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Shvoong Home>Medicine & Health>Emergency Trauma Management (1) Review

Emergency Trauma Management (1)

Article Review   by:Jem1020     Original Author: Jemarie
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Well, I attended a seminar today about Emergency Trauma Management, not exactly the title of the seminar but I want to share to you what I learned and have been keeping to myself after I heard the speakers tips on managing any trauma injuries. This is just a rough memory of what had transcribed. Soon I will share you detailed procedure.First and foremost he said that we should assess the scene and somehow knowing if we are safe if we try to rescue and if we are trained and equipped to do so. He just emphasized on not making yourself another patient or adding patient to the existing patient. This is self actualization and realization if you are ready and help another person in an emergency situation. Be always ready to protect yourself first by having working gloves, mask, and gown.If you are, you should identify yourself and and command people to move away from the scene and assess the patient. Assess patient alertness by calling the patient. Know if he is alert and responsive or otherwise. Assess and know the nature of accident. Initially assess the patient from head to toe. First thing to remember is the degree of emergency. If this is a red triage means life threatening then remember ABC (Airway, Breathing, Circulation). This is the sequence in order to help a patient in emergency situation. Establish airway for the patient. Feel breathing of the patient, check the pulse, and see if the chest rise and fall. If absent perform CPR. Loss of consciousness must be taken into considerations. This might be due to bleeding so determine blood loss and control bleeding by deep pressure and tie with any long cloth or bandage to prevent hypovolemic shock. And other injuries, like broken leg or any fracture that may lead to another injury, immobilize it in order to prevent further injuries. Perform CPR. You can ask help from other people by commanding them on what to do. You can ask them to control bleeding or immobilize patient while you are performing CPR. You can ask them to call 911 or emergency unit.
Any patient who is too old or too young is critical. Any breathing below 8 or above 30 is critical.If the patient is conscious, ask if he is on medications, if he has past medical history, if he has allergies, his last food intake.After managing life threatening event of the patient assess the patient''s entire body. Check the head, the eyes and ears, back of the neck. Check if there is brain fluids or spinal fluids. Check if the neck are intact and if the trachea are intact. Check the shoulders. Always bring with you scissor in order to expose the patients body for assessment. Auscultate the chest for any bleeding in the thorax to prevent hemothorax, this may lead to death of the patient. Check for any blockage in the airway. Whizzling sound or crackles or any sound in the airway maybe an obstacle. Check the abdomen, the four quadrant, upper upper, lower lower. Check the hips for any broke bones. Check the genitals if intact. Check the upper leg and lower leg. Any injury in the upper leg is critical due large veins and arteries. Check the upper extremeties and the distal parts which are the hands and feet. Then try to turn the patient to check the back portion. Check if the spinal chord is not broken and the other parts of the back portion of the patient.Everything should happen so quick to help patient recover. Transport the patient as quick as possible to the nearest hospital.Thanks I hope somehow I shared something good especially to layman.Please never call 911 if it isn''t emergency. For them to immediately respond to a valid emergency call.
Published: November 24, 2007   
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