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1. Trauma Univer- Gowns
sal precautions Eye protection
are mandatory Face mask
including Gloves
Boots
2. What is an event Multiple Casualties
where the num-
ber of patients MVC involving 5 or more patients
æ
and severity do
not exceed the
ability of the facil-
ity?
3. What is an event Mass Casualties
where the num-
ber of patients Ex: Natural or human made disasters that involve 20 or more patients.
æ
and severity EX- æ - treat the ones that are less injured sometimes
CEED the capabil-
ity of the facility &
staff?
4. Trauma team
graphic
, Advanced Trauma Life Support
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5. Primary survey A : Airway with cervical spine protection
ABCDE Even in penetrating patients (assume c-spine until proven otherwise)
æ
Don't leave people on spine board
æ
B : Breathing: oxygenation and ventilation
Fine 02 sat, but could be not be clearing CO2
æ
C : Circulation: pulses and control of hemorrhage
D : Disability - neurological status (GCS)
E : Exposure (undress clothes cut off) & Environment (temp control stays 83-84,
warmed IV fluids)
6. What are pitfalls Fæoreign body
that make it hard- Maxillofacial trauma- not good visual
æ
er to get an air- Trachea or laryngeal injury
æ
way? C-spine trauma
æ
7. When to intu- Unsecure airway:: burn injury, crush injury/terrible facial fracture, volume of blood
bate? vomiting, FB
Unstable airway: mechanical issue, secretion bleeding
Head injury (GCS<8)- less than 8 intubate
Respiratory failure
, Advanced Trauma Life Support
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Chest trauma:chest or penetrating
Shock:worried about o2 delivery to the tissues level of consciousness could change
quickly
Combativeness:drugs and alcohol, language barrier, and fear
Inhalation injury
8. Intubating be- Unstrap c collar and another person is manually holding neck (need manual
fore c-spine is alignment)
clear protocol?
9. In order to feel Carotid = 60 mm Hg
at pulse at the Femoral = 70 mm Hg
below areas one Radial = 80 mm Hg
must have a BP
greater than
Carotid =
Femoral =
Radial =
10. Assume hypo- hypotensive and tachycardiac (hemorrhagic)
volemic shock
when?