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Intro to Trauma
Blunt and Penetrating
Disclaimers:
• I used slides and pictures from the Brady textbook.
• I stole pictures from the Internet.
• I made this PowerPoint only yesterday.
• I’ve put students to sleep with similar PowerPoints.
• I really thought Dr. Redfield was going to talk about shock
yesterday.
• I’ve only watched two seasons of Doctor Who.
Trauma Drama
• Leading cause of death of persons under 44 y/o.
• < 10% are serioux
Hadden Matrix- Risk Analysis
HOST AGENT ENVIRONMENT
PRE-EVENT
EVENT
POST EVENT
Name Some Safety Programs
Trauma System Designation
Critic
al
Unstab
le
Potential
ly
Unstable
CUPS
Your Role as the Paramedic
Roles and Responsibilities
• Get to the call
• Evaluate MOI and Index of Suspicion
• Assess the patient
• Activate Trauma System
• Platinum Ten Minutes
• Provide appropriate treatment
• DOCUMENT, DOCUMENT, DOCUMENT ! ! !
MECHANISM OF INJURY
•Newton’s First Law
•Law of
Conservation of
Energy
• Gradual changes in speed are usually uneventful.
• Sudden deceleration is bad… Like really bad....
Automobile Collisions
Paper Bag Syndrome
Automobile Collisions
• Types of Impact
• Frontal
• Lateral
• Rotational
• Rear-end
• Rollover
Automobile Collisions
• Types of Impact
• Frontal
• Lateral
• Rotational
• Rear-end
• Rollover
Automobile Collision Evaluation
© Ray Kemp/911 Imaging
Car vs. Pedestrian Index of
Suspicion
Blast Injuries
Penetrating Trauma
Once again…
Ballistics
• Velocity
• Profile
• Stability
• Expansion/Fragmentation
• Secondary Impacts
• Shape
• Yaw
• Tumbling
• Body Armor
• High Velocity
• Low Velocity
Low Velocity Wounds
Hollow Organs vs. Solid Organs
Questions?

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Trauma part 1 nancy caroline