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Assessment and Initial Management of Trauma Patient: Tim Diklat IRD RSSA

This document outlines the six stages of an ambulance call and the process for assessing and initially managing a trauma patient. It describes conducting an initial scene survey to evaluate hazards and safety, a primary survey focusing on airway, breathing, and circulation, determining whether immediate transport is needed, performing a secondary survey and ongoing reassessments, and communicating regularly with medical directors. The goal is to rapidly identify and address life-threatening injuries, provide initial care and monitoring, and safely transport the patient for definitive treatment.

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49 views

Assessment and Initial Management of Trauma Patient: Tim Diklat IRD RSSA

This document outlines the six stages of an ambulance call and the process for assessing and initially managing a trauma patient. It describes conducting an initial scene survey to evaluate hazards and safety, a primary survey focusing on airway, breathing, and circulation, determining whether immediate transport is needed, performing a secondary survey and ongoing reassessments, and communicating regularly with medical directors. The goal is to rapidly identify and address life-threatening injuries, provide initial care and monitoring, and safely transport the patient for definitive treatment.

Uploaded by

MuhammadAgungNugroho
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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ASSESSMENT AND INITIAL

MANAGEMENT OF
TRAUMA PATIENT

Tim Diklat IRD RSSA

OVERVIEW
- SIX STAGES OF AN AMBULANCE CALL.
- TRAUMA ASSESSMENT.
- PRELIMINARY ACTIONS AT THE SCENE
- PATIENT ASSESMENT AND MANAGEMENT
- CRITICAL INJURIES/CONDITION.
- SECONDARY SURVEY
- REASSESMENT SURVEY.

SIX STAGE OF AN
AMBULANCE CALL.
1. PREDISPATCH.
2. DISPATCH.
3. TRAVEL TO SCENE
4. ACTIONS AT THE SCENE
5. TRAVEL TO THE HOSPITAL
6. ACTIONS AT THE HOSPITAL

SCENE SURVEY
1. ASSESS FOR HAZARDS
2. EXTRICATION REQUIRED.
3. NOTE MECHANIMS OF INJURY.
4. NOTE NUMBER OF VICTIMS.
5. REQURIES ANY ADDITIONAL HELP NOW!

HAZARDS
LOOK BEFORE YOU LEAP
. PARK VEHICLE IN NEAREST SAFE PLACE.
- IS IT SAFE TO APPROCH VICTIM ?
- IS SPECIAL EQUIPMENT NEEDED ?
- IS IMMEDIATE MOVEMENT OF VICTIM INDICATED
?

SAFETY FIRST
YOUR FIRST
RESPONBILITY IS TO
TAKE CARE OF YOURSELF

ESSENTIAL EQUIPMENT
1. PERSONAL PROTECTION EQUIPMENT.
2. LONG BACK BOARD
3. CERVICAL COLLAR.
4. AIRWAY EQUIPMENT - OXYGEN
- SUCTION.
5. TRAUMA BOX.

ASSESSMENT AND INITIAL


MANAGEMENT
1. PRIMARY SURVEY - ABCs.
2. TRANSPORT DECISION AND CRITICAL
INTERVENTIONS
3. SECONDARY SURVEY
4. REASSESSMENT SURVEY.

PRIMARY SURVEY
- RAPID HEAD -TO-FEET EXAM.
- FOCUS ON IMMEDIATE LIVE THEATENING
CONDITION.
- SHOULD TAKE NO LONGER THAN 2 MINUTE.
- STOP SURVEY ONLY FOR AIRWAY OBSTRUCTION
OR CARDIAC ARREST.
- CONTROL MAJOR BLEEDING DURING THIS TIME.

PRIMARY SURVEY
-TOTAL OVERVIEW OF PATIENT SITUATION
WHILE YOU APPROACH.
- AIRWAY, C-SPINE CONTROL., AND LOG ROLL.
- BREATHING.
- CIRCULATION
- CONTROL HEMORRHAGE.

WHEN PRIMARY SURVEY


COMPLETED...
. TRANSFER PATIENT TO BACKBOARD
- CHECK BACK.
- MAKE TRANSPORT AND CRITICAL DECISIONS.

TRANSPORT DECISION
AND
CRITICAL
INTERVENTIONS.

LOAD AND GO SITUATIONS


- TRANSPORT THESE PATIENTS IMMEDIATELY !
- ABNORMAL RESPIRATION
- ABNORMAL CIRCULATION
- SHOCK.
- UNCONTROLLABLE BLEEDING
- DECREASED LOC
- TENDER ABDOMEN
- PELVIC INSTABILITY
- BILATERAL FEMUR FRACTURES

IN LOAD AND GO
SITUATIONS..
- ON-SCENE INTERVENTIONS ARE LIMITED TO
CORRECTING IMMEDIATE THREATS TO LIFE :
- AIRWAY
- DECOMPRESS TENSION PNEUMOTHORAX.
-CONTROL MAJOR BLEEDING.
- ALL OTHER INTERVENTIONS SHOULD TAKE
PLACE ENROUTE TO HOSPITAL

SECONDARY SURVEY
- DETAILED EXAM
- PROVIDES BASELINE FOR FUTURE DECISIONS
- SPLINT FRACTURES
- DRESS WOUNDS
- RECORD YOUR FINDINGS.

SECONDARY SURVEY
- VITAL SIGN
- HISTORY
- HEAD-TO-TOE EXAM
- FURTHER BANDAGING AND SPLINTING
- CONTINUALLY MONITOR

HISTORY OF INJURY
- S YMPTOMS
- A LLERGIES.
- M EDICATIONS
- P AST MEDICAL HISTORY
- L MAST MEAL
- E VENT PRECEDING THE INJURY
- SOURCES OF INFORMATION
- PERSONAL OBSERVATION.
- PATIENT & BYSTANDRES

NEUROLOGICAL EXAM
LEVEL OF CONSIOUSNESS
A - ALERT
V - RESPONSE TO VERBAL
P - RESPONSE TO PAIN
U - UNRESPONSIVE
MOTOR
SENSATION
PULSATION

REASSESSMENT SURVEY
- PURPOSE:
- TO MONITOR FOR CHANGES IN PATIENTS
CONDITION.
- PERFORM :
- EVERY 15 MINUTES DURING TRANSPORT
- Every 5 minutes for PATIENTS CONDITION
WORSENS

REASSESSMENT SURVEY
- LOC
- AIRWAY
- BREATHING
- RATE & QUALITY
- CHECK FOR JVD & TRACHEA POSITION
- LISTEN FOR BREATH SOUNDS
- CIRCULATION
- PULSE RATE AND QUALITY
- BLOOD PRESSURE
- SKIN CONDITION

REASSESSMENT SURVEY
. CHECK ABDOMEN
- ASSESS ANY PERTINENT FINDING
NOTE IN PRIMARY OR SECONDARY SURVEY
- CHECK INTERVENTIONS
- INTUBATIONS
- DRESSINGS
- SPLINTS

COMMUNICATIONS WITH
MEDICAL DIRECTION
- EARLY CONTACT
- CONCISE AND TO THE POINT
- DESTINATION AND Estimated of Time Arrival

SUMMARY
. PRELIMINARY ACTIONS AT THE SCENE
- SCENE AND PERSONAL SAFETY
- MECHANISM OF INJURY
- PATIENT ASSESSMENT AND MANAGEMENT
- PRIMARY SURVEY
- CRITICAL INJURIES/CONDITIONS
- TRANSPORT DECISION
- SECONDARY SURVEY
- REASSESSMENT SURVEY
- CONSTANT MEDICAL DIRECTION AT HOSPITAL

THANK YOU

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