Prehospital Trauma Life Support

Lesson

Course Purpose

PROVIDER COURSE
Copyright 2003, Elsevier Science (USA). All rights reserved.

Developed by the

National Association of Emergency Medical Technicians

In cooperation with

The Committee on Trauma, American College of Surgeons

This slide presentation is intended for use only in approved PHTLS courses
Copyright 2003, Elsevier Science (USA). All rights reserved.

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Objectives
Rapid and accurate assessment to determine the presence or potential for threats to life Identification of hypoxemia and shock Initiation of key interventions Safe and rapid transport to an appropriate facility

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Copyright 2003, Elsevier Science (USA). All rights reserved.

Baseline Scenario

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Purpose of PHTLS Baselines

Rapidly determine potential life-threatening injuries and priorities

Develop a team approach

Identify areas for improvement

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Copyright 2003, Elsevier Science (USA). All rights reserved.

PHTLS History
Developed in response to a need for improved prehospital trauma care Developed by the National Association of EMTs (NAEMT) in cooperation with the Committee on Trauma of the American College of Surgeons Committee on Trauma (ACS-COT)

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Copyright 2003, Elsevier Science (USA). All rights reserved.

PHTLS History
PHTLS has become a recognized standard in the prehospital management of trauma patients PHTLS has been adopted by international medical communities and is currently offered worldwide

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Copyright 2003, Elsevier Science (USA). All rights reserved.

Epidemiology of Trauma
Trauma is the leading cause of death in patients aged from 1 to 44 years old Trauma is the third leading cause of death in all age groups

More than 60 million injuries occur annually in the United States alone

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Copyright 2003, Elsevier Science (USA). All rights reserved.

Epidemiology of Trauma
Trauma is a major problem worldwide

Besides its direct costs, trauma also causes lost tax income, lost productivity, and lost years of life

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Copyright 2003, Elsevier Science (USA). All rights reserved.

When Patients Die from Trauma

Immediate (50%) minutes to one hour Early (30%) First 4 hrs Late (20%) 2 to 5 weeks

How can EMS make a difference?

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The Golden Period

Platinum 10 minutes

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Trauma Team - Golden Period

Prehospital care providers Transport services Emergency department

Operating suite

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Trauma Centers
Readily available:
Blood Surgical team Operating room

Expertise in dealing with trauma patients

Access to critical care and rehabilitation

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Copyright 2003, Elsevier Science (USA). All rights reserved.

The Platinum Ten Minutes

Identify life-threatening injuries

Perform key interventions

Rapid extrication where indicated Timely transport to an appropriate facility Early notification of the receiving facility

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Who is the most important person in trauma?

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Management
How is the resuscitation of the trauma patient accomplished? What is definitive care for trauma? What is our goal in the severely injured trauma patient?

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Copyright 2003, Elsevier Science (USA). All rights reserved.

Components of PHTLS
Lectures and discussion

Hands-on skill stations

Scenario-based practical evaluation Written evaluation

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Copyright 2003, Elsevier Science (USA). All rights reserved.

Summary
Trauma care is an area where YOU can make the largest impact on a patients final outcome!

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Copyright 2003, Elsevier Science (USA). All rights reserved.

Prehospital Trauma Life Support

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Copyright 2003, Elsevier Science (USA). All rights reserved.