SlideShare ist ein Scribd-Unternehmen logo

Things That Make You Go Hmm Part 1ppt

•
•
Shore EMS Conference 2010
Shore EMS Conference 2010

Abnormal Medical and Trauma Shore EMS Conference 2010

BildungGesundheit & Medizin
1 von 132
Things That Make You Go Hmm… Unusual EMS Sean M. Elwell, EMT, RN Injury Prevention Coordinator Trauma Program Alfred I.duPont Hospital for Children Wilmington, DE
About Me… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Alfred I. duPont Hospital for Children ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Delaware Trauma Level Designation LEVEL I  A regional resource trauma center able to care for all trauma patients LEVEL II  Regional trauma center able to provide care to all patients. May need to transfer out depending on resources available LEVEL III  Provides for initial care of all trauma patients arranging for transfer for those requiring resources of a Level I or II Trauma Center LEVEL IV  A participating hospital that is an acute care facility which transfers trauma patients with moderate or severe injuries to Trauma Center after initial resuscitation. Not Designated  
Trauma Alert Criteria: Stable ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Trauma Code Criteria: Unstable ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
New Jersey EMS… Captain Chief President All EMS and Rescue Operations All Fire Suppression Operations All Executive Operations EMS Chain of Command: Captain, Lieutenant, Chief, Deputy Chief
A Review
Back to Basics-Primary Survey ,[object Object],[object Object],[object Object],[object Object]
Primary Survey Steps ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Back to Basics-Secondary Survey ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Secondary Survey ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case Studies
By The Way… ,[object Object]
Case 1…
Dispatch ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What are your initial reactions? ,[object Object]
Scene Size-Up ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Upon Arrival
Now What? ,[object Object],[object Object],[object Object]
Plan of Action ,[object Object],[object Object],[object Object],[object Object],[object Object]
Extrication Dilemmas ,[object Object],[object Object],[object Object],[object Object],[object Object]
C-Spine ,[object Object]
Proper Collar Sizing ,[object Object]
Things to Remember ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Primary Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Extrication Complete
Secondary Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transport Decisions ,[object Object],[object Object],[object Object],[object Object]
Patient Outcome
Compression Injury ,[object Object],[object Object]
Paraplegia ,[object Object],[object Object]
Case 2…
Dispatch ,[object Object],[object Object],[object Object],[object Object]
What are your initial reactions? What are your initial reactions? Scene Size Up Starts at Dispatch
Upon Arrival ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Femoral Artery
Bike Accident X
Bike Accident
Primary Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Secondary Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BLS Actions ,[object Object],[object Object],[object Object]
Rescue Arrival ,[object Object],[object Object],[object Object]
 
Next… ,[object Object],[object Object],[object Object]
Patient Outcome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What if? ,[object Object],[object Object],[object Object],[object Object]
Femoral artery was severed? ,[object Object],[object Object]
Bleeding was uncontrolled?
Patient was unresponsive? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Other potential injuries? ,[object Object],[object Object],[object Object]
Case 3…
Dispatch ,[object Object],[object Object],[object Object]
What are your initial reactions? What are your initial reactions? Scene Size Up Starts at Dispatch
Upon Arrival ,[object Object],[object Object],[object Object],[object Object]
Primary Assessment ,[object Object],[object Object],[object Object],[object Object]
Does this patient meet alert or code criteria?
Secondary Assessment ,[object Object],[object Object],[object Object],[object Object]
Interventions ,[object Object],[object Object],[object Object],[object Object]
Oxygen Delivery ,[object Object],[object Object],[object Object]
Oral Airway ,[object Object],[object Object],[object Object],[object Object]
Nasal Airway ,[object Object],[object Object],[object Object],[object Object],[object Object]
Transport Decisions ,[object Object],[object Object],[object Object],[object Object]
What is Shock? ,[object Object]
Shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Signs of Shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment for Shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Patient Outcome ,[object Object],[object Object],[object Object],[object Object]
Open Maxillary Fracture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object]
In The End… ,[object Object],[object Object],[object Object]
Case 4…
Dispatch ,[object Object],[object Object],[object Object],[object Object],[object Object]
What are your initial reactions? What are your initial reactions? Scene Size Up Starts at Dispatch
Arrival
Findings ,[object Object],[object Object],[object Object],[object Object]
Level of Consciousness? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Primary Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Secondary Assessment Secondary Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Injuries ,[object Object],[object Object],[object Object]
Interventions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Open Fracture
Put Bone Back In? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pain Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RICE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transport Decisions ,[object Object],[object Object],[object Object],[object Object],[object Object]
Arrival to ED ,[object Object],[object Object],[object Object]
Injuries
Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Outcome ,[object Object],[object Object],[object Object],[object Object]
Case 5…
Dispatch ,[object Object],[object Object],[object Object]
What are your initial reactions? What are your initial reactions? Scene Size Up Starts at Dispatch
Upon Arrival ,[object Object],[object Object],[object Object]
Concerns ,[object Object],[object Object],[object Object]
Primary Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Secondary Assessment Secondary Assessment Secondary Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neurological Assessment ,[object Object],[object Object],[object Object],[object Object]
Pencil Stabilization ,[object Object],[object Object]
Transport Decisions ,[object Object],[object Object]
Arrival at Emergency Department ,[object Object],[object Object]
Pencil Through Nose
Now the Real Pictures
Findings ,[object Object]
Ethmoid Sinus ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pneumocephaly ,[object Object],[object Object],[object Object]
Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Outcome ,[object Object],[object Object],[object Object],[object Object],[object Object]
Case 6…
Dispatch ,[object Object],[object Object],[object Object]
Where Are We Going? ,[object Object],[object Object],[object Object]
What are your initial reactions? Scene Size Up Starts at Dispatch
Upon Arrival ,[object Object],[object Object],[object Object],[object Object],[object Object]
Patient Contact ,[object Object],[object Object],[object Object],[object Object]
Primary Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Secondary Assessment
Injuries Noted ,[object Object],[object Object],[object Object],[object Object],[object Object]
Management ,[object Object],[object Object],[object Object],[object Object]
Transport Decisions ,[object Object],[object Object],[object Object],[object Object]
What About the Driver ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What do you think?
Huffing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Huffing Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
Critical Thinking ,[object Object],[object Object],[object Object]
Back to our 6 Year Old ,[object Object],[object Object],[object Object],[object Object]
Arrival at ED ,[object Object],[object Object],[object Object]
CT Scan
Outcome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
When Can I Return to Play? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Summary

Empfohlen

PREVIEW OF EMT/EMR SECONDARY ASSESSMENT TRAINING POWERPOINT PRESENTATION
PREVIEW OF EMT/EMR SECONDARY ASSESSMENT TRAINING POWERPOINT PRESENTATIONPREVIEW OF EMT/EMR SECONDARY ASSESSMENT TRAINING POWERPOINT PRESENTATION
PREVIEW OF EMT/EMR SECONDARY ASSESSMENT TRAINING POWERPOINT PRESENTATIONBruce Vincent
 
Cardiac Emergencies
Cardiac EmergenciesCardiac Emergencies
Cardiac Emergenciesparamedicbob
 
Rock Your Assessment: EMS Tricks, Tips & Techniques to Maximize Patient Infor...
Rock Your Assessment: EMS Tricks, Tips & Techniques to Maximize Patient Infor...Rock Your Assessment: EMS Tricks, Tips & Techniques to Maximize Patient Infor...
Rock Your Assessment: EMS Tricks, Tips & Techniques to Maximize Patient Infor...Rommie Duckworth
 
Resuscitaion in ohca
Resuscitaion in ohcaResuscitaion in ohca
Resuscitaion in ohcasand whale
 
LSBC trial Sports First Aid & Emergency Course
LSBC trial Sports First Aid & Emergency CourseLSBC trial Sports First Aid & Emergency Course
LSBC trial Sports First Aid & Emergency CourseLinkedSportsBusiness
 
Ch03 eec3
Ch03 eec3Ch03 eec3
Ch03 eec3paramedicbob
 
Communication and Documentation
Communication and DocumentationCommunication and Documentation
Communication and Documentationparamedicbob
 
2019 07 hands only cpr updated
2019 07 hands only cpr updated2019 07 hands only cpr updated
2019 07 hands only cpr updatedRobert Cole
 

Empfohlen

PREVIEW OF EMT/EMR SECONDARY ASSESSMENT TRAINING POWERPOINT PRESENTATION
PREVIEW OF EMT/EMR SECONDARY ASSESSMENT TRAINING POWERPOINT PRESENTATIONPREVIEW OF EMT/EMR SECONDARY ASSESSMENT TRAINING POWERPOINT PRESENTATION
PREVIEW OF EMT/EMR SECONDARY ASSESSMENT TRAINING POWERPOINT PRESENTATIONBruce Vincent
 
Cardiac Emergencies
Cardiac EmergenciesCardiac Emergencies
Cardiac Emergenciesparamedicbob
 
Rock Your Assessment: EMS Tricks, Tips & Techniques to Maximize Patient Infor...
Rock Your Assessment: EMS Tricks, Tips & Techniques to Maximize Patient Infor...Rock Your Assessment: EMS Tricks, Tips & Techniques to Maximize Patient Infor...
Rock Your Assessment: EMS Tricks, Tips & Techniques to Maximize Patient Infor...Rommie Duckworth
 
Resuscitaion in ohca
Resuscitaion in ohcaResuscitaion in ohca
Resuscitaion in ohcasand whale
 
LSBC trial Sports First Aid & Emergency Course
LSBC trial Sports First Aid & Emergency CourseLSBC trial Sports First Aid & Emergency Course
LSBC trial Sports First Aid & Emergency CourseLinkedSportsBusiness
 
Ch03 eec3
Ch03 eec3Ch03 eec3
Ch03 eec3paramedicbob
 
Communication and Documentation
Communication and DocumentationCommunication and Documentation
Communication and Documentationparamedicbob
 
2019 07 hands only cpr updated
2019 07 hands only cpr updated2019 07 hands only cpr updated
2019 07 hands only cpr updatedRobert Cole
 
Abcde approach-to-the-critically-ill-patient
Abcde approach-to-the-critically-ill-patientAbcde approach-to-the-critically-ill-patient
Abcde approach-to-the-critically-ill-patientVyramuthu Atputhan
 
Bls handbook
Bls handbookBls handbook
Bls handbookniharika_katyal
 
ACCESS - CE - 2018 08 Sroke
ACCESS - CE - 2018 08 SrokeACCESS - CE - 2018 08 Sroke
ACCESS - CE - 2018 08 SrokeRobert Cole
 
Ch09 eec3
Ch09 eec3Ch09 eec3
Ch09 eec3paramedicbob
 
Nsg disaster management final
Nsg disaster management finalNsg disaster management final
Nsg disaster management finaldharmendra raval
 
Should we allow natural death?
Should we allow natural death?Should we allow natural death?
Should we allow natural death?PS Deb
 
Ch08 eec3
Ch08 eec3Ch08 eec3
Ch08 eec3paramedicbob
 
Structured approach for critically ill patient
Structured approach for critically ill patient Structured approach for critically ill patient
Structured approach for critically ill patient مشروع إعداد طبيب حكيم ناجح
 
Ethics in Resuscitation
Ethics in ResuscitationEthics in Resuscitation
Ethics in ResuscitationChew Keng Sheng
 
Improving survival from Sudden Cardiac Arrest – can it really work?
Improving survival from Sudden Cardiac Arrest – can it really work?Improving survival from Sudden Cardiac Arrest – can it really work?
Improving survival from Sudden Cardiac Arrest – can it really work?Haydn Drake
 
Dental
DentalDental
Dentalguest8e029d
 
Injuries to the Head and Spine
Injuries to the Head and SpineInjuries to the Head and Spine
Injuries to the Head and Spineparamedicbob
 
2015 ESC guidelines for the management of patients with ventricular arrhyth...
2015 ESC guidelines for the management of patients with ventricular arrhyth...2015 ESC guidelines for the management of patients with ventricular arrhyth...
2015 ESC guidelines for the management of patients with ventricular arrhyth...João Antônio Granzotti
 
32)Overview Of Haz Mat And Mci
32)Overview Of Haz Mat And Mci32)Overview Of Haz Mat And Mci
32)Overview Of Haz Mat And Mciphant0m0o0o
 
5)Documentation
5)Documentation5)Documentation
5)Documentationphant0m0o0o
 
Emergency Medicine Protocols
Emergency Medicine ProtocolsEmergency Medicine Protocols
Emergency Medicine ProtocolsProf. Dr. Aswinikumar Surendran
 
Cardiac Disorders
Cardiac DisordersCardiac Disorders
Cardiac DisordersMohamed Alasmar
 
Lesson 08
Lesson 08Lesson 08
Lesson 08jopaulv
 
Lesson 09
Lesson 09Lesson 09
Lesson 09jopaulv
 
Road Traffic and Safety: Pre-Hospital Care
Road Traffic and Safety: Pre-Hospital CareRoad Traffic and Safety: Pre-Hospital Care
Road Traffic and Safety: Pre-Hospital CareAmit Agrawal
 
Its Shocking
Its ShockingIts Shocking
Its ShockingShore EMS Conference 2010
 
Ems 250 toxicology 2011
Ems 250 toxicology 2011Ems 250 toxicology 2011
Ems 250 toxicology 2011Tonja Mikell-Pool
 

Weitere ähnliche Inhalte

Was ist angesagt?

Abcde approach-to-the-critically-ill-patient
Abcde approach-to-the-critically-ill-patientAbcde approach-to-the-critically-ill-patient
Abcde approach-to-the-critically-ill-patientVyramuthu Atputhan
 
ACCESS - CE - 2018 08 Sroke
ACCESS - CE - 2018 08 SrokeACCESS - CE - 2018 08 Sroke
ACCESS - CE - 2018 08 SrokeRobert Cole
 
Nsg disaster management final
Nsg disaster management finalNsg disaster management final
Nsg disaster management finaldharmendra raval
 
Should we allow natural death?
Should we allow natural death?Should we allow natural death?
Should we allow natural death?PS Deb
 
Improving survival from Sudden Cardiac Arrest – can it really work?
Improving survival from Sudden Cardiac Arrest – can it really work?Improving survival from Sudden Cardiac Arrest – can it really work?
Improving survival from Sudden Cardiac Arrest – can it really work?Haydn Drake
 
Injuries to the Head and Spine
Injuries to the Head and SpineInjuries to the Head and Spine
Injuries to the Head and Spineparamedicbob
 
2015 ESC guidelines for the management of patients with ventricular arrhyth...
2015 ESC guidelines for the management of patients with ventricular arrhyth...2015 ESC guidelines for the management of patients with ventricular arrhyth...
2015 ESC guidelines for the management of patients with ventricular arrhyth...João Antônio Granzotti
 
32)Overview Of Haz Mat And Mci
32)Overview Of Haz Mat And Mci32)Overview Of Haz Mat And Mci
32)Overview Of Haz Mat And Mciphant0m0o0o
 
Lesson 08
Lesson 08Lesson 08
Lesson 08jopaulv
 
Lesson 09
Lesson 09Lesson 09
Lesson 09jopaulv
 
Road Traffic and Safety: Pre-Hospital Care
Road Traffic and Safety: Pre-Hospital CareRoad Traffic and Safety: Pre-Hospital Care
Road Traffic and Safety: Pre-Hospital CareAmit Agrawal
 

Was ist angesagt? (20)

Abcde approach-to-the-critically-ill-patient
Abcde approach-to-the-critically-ill-patientAbcde approach-to-the-critically-ill-patient
Abcde approach-to-the-critically-ill-patient
 
Bls handbook
Bls handbookBls handbook
Bls handbook
 
ACCESS - CE - 2018 08 Sroke
ACCESS - CE - 2018 08 SrokeACCESS - CE - 2018 08 Sroke
ACCESS - CE - 2018 08 Sroke
 
Ch09 eec3
Ch09 eec3Ch09 eec3
Ch09 eec3
 
Nsg disaster management final
Nsg disaster management finalNsg disaster management final
Nsg disaster management final
 
Should we allow natural death?
Should we allow natural death?Should we allow natural death?
Should we allow natural death?
 
Ch08 eec3
Ch08 eec3Ch08 eec3
Ch08 eec3
 
Structured approach for critically ill patient
Structured approach for critically ill patient Structured approach for critically ill patient
Structured approach for critically ill patient
 
Ethics in Resuscitation
Ethics in ResuscitationEthics in Resuscitation
Ethics in Resuscitation
 
Improving survival from Sudden Cardiac Arrest – can it really work?
Improving survival from Sudden Cardiac Arrest – can it really work?Improving survival from Sudden Cardiac Arrest – can it really work?
Improving survival from Sudden Cardiac Arrest – can it really work?
 
Dental
DentalDental
Dental
 
Injuries to the Head and Spine
Injuries to the Head and SpineInjuries to the Head and Spine
Injuries to the Head and Spine
 
2015 ESC guidelines for the management of patients with ventricular arrhyth...
2015 ESC guidelines for the management of patients with ventricular arrhyth...2015 ESC guidelines for the management of patients with ventricular arrhyth...
2015 ESC guidelines for the management of patients with ventricular arrhyth...
 
32)Overview Of Haz Mat And Mci
32)Overview Of Haz Mat And Mci32)Overview Of Haz Mat And Mci
32)Overview Of Haz Mat And Mci
 
5)Documentation
5)Documentation5)Documentation
5)Documentation
 
Emergency Medicine Protocols
Emergency Medicine ProtocolsEmergency Medicine Protocols
Emergency Medicine Protocols
 
Cardiac Disorders
Cardiac DisordersCardiac Disorders
Cardiac Disorders
 
Lesson 08
Lesson 08Lesson 08
Lesson 08
 
Lesson 09
Lesson 09Lesson 09
Lesson 09
 
Road Traffic and Safety: Pre-Hospital Care
Road Traffic and Safety: Pre-Hospital CareRoad Traffic and Safety: Pre-Hospital Care
Road Traffic and Safety: Pre-Hospital Care
 

Andere mochten auch

Toms Basic And (Hopefully) High Speed
Toms Basic And (Hopefully) High SpeedToms Basic And (Hopefully) High Speed
Toms Basic And (Hopefully) High Speedjsgehring
 
EMS Responce to Terrorism
EMS Responce to TerrorismEMS Responce to Terrorism
EMS Responce to TerrorismEmily Schomp
 
EMS Aspects of Extrication : Fundamentals and Focus
EMS Aspects of Extrication : Fundamentals and FocusEMS Aspects of Extrication : Fundamentals and Focus
EMS Aspects of Extrication : Fundamentals and FocusRommie Duckworth
 
Sabato Ems Studentlecture
Sabato Ems StudentlectureSabato Ems Studentlecture
Sabato Ems Studentlecturejsgehring
 
Toxidromes poisoning in emergency medicine
Toxidromes poisoning in emergency medicineToxidromes poisoning in emergency medicine
Toxidromes poisoning in emergency medicineshama101p
 
Toxicology Emergencies CDEM
Toxicology Emergencies CDEMToxicology Emergencies CDEM
Toxicology Emergencies CDEMjsgehring
 
Just Culture - PSOW 2015
Just Culture - PSOW 2015Just Culture - PSOW 2015
Just Culture - PSOW 2015PSOW
 
Trench Rescue Awareness Training Course
Trench Rescue Awareness Training CourseTrench Rescue Awareness Training Course
Trench Rescue Awareness Training Courserzawlocki
 
EMS Systems and History
EMS Systems and HistoryEMS Systems and History
EMS Systems and HistoryRobert Cole
 
CRIME SCENE AWARENESS AND SAFETY FOR FIRE AND EMS RESPONDERS
CRIME SCENE AWARENESS AND SAFETY FOR FIRE AND EMS RESPONDERSCRIME SCENE AWARENESS AND SAFETY FOR FIRE AND EMS RESPONDERS
CRIME SCENE AWARENESS AND SAFETY FOR FIRE AND EMS RESPONDERSChris
 
Safety Culture Power Point
Safety Culture Power PointSafety Culture Power Point
Safety Culture Power PointJoe Daugherty
 

Andere mochten auch (20)

Its Shocking
Its ShockingIts Shocking
Its Shocking
 
Ems 250 toxicology 2011
Ems 250 toxicology 2011Ems 250 toxicology 2011
Ems 250 toxicology 2011
 
Toms Basic And (Hopefully) High Speed
Toms Basic And (Hopefully) High SpeedToms Basic And (Hopefully) High Speed
Toms Basic And (Hopefully) High Speed
 
Toxicology For EMS
Toxicology For EMSToxicology For EMS
Toxicology For EMS
 
EMS Responce to Terrorism
EMS Responce to TerrorismEMS Responce to Terrorism
EMS Responce to Terrorism
 
EMS Aspects of Extrication : Fundamentals and Focus
EMS Aspects of Extrication : Fundamentals and FocusEMS Aspects of Extrication : Fundamentals and Focus
EMS Aspects of Extrication : Fundamentals and Focus
 
Sabato Ems Studentlecture
Sabato Ems StudentlectureSabato Ems Studentlecture
Sabato Ems Studentlecture
 
Toxidromes poisoning in emergency medicine
Toxidromes poisoning in emergency medicineToxidromes poisoning in emergency medicine
Toxidromes poisoning in emergency medicine
 
Toxicology Emergencies CDEM
Toxicology Emergencies CDEMToxicology Emergencies CDEM
Toxicology Emergencies CDEM
 
Scene safety for EMS
Scene safety for EMSScene safety for EMS
Scene safety for EMS
 
Trauma in Disaster
Trauma in DisasterTrauma in Disaster
Trauma in Disaster
 
Just Culture - PSOW 2015
Just Culture - PSOW 2015Just Culture - PSOW 2015
Just Culture - PSOW 2015
 
Trench Rescue Awareness Training Course
Trench Rescue Awareness Training CourseTrench Rescue Awareness Training Course
Trench Rescue Awareness Training Course
 
Musculoskele
MusculoskeleMusculoskele
Musculoskele
 
CPAP and EMS
CPAP and EMSCPAP and EMS
CPAP and EMS
 
Jeff Co Rit
Jeff Co RitJeff Co Rit
Jeff Co Rit
 
EMS Systems and History
EMS Systems and HistoryEMS Systems and History
EMS Systems and History
 
CRIME SCENE AWARENESS AND SAFETY FOR FIRE AND EMS RESPONDERS
CRIME SCENE AWARENESS AND SAFETY FOR FIRE AND EMS RESPONDERSCRIME SCENE AWARENESS AND SAFETY FOR FIRE AND EMS RESPONDERS
CRIME SCENE AWARENESS AND SAFETY FOR FIRE AND EMS RESPONDERS
 
Ems In Action
Ems In ActionEms In Action
Ems In Action
 
Safety Culture Power Point
Safety Culture Power PointSafety Culture Power Point
Safety Culture Power Point
 

Ähnlich wie Things That Make You Go Hmm Part 1ppt

Lesson 04
Lesson 04Lesson 04
Lesson 04jopaulv
 
Initial Assessment And Management
Initial Assessment And ManagementInitial Assessment And Management
Initial Assessment And Managementkk 555888
 
Scene size up and initial assessment
Scene size up and initial assessmentScene size up and initial assessment
Scene size up and initial assessmentkkirkemtp
 
emergency nursing (management in emergency) ppt
emergency nursing (management in emergency) pptemergency nursing (management in emergency) ppt
emergency nursing (management in emergency) pptNehaNupur8
 
Phtls prep-packet-2-day
Phtls prep-packet-2-dayPhtls prep-packet-2-day
Phtls prep-packet-2-daynuno marques
 
Refresher Program
Refresher ProgramRefresher Program
Refresher Programjopaulv
 
Initial assement in trauma pat
Initial assement in trauma patInitial assement in trauma pat
Initial assement in trauma patSukumar Msuku
 
Multiple trauma and it’s definition , classification
Multiple trauma and it’s definition , classificationMultiple trauma and it’s definition , classification
Multiple trauma and it’s definition , classificationShehinSalim3
 
Lesson 11
Lesson 11Lesson 11
Lesson 11jopaulv
 
02 atls initial assessment and management
02 atls initial assessment and management02 atls initial assessment and management
02 atls initial assessment and managementDang Thanh Tuan
 
Triage-in-Emergency-Department.pptx
Triage-in-Emergency-Department.pptxTriage-in-Emergency-Department.pptx
Triage-in-Emergency-Department.pptxnaqibsakila4286
 
WFPS Spring 2014 Medical ConEd Field Session
WFPS Spring 2014 Medical ConEd Field SessionWFPS Spring 2014 Medical ConEd Field Session
WFPS Spring 2014 Medical ConEd Field SessionpnairnWFPS
 

Ähnlich wie Things That Make You Go Hmm Part 1ppt (20)

Initial Assess Trauma
Initial Assess TraumaInitial Assess Trauma
Initial Assess Trauma
 
Lesson 04
Lesson 04Lesson 04
Lesson 04
 
Initial Assessment And Management
Initial Assessment And ManagementInitial Assessment And Management
Initial Assessment And Management
 
Ch07 eec3
Ch07 eec3Ch07 eec3
Ch07 eec3
 
Scene size up and initial assessment
Scene size up and initial assessmentScene size up and initial assessment
Scene size up and initial assessment
 
emergency nursing (management in emergency) ppt
emergency nursing (management in emergency) pptemergency nursing (management in emergency) ppt
emergency nursing (management in emergency) ppt
 
Triage
TriageTriage
Triage
 
Phtls prep-packet-2-day
Phtls prep-packet-2-dayPhtls prep-packet-2-day
Phtls prep-packet-2-day
 
Refresher Program
Refresher ProgramRefresher Program
Refresher Program
 
Triage
Triage Triage
Triage
 
Trauma
TraumaTrauma
Trauma
 
Initial assement in trauma pat
Initial assement in trauma patInitial assement in trauma pat
Initial assement in trauma pat
 
Multiple trauma and it’s definition , classification
Multiple trauma and it’s definition , classificationMultiple trauma and it’s definition , classification
Multiple trauma and it’s definition , classification
 
Lesson 11
Lesson 11Lesson 11
Lesson 11
 
Stroke
StrokeStroke
Stroke
 
02 atls initial assessment and management
02 atls initial assessment and management02 atls initial assessment and management
02 atls initial assessment and management
 
Triage-in-Emergency-Department.pptx
Triage-in-Emergency-Department.pptxTriage-in-Emergency-Department.pptx
Triage-in-Emergency-Department.pptx
 
WFPS Spring 2014 Medical ConEd Field Session
WFPS Spring 2014 Medical ConEd Field SessionWFPS Spring 2014 Medical ConEd Field Session
WFPS Spring 2014 Medical ConEd Field Session
 
Abdominal trauma management
Abdominal trauma managementAbdominal trauma management
Abdominal trauma management
 
1 emergency, fucosed assessment
1 emergency, fucosed assessment1 emergency, fucosed assessment
1 emergency, fucosed assessment
 

Mehr von Shore EMS Conference 2010

Mehr von Shore EMS Conference 2010 (8)

2009 paramedic assist
2009 paramedic assist2009 paramedic assist
2009 paramedic assist
 
Sleep Deprivation Shore 2010
Sleep Deprivation Shore 2010Sleep Deprivation Shore 2010
Sleep Deprivation Shore 2010
 
Burr It's getting cold out there
Burr It's getting cold out thereBurr It's getting cold out there
Burr It's getting cold out there
 
Street Drugs-Huff and Puff
Street Drugs-Huff and PuffStreet Drugs-Huff and Puff
Street Drugs-Huff and Puff
 
Critical Thinking
Critical ThinkingCritical Thinking
Critical Thinking
 
Medicine Killed my Mother
Medicine Killed my MotherMedicine Killed my Mother
Medicine Killed my Mother
 
Lights On Nobodys Home-Pediatric AMS
Lights On Nobodys Home-Pediatric AMSLights On Nobodys Home-Pediatric AMS
Lights On Nobodys Home-Pediatric AMS
 
Abdominal Emergencies 2
Abdominal Emergencies 2Abdominal Emergencies 2
Abdominal Emergencies 2
 

Kürzlich hochgeladen

Class 11th Physics NEET formula sheet pdf
Class 11th Physics NEET formula sheet pdfClass 11th Physics NEET formula sheet pdf
Class 11th Physics NEET formula sheet pdfAyushMahapatra5
 
Grant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy ConsultingGrant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy ConsultingTechSoup
 
Introduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsIntroduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsTechSoup
 
Measures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and ModeMeasures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and ModeThiyagu K
 
Web & Social Media Analytics Previous Year Question Paper.pdf
Web & Social Media Analytics Previous Year Question Paper.pdfWeb & Social Media Analytics Previous Year Question Paper.pdf
Web & Social Media Analytics Previous Year Question Paper.pdfJayanti Pande
 
fourth grading exam for kindergarten in writing
fourth grading exam for kindergarten in writingfourth grading exam for kindergarten in writing
fourth grading exam for kindergarten in writingTeacherCyreneCayanan
 
1029-Danh muc Sach Giao Khoa khoi 6.pdf
1029-Danh muc Sach Giao Khoa khoi 6.pdf1029-Danh muc Sach Giao Khoa khoi 6.pdf
1029-Danh muc Sach Giao Khoa khoi 6.pdfQucHHunhnh
 
social pharmacy d-pharm 1st year by Pragati K. Mahajan
social pharmacy d-pharm 1st year by Pragati K. Mahajansocial pharmacy d-pharm 1st year by Pragati K. Mahajan
social pharmacy d-pharm 1st year by Pragati K. Mahajanpragatimahajan3
 
Advanced Views - Calendar View in Odoo 17
Advanced Views - Calendar View in Odoo 17Advanced Views - Calendar View in Odoo 17
Advanced Views - Calendar View in Odoo 17Celine George
 
Unit-IV- Pharma. Marketing Channels.pptx
Unit-IV- Pharma. Marketing Channels.pptxUnit-IV- Pharma. Marketing Channels.pptx
Unit-IV- Pharma. Marketing Channels.pptxVishalSingh1417
 
IGNOU MSCCFT and PGDCFT Exam Question Pattern: MCFT003 Counselling and Family...
IGNOU MSCCFT and PGDCFT Exam Question Pattern: MCFT003 Counselling and Family...IGNOU MSCCFT and PGDCFT Exam Question Pattern: MCFT003 Counselling and Family...
IGNOU MSCCFT and PGDCFT Exam Question Pattern: MCFT003 Counselling and Family...PsychoTech Services
 
microwave assisted reaction. General introduction
microwave assisted reaction. General introductionmicrowave assisted reaction. General introduction
microwave assisted reaction. General introductionMaksud Ahmed
 
Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111Sapana Sha
 
9548086042 for call girls in Indira Nagar with room service
9548086042 for call girls in Indira Nagar with room service9548086042 for call girls in Indira Nagar with room service
9548086042 for call girls in Indira Nagar with room servicediscovermytutordmt
 
Software Engineering Methodologies (overview)
Software Engineering Methodologies (overview)Software Engineering Methodologies (overview)
Software Engineering Methodologies (overview)eniolaolutunde
 
General AI for Medical Educators April 2024
General AI for Medical Educators April 2024General AI for Medical Educators April 2024
General AI for Medical Educators April 2024Janet Corral
 
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...Sapna Thakur
 
Measures of Dispersion and Variability: Range, QD, AD and SD
Measures of Dispersion and Variability: Range, QD, AD and SDMeasures of Dispersion and Variability: Range, QD, AD and SD
Measures of Dispersion and Variability: Range, QD, AD and SDThiyagu K
 

Kürzlich hochgeladen (20)

Class 11th Physics NEET formula sheet pdf
Class 11th Physics NEET formula sheet pdfClass 11th Physics NEET formula sheet pdf
Class 11th Physics NEET formula sheet pdf
 
Grant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy ConsultingGrant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy Consulting
 
Introduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsIntroduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The Basics
 
Measures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and ModeMeasures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and Mode
 
Web & Social Media Analytics Previous Year Question Paper.pdf
Web & Social Media Analytics Previous Year Question Paper.pdfWeb & Social Media Analytics Previous Year Question Paper.pdf
Web & Social Media Analytics Previous Year Question Paper.pdf
 
fourth grading exam for kindergarten in writing
fourth grading exam for kindergarten in writingfourth grading exam for kindergarten in writing
fourth grading exam for kindergarten in writing
 
1029-Danh muc Sach Giao Khoa khoi 6.pdf
1029-Danh muc Sach Giao Khoa khoi 6.pdf1029-Danh muc Sach Giao Khoa khoi 6.pdf
1029-Danh muc Sach Giao Khoa khoi 6.pdf
 
social pharmacy d-pharm 1st year by Pragati K. Mahajan
social pharmacy d-pharm 1st year by Pragati K. Mahajansocial pharmacy d-pharm 1st year by Pragati K. Mahajan
social pharmacy d-pharm 1st year by Pragati K. Mahajan
 
Advanced Views - Calendar View in Odoo 17
Advanced Views - Calendar View in Odoo 17Advanced Views - Calendar View in Odoo 17
Advanced Views - Calendar View in Odoo 17
 
Unit-IV- Pharma. Marketing Channels.pptx
Unit-IV- Pharma. Marketing Channels.pptxUnit-IV- Pharma. Marketing Channels.pptx
Unit-IV- Pharma. Marketing Channels.pptx
 
IGNOU MSCCFT and PGDCFT Exam Question Pattern: MCFT003 Counselling and Family...
IGNOU MSCCFT and PGDCFT Exam Question Pattern: MCFT003 Counselling and Family...IGNOU MSCCFT and PGDCFT Exam Question Pattern: MCFT003 Counselling and Family...
IGNOU MSCCFT and PGDCFT Exam Question Pattern: MCFT003 Counselling and Family...
 
Mattingly "AI & Prompt Design: Structured Data, Assistants, & RAG"
Mattingly "AI & Prompt Design: Structured Data, Assistants, & RAG"Mattingly "AI & Prompt Design: Structured Data, Assistants, & RAG"
Mattingly "AI & Prompt Design: Structured Data, Assistants, & RAG"
 
microwave assisted reaction. General introduction
microwave assisted reaction. General introductionmicrowave assisted reaction. General introduction
microwave assisted reaction. General introduction
 
Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111
 
9548086042 for call girls in Indira Nagar with room service
9548086042 for call girls in Indira Nagar with room service9548086042 for call girls in Indira Nagar with room service
9548086042 for call girls in Indira Nagar with room service
 
Software Engineering Methodologies (overview)
Software Engineering Methodologies (overview)Software Engineering Methodologies (overview)
Software Engineering Methodologies (overview)
 
General AI for Medical Educators April 2024
General AI for Medical Educators April 2024General AI for Medical Educators April 2024
General AI for Medical Educators April 2024
 
Advance Mobile Application Development class 07
Advance Mobile Application Development class 07Advance Mobile Application Development class 07
Advance Mobile Application Development class 07
 
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
 
Measures of Dispersion and Variability: Range, QD, AD and SD
Measures of Dispersion and Variability: Range, QD, AD and SDMeasures of Dispersion and Variability: Range, QD, AD and SD
Measures of Dispersion and Variability: Range, QD, AD and SD
 

Things That Make You Go Hmm Part 1ppt

  • 1. Things That Make You Go Hmm… Unusual EMS Sean M. Elwell, EMT, RN Injury Prevention Coordinator Trauma Program Alfred I.duPont Hospital for Children Wilmington, DE
  • 2.
  • 3.  
  • 4.
  • 5. Delaware Trauma Level Designation LEVEL I  A regional resource trauma center able to care for all trauma patients LEVEL II  Regional trauma center able to provide care to all patients. May need to transfer out depending on resources available LEVEL III  Provides for initial care of all trauma patients arranging for transfer for those requiring resources of a Level I or II Trauma Center LEVEL IV  A participating hospital that is an acute care facility which transfers trauma patients with moderate or severe injuries to Trauma Center after initial resuscitation. Not Designated  
  • 6.
  • 7.
  • 8. New Jersey EMS… Captain Chief President All EMS and Rescue Operations All Fire Suppression Operations All Executive Operations EMS Chain of Command: Captain, Lieutenant, Chief, Deputy Chief
  • 10.
  • 11.
  • 12.
  • 13.
  • 15.
  • 17.
  • 18.
  • 19.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 29.
  • 30.
  • 32.
  • 33.
  • 35.
  • 36. What are your initial reactions? What are your initial reactions? Scene Size Up Starts at Dispatch
  • 37.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.  
  • 46.
  • 47.
  • 48.
  • 49.
  • 51.
  • 52.
  • 54.
  • 55. What are your initial reactions? What are your initial reactions? Scene Size Up Starts at Dispatch
  • 56.
  • 57.
  • 58. Does this patient meet alert or code criteria?
  • 59.
  • 60.
  • 61.
  • 62.
  • 63.
  • 64.
  • 65.
  • 66.
  • 67.
  • 68.
  • 69.  
  • 70.
  • 71.
  • 72.
  • 73.
  • 75.
  • 76. What are your initial reactions? What are your initial reactions? Scene Size Up Starts at Dispatch
  • 78.
  • 79.
  • 80.
  • 81.
  • 82.
  • 83.
  • 85.
  • 86.
  • 87.
  • 88.
  • 89.
  • 91.
  • 92.
  • 94.
  • 95. What are your initial reactions? What are your initial reactions? Scene Size Up Starts at Dispatch
  • 96.
  • 97.
  • 98.
  • 99.
  • 100.
  • 101.
  • 102.
  • 103.
  • 105. Now the Real Pictures
  • 106.
  • 107.
  • 108.
  • 109.
  • 110.
  • 112.
  • 113.
  • 114. What are your initial reactions? Scene Size Up Starts at Dispatch
  • 115.
  • 116.
  • 117.
  • 118.
  • 119.
  • 120.
  • 121.
  • 122.
  • 123. What do you think?
  • 124.
  • 125.
  • 126.
  • 127.
  • 128.
  • 130.
  • 131.