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  • Prehospital Trauma Life Support: TH Edition

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    This document is an introduction to the Prehospital Trauma Life Support Refresher Course. The refresher course aims to review, amend, revise and update trauma care practices, and reaffirm key priorities and concepts. It covers managing multi-system trauma patients, the causes of trauma deaths, the golden hour, and the priorities of scene safety and patient assessment and management. Key concepts discussed include the primary and secondary surveys, airway management, circulation, neurological assessment, and shock management.

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    phtls

    Original Title

    Refresher Course A

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    This document is an introduction to the Prehospital Trauma Life Support Refresher Course. The refresher course aims to review, amend, revise and update trauma care practices, and reaffirm key priorities and concepts. It covers managing multi-system trauma patients, the causes of trauma deaths, the golden hour, and the priorities of scene safety and patient assessment and management. Key concepts discussed include the primary and secondary surveys, airway management, circulation, neurological assessment, and shock management.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    56 views29 pages

    Prehospital Trauma Life Support: TH Edition

    Uploaded by

    brentupdegraff
    This document is an introduction to the Prehospital Trauma Life Support Refresher Course. The refresher course aims to review, amend, revise and update trauma care practices, and reaffirm key priorities and concepts. It covers managing multi-system trauma patients, the causes of trauma deaths, the golden hour, and the priorities of scene safety and patient assessment and management. Key concepts discussed include the primary and secondary surveys, airway management, circulation, neurological assessment, and shock management.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 29

    Prehospital Trauma Life Support

    4th
    Edition

    Introduction

    REFRESHER COURSE

    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.

    R-2

    Purpose of Refresher Course


    Review. Amend. Revise

    and update.

    Reaffirm.

    R-3

    PHTLS Refresher Course

    Trauma Summary

    R-4

    Prehospital Trauma Life Support

    Part

    Managing the Multi-System Trauma Patient

    R-5

    PHTLS Refresher Course

    Trauma

    R-6

    PHTLS Refresher Course

    Causes of Trauma Deaths

    R-7

    Golden Hour
    Platinum 10 minutes. Transportation. Emergency department intervention. Surgical intervention.

    R-8

    Priorities
    Scene Safety Situation

    R-9

    Mechanism of injury is the key indication for the treatment of spinal injury.

    R-10

    PHTLS Refresher Course

    Law of Conservation of Energy

    R-11

    Blunt Trauma
    Shear

    R-12

    Vehicular Collisions
    Three impacts.

    Vehicle. Occupant. Internal organs.

    R-13

    Types of Impact
    Head-on, frontal. Rear-end. Lateral, side. Rotational, pivot.

    Roll-over.
    R-14

    Primary Survey
    Global assessment.
    In-depth systems.

    Locate life-threatening injuries.


    Manage life-threatening conditions.
    R-15

    Airway Management
    Manual Mechanical

    R-16

    PHTLS Refresher Course

    Ventilation Minute Volume

    R-17

    PHTLS Refresher Course

    Ventilatory Rate

    R-18

    PHTLS Refresher Course

    Oxygen Concentrations

    R-19

    Goal:
    Ensure adequate oxygenation of cells.

    Manage airway. Assure adequate ventilation.

    Assure adequate oxygenation.

    R-20

    Circulation
    Pulse. Skin. Capillary refill. Overt hemorrhage.

    Consider shock.
    R-21

    Adequate Circulation
    Pump
    Volume of fluid

    Container

    R-22

    Fick Principle
    Adequately oxygenated RBCs.

    Adequate number of RBCs.


    Adequate circulation of oxygenated RBCs. RBCs able to off-load oxygen to cells.

    R-23

    Cellular Response to Shock


    Anaerobic metabolism.

    Cellular death.
    Organ death.

    Organism death.

    R-24

    Management of shock in the first hour determines outcome 2 - 21 days later!

    R-25

    Neurological Assessment
    Check for responsiveness.
    Check pupils.

    Check for deficit.

    R-26

    Keys to Effective Prehospital Care Early recognition. Meaningful intervention. Efficiency of care. Rapid intervention.

    R-27

    PHTLS Refresher Course

    Management: Shock

    R-28

    Resuscitation phase...
    Correct key problems as found.

    Re-evaluate.
    R-29

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