|
RNZCUC Trauma Workshop RNZCUC Trauma Workshop |
Trauma Workshop Guide
Objectives:
- Understanding of the rationale and the initial processes of trauma systems
- Familiarity with important procedures in trauma resuscitation
Extrication/ Splinting
Objectives:
Assessment and initial treatment of patients in the field
- An appreciation of personal safety issues at the scene of an accident
- Have a working knowledge of local extraction and splinting techniques
- Be aware of indications, techniques and limitations of emergency procedures in the field
Skills:
- Stiffneck collar application
- Helmet removal
- Scoop stretcher use
- Spine board use
- Femoral splint application – Hare
- Femoral splint application - Sager https://www.youtube.com/watch?v=c-3bptUGXkw
- Log-roll / transfer
Trauma
Objectives:
Basic understanding of Advanced Trauma Life Support protocols
- Airway management in trauma
- Surgical airway options
- Emergency treatment of chest injuries
- Assessment of pulmonary Trauma
- Abdominal trauma
- Pelvic trauma
- Trauma in pregnancy
- Significant skeletal injuries in trauma
- Missed injuries in major trauma
Skills:
- Bag-mask ventilation
- Intubation (this will not be taught or assessed, equipment will be available for those who regularly intubate to practice)
- LMA insertion
- Cricothyrotomy http://www.youtube.com/watch?v=dvWy9NXiZZI
- Needle thoracocentesis http://www.youtube.com/watch?v=UvHJ4pjNh2Q&feature=related
- Chest tube http://www.medicalvideos.us/play.php?vid=186 (first 13min)
- Log roll examination
- Pelvic stabilization
Fluid Resuscitation
- Familiarity with fluids available
- Choice of fluids
- Mode of delivery
- Strategies in fluid resuscitation
Skills:
- Intravenous line placement
- Intraosseous line placement (EZ-IO)
https://www.youtube.com/watch?v=KHXSfh2ZRDM
- Intraosseous line placement (EZ-IO)
Transfer
Objectives:
Understanding of transfer options, the advantages and hazards, preparation and organization
- Retrieval medicine
- Aeromedical transfer
- Intrahospital transfer
References:
(1) Carmont, MR The Advanced Trauma Life Support course: a history of its development and review of related literature Postgrad Med J 2005;81:87-91 http://pmj.bmj.com/content/81/952/87.long
(2) Craig D. Newgard et al Emergency Medical Services Intervals and Survival in Trauma: Assessment of the “Golden Hour” in a North American Prospective Cohort
Ann Emerg Med. 2010 March ; 55(3): 235–246.e4. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3008652/pdf/nihms-257399.pdf?tool=pmcentrez
(3) Kortbeek, JB et al Advanced Trauma Life Support, 8th Edition, the evidence for change. Journal of Trauma 2008:64:1638-1650
Bibliography:
ATLS for Doctors Student Manual, 8th Edition. American College of Surgeons NZRC Level 6/7 Advanced Resuscitation for Health Professionals Manual 2012 Essentials of Immediate Care 3rd Edition C. John Eaton
