1 / 18

Major Trauma A standard approach

Major Trauma A standard approach. Ballarat Health Services Emergency Medicine Training Hub. Trauma workshop. Objectives C-Spine assessment and collar application Primary Survey Log Roll. C-Spine Assessment. History Observe patient Head Holding Posturing Failure to tolerate collar

Download Presentation

Major Trauma A standard approach

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Major TraumaA standard approach Ballarat Health Services Emergency Medicine Training Hub

  2. Trauma workshop Objectives • C-Spine assessment and collar application • Primary Survey • Log Roll

  3. C-Spine Assessment • History • Observe patient • Head Holding • Posturing • Failure to tolerate collar • Palpate • Midline • Paracervical structures • Neurological Examination • Move/collar as indicated

  4. C-Spine Assessment • History • Observe patient • Head Holding • Posturing • Failure to tolerate collar • Palpate • Midline • Paracervical structures • Neurological Examination • Move/collar asindicated

  5. Sizing a collar Use fingers, horizontally placed to assess distance from apex of trapezius to line of mandible.

  6. Primary Survey A • Talk to the patient! • Look, listen, feel, monitor • Intervene as required • Oro/naso-pharyngeal • BMV • RSI and ETT

  7. Primary Survey B • Spring chest and examine for injury • Auscultate for air and blood Air Blood

  8. Primary Survey C • Examine • Heart Rate • Blood pressure • CRT • JVP • Heart Sounds • Abdomen • Long bone injury Chest, Abdomen, Pelvis, Limbs and one more – the floor

  9. Primary Survey D • GCS • Obvious neurological injury • Limb • Spinal

  10. Log Roll • 5 people (4 in children) • Four to roll, one to examine • Keep your hands across your chest. • You will not fall but will feel like you might. • I will press down your spine on each bone (demonstrate on an unbroken clavicle) like this. • Say yes if it hurts, no if it doesn’t. • I will then examine your back passage/anus to check for sensation and tone#@!**. • Turn to the head person – on your call.

  11. To say to the patient • Keep your hands across your chest. • You will not fall but will feel like you might. • I will press down your spine on each bone (demonstrate on an unbroken clavicle) like this. • Say yes if it hurts, no if it doesn’t. • I will then examine your back passage/anus to check for sensation and tone#@!**. • Turn to the head person – on your call.

  12. Log Roll Is everybody ready? We will roll on three. . . 1, 2, 3

  13. Log Roll • Palpate down the spine, each vertebra • Do not forget to • PR (if indicated) • examine the back of the head, c-spine, torso

  14. Log Roll Is everybody ready? We will roll back on on three. . . 1, 2, 3

  15. Summary • C-Spine assessment with Canadian C-spine rules • Primary Survey – intervene and start again at ‘A’ • Log roll – team and procedure

  16. Questions?

  17. Thankyou

More Related