Remove wet clothing Cover with dry (warm) blankets Warming Measures Obtain Iv access A (maintain A SBP≥90 mm Hg Monitor and reassess Contact Medical Control M M Pearls: Exam: Check Head, neck, Chest, Abdomen, Pelvis, Back, Extremities, Skin, Neuro for Trauma With cold there is no time limit resuscitate all. – All near drowning victims should be transported conditions may deteriorate during the next several – Scene safety! Drowning is a leading cause of death in would-be rescuers. Consider transport to facility with hyperbaric chamber if any chance of decompression sickness. Head Injury History: Signs / Symptoms: Differential: · Onset ·Pain, swelling, bleeding, oto/rhinorrhea · Cerebral Concussion · Mechanism (blunt / penetrating) · Altered Level of Consciousness · Cerebral Contusion · Loss of consciousness · Respiratory distress/failure · Non-Traumatic causes of ALOC · Bleeding Vomiting · Epidural hematoma ∙ · Medical history (ETOH…) Significant mechanish of injury · Scalp hematoma ∙ · Medications (Coumadin…) Signs of Herniation: · Seizure · Geriatric GCS <8 · fracture ∙ Fixed or asymmetric pupils · Stroke ∙ Neurologic Posturing · Subdural hematoma ∙ Cushings Triad · Syncope ∙ Intermittent · Subarachnoid hemorrhage ∙ deterioration (decrease in GCS≥2) ∙Neurologic Universal Patient Care Protocol Legend EMT A EMT-A A Multi-system Isolated Head Trauma? P EMT-P P No Trauma Protocol M MC Order M pg Yes Spinal Immobilization with head of board elevated approx..
A Obtain Iv access (maintain SBP≥90 mm Hg A Remove wet clothing Cover with dry (warm) blankets Warming Measures Monitor and reassess M Contact Medical Control M Pearls: Exam: Check Head, neck, Chest, Abdomen, Pelvis, Back, Extremities, Skin, Neuro for Trauma With cold there is no time limit – resuscitate all. All near drowning victims should be transported – conditions may deteriorate during the next several Scene safety! Drowning is a leading cause of death in would-be rescuers. Consider transport to facility with hyperbaric chamber if any chance of decompression sickness. Head Injury History: · Onset · Mechanism (blunt / penetrating) · Loss of consciousness · Bleeding · Medical history (ETOH…) · Medications (Coumadin…) · Geriatric Signs / Symptoms: ·Pain, swelling, bleeding, oto/rhinorrhea · Altered Level of Consciousness · Respiratory distress/failure ∙ Vomiting ∙ Significant mechanish of injury Signs of Herniation: ∙ GCS <8 ∙ Fixed or asymmetric pupils ∙ Neurologic Posturing ∙ Cushings Triad ∙ Intermittent ∙Neurologic deterioration (decrease in GCS≥2) Differential: · Cerebral Concussion · Cerebral Contusion · Non-Traumatic causes of ALOC · Epidural hematoma · Scalp hematoma · Seizure · fracture · Stroke · Subdural hematoma · Syncope · Subarachnoid hemorrhage Universal Patient Care Protocol Legend EMT A EMT-A A P EMT-P P M MC Order M Isolated Head Trauma? Multi-system Trauma Protocol pg No Yes Spinal Immobilization with head of board elevated approx..
2012_lc_ems_protocols.docx