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12 Cards in this Set
- Front
- Back
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SCENE
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Safety ?
Cause? Mechanism of injury Environment Number of casualties Extra resources required |
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Initial approach
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Overall impression, does the patient respond?
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C
Catastrophic bleed check. |
If present apply remedial Tx.
Tourniquet limb as required Celox gauze and quick clot to torso |
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A
Airway |
Open AIRWAY, clear with suction if required
Secure AIRWAY - jaw thrust, head tilt (consider mechanism) OPA/NPA I GEL |
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B. 1
Breathing. 1 grade |
Expose chest and assess RATE & DEPTH
GRADE BREATHING rate 1 - Not breathing = 0. BVM + 100% 2 - < 12 BVM + 100% 3 - 12 - 20. 100% 4 - 20 - 30. 100% 5 - > 30. BVM + 100% |
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B. 2
Breathing. 2 FLAP TWELVE |
Feel
Look 12 Auscultation Percuss Tracheal deviation? Wounds Emphysema (surgical) Laryngeal crepitus Venous engorgement Exclude pneumothorax, haemathorax, flail segments |
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C.
Circulation |
Reassess CATASTROPHIC bleeding
Radial & Carotid pulse Central & Peripheral Capillary refill Skin colour & temperature Bleeding on floor & 4 more 1. Chest 2. Abdominal 3. Pelvis 4. Long bones |
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D.
Disability. GCS & Pupil |
Full GCS
EYES. 4. Spontaneous opening 3. Open to speech 2. Open to pain stimulus 1. Do not open Verbal. 5. Orientated and conduct conversation 4. Confused conversation 3. Words (inappropriate - often repetitive) 2. Sounds (non recognisable as words) 1. Non verbal Motor. 6. Obeys instruction / movement controlled 5. Localises pain 4. Withdraws from pain (flexion response) 3. Flexes (abnormally) to pain 2. Extensor (rigid) response to pain 1. No motor response Pupillary grading: PERRLA (Pupils Equal Round Reacting to Light and Accomodation) Identify negatives. |
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Expose & Examine
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Confidently examine casualty for any life threatening trauma, not otherwise noted
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Package & transport
Decision to where and how |
Consider mechanism of injury -
Collar Scoop Trauma trigger Rapid transfer to Major Trauma Centre (time?) Helimed |
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On route
Pre-Alert |
Additional checks
BP, BM, ECG, IV/IO ACCESS, DRUG THERAPY? Transexaemic acid Morphine Fluid - BP Maintenance |
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Handover
ATMIST |
Age
Times - of incident, scene Mechanism of injury Injuries -top to toe Signs (vital signs) Treatment |
