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15 Cards in this Set
- Front
- Back
Central Wounds |
Abdomen Arm, upper (armpit) Back Buttock Chest Elbow Groin Head Hip Knee Leg, upper Neck Shoulder |
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Peripheral Wounds |
Finger Foot Forearm Hand Leg, lower Toe Wrist |
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Non-Recent |
6 hours or more have passed since the incident or injury occurred (without priority symptoms) |
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Serious Hemorrhage |
Uncontrolled bleeding (spurting or pouring) from any area, or anytime a caller reports "serious" bleeding |
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Obvious Death |
An unquestionable situation due to severe injuries obviously incompatible with life |
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Impaled |
A penetrating injury where any part of the body is stuck to a fixed, immovable object. The patient cannot be safely freed without special extrication/rescue help |
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Rule 1 |
EMDs should not delay transport by sending paramedics if a BLS unit at the scene can transport immediately. En route rendezvous is preferable is preferable over any transport delay in serious trauma cases |
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Rule 2 |
From a prehospital standpoint, central wounds are generally much more serious than peripheral wounds |
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Rule 3 |
Peripheral wounds are considered those below the elbow or the knee. Any are that is not clearly peripheral is considered central until proven otherwise |
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Rule 4 |
Direct pressure on the wound should be avoided in the presence of visible fractured bone or foreign objects
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Rule 5 |
Protocol 27 should not be used for insignificant or peripheral puncture wounds such as household pins, needles, tacks, or stepping on nails. Use Protocol 21 or 30 as appropriate |
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Axiom 1 |
Immediate transport for central wounds should always be considered vital since patients often require operative intervention and trauma center care |
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Axiom 2 |
When a problem is non-recent, the presence of current priority symptoms is the issue of most concern not the location of the injuries per se |
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Axiom 3 |
Medical dispatch should always try to obtain complete information. Even if law enforcement personnel initially request "paramedics," response should be driven by specific priority problems (see SEND protocol) |
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SEND Protocol (Medical Miranda Card) |
Secondary Emergency Notification of Dispatch (SEND) from police should include C/C, approximate age, LOC, breathing status, presence of chest pain, and severity of bleeding (and opinion of need for lights-and-siren response) |