Standard
|
Rev.03/29/03
(To Review
Previous Version of this Standard and Guide, Click Here)
This Unit is designed to introduce the student to assessment
and management of the trauma patient, to include: systematic approach to the
assessment and management of trauma, demonstration of the assessment and
management of certain types of trauma patients and bodily injuries. Student
should complete the requirements for the Basic Trauma Life Support Course or
the Pre-Hospital Trauma Life Support Course.
|
Competency Areas |
Hours
|
|
|
Systemic Approach To The Assessment And Management Of
Trauma |
Class |
4 |
|
Demonstrate Assessment And Management For:
|
D. Lab |
2 |
|
Successfully Complete BTLS/PHTLS Certification |
P. Lab/O.B.I. |
0 |
|
Credit |
5 |
|
|
|
|
|
|
Prerequisite: |
ENG 101, SCT 100,
EMS126, |
|
Corequisite: |
Course Guide
|
|
Competency |
After
completing this section, the student will: |
Hours |
||
|
Class |
D.Lab
|
P.Lab/ O.B.I. |
||
|
|
|
|
|
|
|
SYSTEMATIC APPROACH TO THE ASSESSMENT AND MANAGEMENT OF
TRAUMA |
3 |
0
|
0 |
|
|
|
List and describe the components of a comprehensive
trauma system. |
|
|
|
|
|
Describe
the role of and differences between levels of trauma centers. |
|
|
|
|
|
Describe the criteria for transport to a trauma center. |
|
|
|
|
|
Describe the criteria and procedure for air medical
transport. |
|
|
|
|
|
Define
energy and force as they relate to trauma. |
|
|
|
|
Define laws of motion and energy and understand the role
that increased speed has on injuries. |
|
|
|
|
|
Describe each type of impact and
its effect on unrestrained victims (e.g., “down and under,” “up and over,”
compression, deceleration). |
|
|
|
|
|
Describe
the pathophysiology of the head, spine, thorax, and abdomen that results from
the above forces. |
|
|
|
|
|
List
specific injuries and their causes as related to interior and exterior
vehicle damage. |
|
|
|
|
|
|
|
|
||
|
List the motion and energy considerations of mechanisms
other than motor vehicle crashes. |
|
|
|
|
|
Define the role of kinematics as an additional tool for
patient assessment. |
|
|
|
|
|
DEMONSTRATE ASSESSMENT AND MANAGEMENT FOR
HEMORRHAGE/SHOCK, BURNS, AND THE FOLLOWING TYPES OF TRAUMA: SOFT TISSUE, HEAD/FACIAL, SPINAL, THORACIC,
ABDOMINAL, AND MUSCULOSKELETAL INJURIES |
6 |
12
|
0 |
|
|
Describe the epidemiology, including the morbidity/
mortality and prevention strategies, for shock and hemorrhage. |
|
|
|
|
|
Discuss the anatomy and physiology of the cardiovascular
system. |
|
|
|
|
|
Predict
shock and hemorrhage based on mechanism of injury. |
|
|
|
|
|
Discuss the various types and degrees of shock and
hemorrhage. |
|
|
|
|
|
Discuss the pathophysiology of hemorrhage and shock. |
|
|
|
|
|
Discuss the assessment findings associated with
hemorrhage and shock. |
|
|
|
|
|
Identify the need for intervention and transport of the
patient with hemorrhage or shock. |
|
|
|
|
|
Discuss the treatment plan and management of hemorrhage
and shock. |
|
|
|
|
|
Discuss the management of external hemorrhage. |
|
|
|
|
|
Differentiate between controlled and uncontrolled
hemorrhage. |
|
|
|
|
|
Differentiate between the administration rate and amount
of IV fluid in a patient with controlled versus uncontrolled hemorrhage. |
|
|
|
|
|
Relate internal hemorrhage to the pathophysiology of
compensated and decompensated hemorrhagic shock. |
|
|
|
|
|
Relate internal hemorrhage to the assessment findings of
compensated and decompensated hemorrhagic shock. |
|
|
|
|
|
Discuss the management of internal hemorrhage. |
|
|
|
|
|
Define shock based on aerobic and anaerobic metabolism. |
|
|
|
|
|
Describe the incidence, morbidity, and mortality of
shock. |
|
|
|
|
|
Describe the body's physiologic response to changes in
perfusion. |
|
|
|
|
|
Describe the effects of decreased perfusion at the capillary
level. |
|
|
|
|
|
Discuss the cellular ischemic phase related to
hemorrhagic shock. |
|
|
|
|
|
Discuss the capillary stagnation phase related to
hemorrhagic shock. |
|
|
|
|
|
Discuss the capillary washout phase related to
hemorrhagic shock. |
|
|
|
|
|
Discuss the assessment findings of hemorrhagic shock. |
|
|
|
|
|
Relate pulse pressure changes to perfusion status. |
|
|
|
|
|
Relate orthostatic vital sign changes to perfusion
status. |
|
|
|
|
|
Define compensated and decompensated hemorrhagic shock. |
|
|
|
|
|
Discuss the pathophysiological changes associated with
compensated shock. |
|
|
|
|
|
Discuss the assessment findings associated with
compensated shock. |
|
|
|
|
|
Identify the need for intervention and transport of the
patient with compensated shock. |
||||