dress with cling wrap longitude
