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1. Major cause
Trauma: major cause of death for people ages 1-44 years
of death 1-
44
• 65+ falls are the leading cause of injury-related deaths
2. Epidemiology:
• 25-64: poisoning is the leading cause of death
Unintentional
• 5-24: MVC leading cause of death
injury is a
• TBI: more for males, 0-4 highest rate of death
leading cause
of death
across all age
groups in the
US • Engineering: technological interventions (airbags, alarms, safety
gear)
3. Injury
• Enforcement and legislation: laws and regulations
preven-
• Education: community based initiatives, public service
tion: 3 E's
announcements
4. Kinematics study of energy transfer as it applies to identifying actual or potential
injuries
5. Biomechanics study of forces and their ettects on living tissue and the human body
6. Mechanism of how injuries occur as a result of energy from environment transferred to
in- jury (MOI) the body
7. Newton's 1st
law of motion: a body at rest will remain at rest, a body in motion will remain in motion
8. Newton's 2nd law Force=Mass x Acceleration
of motion:
9. Newton's 3rd for every action there is an equal and opposite reaction
law of motion:
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10. Law of energy can neither be created nor destroyed, but it can change form
conserva- tion
of energy:
11. Types of injuries: • Blunt trauma: broad energy impact across a large surface area:
falls, MVC,
assaults
• Penetrating trauma: energy that results in impalement: guns,
stab wounds,
• Thermal trauma: burns
• Blast trauma: rapid release of blast energy in chemical,
physical, radioactive exposures
• Occlusive/obtrusive: drowning, handing, strangulation,
12. Motor vehicle im- • 1st impact: car hit object
pact sequence: • 2nd: impact person hits inside of car
• 3rd: impact organs hit inside of body- organs can be ripped
from ligaments (aorta) and hit internal structures
13. Pedestrian vsWaddell triad: lower initial hit (leg), chest injury when landing on car
Ve- hicle: (thorax), upper body injury when bounced ott and landing on the
ground (head and arms)
14. Triage: sorting pt's based on their need for treatment and the resources
available. Based on:
• MOI (head on collision, fall more than 20ft for adult)
• Physiologic criteria (vs)
• Anatomic critera (flail chest, fractured pelvis)
• Special considerations (age, special needs)
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15. 1. Prehospital MIST (MOI, injury, s/s, treatment)
re- port
16. 2. Safe practice, safe care
Preparation a. Activate trauma team
and triage: b. Right equipment, room ready
c. PPE
d. Consider any potential haz mat situation
C-AB: As pt is brought in rapid assess of stability and id of uncontrolled
17. 3. Across the bleeding IF BLEEDING: CIRCULATION BEFORE AIRWAY! CONTROLL THE
room BLEED THEN MOVE TO AIRWAY
observa-
tions life-threatening conditions or identified and immediately corrected
18. 4. Primary a. Alertness: AVPU W/ c-spine stabilization
survey: AIRWAY ASSISTANCE W/ JAW THRUST W/C-SPINE CONTROL’BVM if need
A-B-C-D-E-F-G assis-
(LMNOP) tance and/or diflcult airway
Look for: teeth/tongue/foreign bodies, blood/vomit/secretions, edema,
burns (suction’REASSESS)
Listen for: snoring, gurgling, stridor
(OPA’REASSESS’ET’REASSESS) Feel for: facial deformities,
subcutaneous emphysema
ROBI: Reopen, OPA, BVM, Intubation’reassess
*If ETT in place assess placement:
1. Adequate chest rise and fall w/ BVM
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2. No epigastric gurgling
3. Bilateral breath sounds
heard