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ITLS Ch02 Lecture
ITLS Ch02 Lecture
Courtesy of ITLS Ontario, Steve McNenly, Jennifer Lundren, and Sheryl Jackson
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Overview
ITLS Patient Assessment
Primary Survey
Ongoing Exam
Secondary Survey
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Teamwork
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Scene Size-up
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Scene Size-up
Hazards
Power lines, gas, animals, people
PPE
Number of patients
Establish command
Additional resources?
MOI
Anticipate type and severity of injuries
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Initial Assessment
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Prioritize patient
Identify immediate life-threatening
conditions
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
If not adequate
Pearson
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
If not adequate
Pearson
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Respiratory Rates
Normal
Abnormal
Adult
1020
Child
1530
Infant
2550
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Skin
Pearson
MOI Decision
Dangerous generalized or
unconscious
Rapid Trauma Survey
Dangerous focused
Focused Exam
No significant MOI
Initial Assessment normal
Focused Exam
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Mikael Damkier
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Transfer to backboard
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Pawel Nawrot
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Priority Patient
Dangerous MOI
History
Loss of consciousness
Abnormal Initial
Assessment
Altered mental status
Difficulty breathing
Abnormal perfusion
Pawel Nawrot
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
S
A
M
P
L
E
Symptoms
Allergies
Medications
Past medical history
Last oral intake
Events preceding incident
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Load-and-Go Situations
Initial Assessment
Altered mental status
Abnormal respiration
Abnormal circulation
Shock potential
Abnormal chest exam
Tender, distended
abdomen
Pelvic instability
Bilateral femur
fractures
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Critical Interventions
Manage airway
Assist ventilation
Administer oxygen
Begin CPR
Control major external
bleeding
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Initiate Transport
Procedures not on scene, not lifesaving
Splinting, bandaging, IV line insertion
Elective intubation
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Ongoing Exam
Subjective changes
Mental status
(LOC and pupils)
ABCs
Neck, chest,
abdomen
Previously identified injuries
Interventions
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Performed
Critical patientsdone during transport
Short transportmay not have time
Noncritical patientsdone on scene
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Vital signs
Repeat routinely
Monitoring
Detailed Exam
Head-to-toe
DCAP-BLS-TIC
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Burns
Contusions
Lacerations Instability
Abrasions
Swelling
Tenderness
Crepitus
Penetrations
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Portable ultrasound
F.A.S.T.
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians
Summary
ITLS Patient Assessment
Key to trauma care
Not difficult, but time-critical
Rapid, orderly, thorough
Remain calm
Maximize speed through organization and
teamwork
International Trauma Life Support for Emergency Care Providers, Seventh Edition
John Campbell Alabama College of Emergency Physicians