PHTLS5E1

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Course Purpose

Prehospital Trauma Life Support

PROVIDER COURSE

Lesson

1

Copyright 2003, Elsevier Science (USA). All rights reserved.

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Developed by the

National Association of

Emergency Medical Technicians

In cooperation withThe Committee on Trauma,

American College of Surgeons

This slide presentation is intended for use only in

approved PHTLS courses 1-2Copyright 2003, Elsevier Science (USA). All rights reserved.

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Objectives

Rapid and accurate assessment to determine

the presence or potential for threats to life

Identification of hypoxemia and shock

Initiation of key interventions

Safe and rapid transport to an appropriate

facility


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Baseline Scenario


1-4

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Rapidly determine potential

life-threatening injuries and priorities

Develop a team approach

Identify areas for improvement

Purpose of PHTLS Baselines


1-5

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Developed in response to a need for improved

prehospital trauma care

Developed by the National Association ofEMTs (NAEMT) in cooperation with the

Committee on Trauma of the American

College of Surgeons Committee on Trauma

(ACS-COT)

PHTLS History


1-6

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PHTLS has become a recognized standard

in the prehospital management of trauma

patients

PHTLS has been adopted by international

medical communities and is currently offered

worldwide

PHTLS History


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Trauma is the leading cause of death in

patients aged from 1 to 44 years old

Trauma is the third leading cause of death inall age groups

More than 60 million injuries occur annually in

the United States alone

Epidemiology of Trauma


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Trauma is a major problem worldwide

Besides its direct costs, trauma also causes lost

tax income, lost productivity, and lost years oflife

Epidemiology of Trauma


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Immediate(50%) minutesto one hour

Early (30%)

First 4 hrs

Late (20%) 2 to5 weeks

When Patients Die from Trauma

How can EMS make adifference?


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The Golden Period

Platinum

10 minutes


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10

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Prehospital care providers

Transport services

Emergency department

Operating suite

Trauma Team - Golden Period


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Readily available: Blood

Surgical team

Operating room

Expertise in dealing with trauma

patients

Access to critical care and

rehabilitation

Trauma Centers


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Identify life-threatening injuries

Perform key interventions

Rapid extrication where indicated Timely transport to an appropriate facility

Early notification of the receiving facility

The Platinum Ten Minutes


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Who is the most important person

in trauma?


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Management

How is the resuscitation of the trauma patientaccomplished?

What is definitive care for trauma?

What is our goal in the severely injured

trauma patient?


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Lectures and discussion

Hands-on skill stations

Scenario-based practical evaluation Written evaluation

Components of PHTLS


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Summary

Trauma care is an area where

YOU can make the largest impact

on a patients f inal outcome!


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Copyright 2003 Elsevier Science (USA) All rights reserved

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Prehospital Trauma Life Support

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