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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

Peripheral Wounds

Finger


Foot


Forearm


Hand


Leg, lower


Toe


Wrist

Non-Recent

6 hours or more have passed since the incident or injury occurred (without priority symptoms)

Serious Hemorrhage

Uncontrolled bleeding (spurting or pouring) from any area, or anytime a caller reports "serious" bleeding

Obvious Death

An unquestionable situation due to severe injuries obviously incompatible with life

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

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

Rule 2

From a prehospital standpoint, central wounds are generally much more serious than peripheral wounds

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

Rule 4

Direct pressure on the wound should be avoided in the presence of visible fractured bone or foreign objects

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



Axiom 1

Immediate transport for central wounds should always be considered vital since patients often require operative intervention and trauma center care

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

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)

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)