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1. Intro to Trauma
Blunt and Penetrating

3. Disclaimers:
• I used slides and pictures from the Brady textbook.
• I stole pictures from the Internet.
• I’ve put students to sleep with similar PowerPoints.
• I still don’t understand the Hadden Matrix.
• I’ve only watched two seasons of Doctor Who.

5. Trauma Drama
• Leading cause of death of persons under 44 y/o.
• < 10% are serious

6. Hadden Matrix- Risk Analysis
HOST AGENT ENVIRONMENT
PRE-EVENT
EVENT
POST EVENT

7. Name Some Safety Programs

9. Trauma System Designation

12. Critic
al
Unstabl
e
Potentially
Unstable
CUPS

13. Your Role as the Paramedic

14. 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 ! ! !

15. MECHANISM OF INJURY

16. •Newton’s First Law
•Law of
Conservation of
Energy

19. • Gradual changes in speed are usually uneventful.
• Sudden deceleration is bad… Like really bad....

24. Automobile Collisions

25. Paper Bag Syndrome

26. Automobile Collisions
• Types of Impact
• Frontal
• Lateral
• Rotational
• Rear-end
• Rollover

27. Automobile Collisions
• Types of Impact
• Frontal
• Lateral
• Rotational
• Rear-end
• Rollover

28. Automobile Collision Evaluation
© Ray Kemp/911 Imaging

34. Car vs. Pedestrian Index of
Suspicion

35. Blast Injuries

40. Penetrating Trauma

41. Once again…

43. Ballistics
• Velocity
• Profile
• Stability
• Expansion/Fragmentation
• Secondary Impacts
• Shape
• Yaw
• Tumbling
• Body Armor
• High Velocity
• Low Velocity

49. Low Velocity Wounds

50. Hollow Organs vs. Solid Organs

54. Questions?