Week 6- Advanced Wound Care & Pedimate Flashcards
Trauma- section 3 - trauma standards from the BLS
What are some findings that the medic will immediately manage during the primary?
- Airway obstruction
- Cardiac arrest/ resp arrest or decrease LOA w inadequate resp
- Sucking chest wounds
- Impaled objects
- External hemorrhage “shock”
- Unstable pelvis
How do we manage critical findings?
We need to delegate tasks!!
- Partner: “stabilize C-spine & preform a modified jaw thrust”
- Fire” “put pressure on this gross bleed
- Bystanders: do they know CPR?
YOU are cont with your primary
What do we do for stay & play pt’s?
- Isolate C/C
-Stabilize & initiate basic treatment plans- Dressings, bandaging, splinting, immobilizations, other non critical interventions either at scene or enroute
What do we do if pt’s condition changes?q
- Repeat the primary: reassess ABC’s
-Find problem and fix problem
What are some types of wounds?
- Amputations
- Penetration- chest, abdo
- Eviscerations
- Burns
- Avulsions
- Flail chest
Make sure all injuries are fully exposed
What equipment can we use?
- Tourniquet
- Hemostatic gauze
- Chest seals
Arterial tourniquets shall…
- be constructed of lightweight/ durable materials
- be single use; disposable
- provide circumferential pressure to any extremity with complete occlusion of arterial blood flow
- allow for incremental increases in tension
- provide a lock or securing mechanism to ensure maintenance of desired tension
- allow for rapid release of tension when necessary
When do we use a tourniquet?
- For uncontrollable bleeds
What are the rules when applying a tourniquet?
- Apply approx 5cm above injury
- if applied not removed in prehospital setting
- application time documented & included in patch to hospital
- MCI: time noted on pt & device
- Do not cover once applied
- Do not cut
What do we do with amputations?
- If located prior to transport the medic should:
- cleanse/ wrap & put into plastic bag/ container
- put “water tight” container/ bag into cool water
Do not pack on ice and do not delay transport to find amputation
When we have amputations, when can we radio for air transport?
- If the amputation is proximal wrist/ ankle
Hemostatic dressing shall be:
- able to accelerate the clotting process of blood
- single use, disposable
- sterile
- approved for this indication by Health Canada, Therapeutic Products Directorate. Make sure to apply hemostatic dressing as per BLS standard
How does Celox Gauze work?
Absorbs blood fluid and forms a gel like plug that covers the wound and stops the bleeding
What is the procedure when using hemostatic dressing?
- Place the dressing over the wound & use it to apply direct pressure (Make sure you try to locate the source of the bleed)
- Pack the wound until there is no additional room. Can use up to 2 packages
- Continue to apply pressure for 1-3 min to activate the product
- Once bleeding is controlled, wrap the injury site to maintain pressure
- Bring packaging along to the hospital and report the use if the product
