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Prehospital Trauma Life Support Developed by the National Association of EMTs (NAEMT) In cooperation with The Committee on Trauma,  American College of Surgeons  (COT-ACS) NAEMT  MOSBY
Lesson 1 ,[object Object]
Objectives ,[object Object],[object Object],[object Object],[object Object]
Accident vs. Disease  Is perspective important? ,[object Object],[object Object],[object Object],[object Object]
Traumatic Injury in the U.S. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Traumatic Injury Worldwide ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Traumatic Injury Worldwide ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Global Injury Control Initiatives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],How is your EMS service participating?
Global Injury Control Initiatives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],Global Injury Control Initiatives
The History of PHTLS ,[object Object],[object Object],[object Object],[object Object],[object Object]
What Is PHTLS? ,[object Object],[object Object],[object Object],[object Object]
What Is PHTLS?  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Course Agenda–Day 1 Skill–Teaching Stations 3 hours, 20 minutes Central Nervous System 45 minutes Lunch 45 minutes Airway, Oxygenation, and Ventilation  50 minutes Principles of Assessment and Management 45 minutes Kinematics 60 minutes Break 10 minutes Lessons Learned 20 minutes Baselines 45 minutes Course Introduction and Overview 15 minutes
Course Agenda–Day 2 Thermal Trauma 30 minutes Break 10 minutes Final Evaluations 3 hours Golden Principles 20 minutes Lunch 45 minutes Skill–Teaching Stations 90 minutes Special Considerations: Elderly, Pediatric, and Pregnant Patients 45 minutes Thoracic Trauma 45 minutes Shock: A Multisystem Approach 55 minutes
Alternative Course Agenda–Day 1 Baselines 45 minutes Skill–Teaching Stations 3 hours 20 minutes Lunch 45 minutes Central Nervous Systems 45 minutes Airway, Oxygenation, and Ventilation 50 minutes Principles of Assessment and Management 45 minutes Break 10 minutes Kinematics 60 minutes Lessons Learned 20 minutes Course Introduction and Overview 15 minutes
Alternative Course Agenda–Day 2 Break 10 minutes Final Evaluations 3 hours Golden Principles 20 minutes Lunch 45 minutes Skill-Teaching Stations 90 minutes  Special Considerations: Elderly, Pediatric and Pregnant Patients 45 minutes Thermal Trauma 30 minutes Thoracic Trauma 45 minutes Shock: A Multisystems Approach 55 minutes
Continued Involvement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
QUESTIONS?

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Lesson 01

  • 1. Prehospital Trauma Life Support Developed by the National Association of EMTs (NAEMT) In cooperation with The Committee on Trauma, American College of Surgeons (COT-ACS) NAEMT MOSBY
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. Course Agenda–Day 1 Skill–Teaching Stations 3 hours, 20 minutes Central Nervous System 45 minutes Lunch 45 minutes Airway, Oxygenation, and Ventilation 50 minutes Principles of Assessment and Management 45 minutes Kinematics 60 minutes Break 10 minutes Lessons Learned 20 minutes Baselines 45 minutes Course Introduction and Overview 15 minutes
  • 15. Course Agenda–Day 2 Thermal Trauma 30 minutes Break 10 minutes Final Evaluations 3 hours Golden Principles 20 minutes Lunch 45 minutes Skill–Teaching Stations 90 minutes Special Considerations: Elderly, Pediatric, and Pregnant Patients 45 minutes Thoracic Trauma 45 minutes Shock: A Multisystem Approach 55 minutes
  • 16. Alternative Course Agenda–Day 1 Baselines 45 minutes Skill–Teaching Stations 3 hours 20 minutes Lunch 45 minutes Central Nervous Systems 45 minutes Airway, Oxygenation, and Ventilation 50 minutes Principles of Assessment and Management 45 minutes Break 10 minutes Kinematics 60 minutes Lessons Learned 20 minutes Course Introduction and Overview 15 minutes
  • 17. Alternative Course Agenda–Day 2 Break 10 minutes Final Evaluations 3 hours Golden Principles 20 minutes Lunch 45 minutes Skill-Teaching Stations 90 minutes Special Considerations: Elderly, Pediatric and Pregnant Patients 45 minutes Thermal Trauma 30 minutes Thoracic Trauma 45 minutes Shock: A Multisystems Approach 55 minutes
  • 18.

Notas del editor

  1. Instructor Notes: Injury refers to someone’s being hurt or killed, whereas accident refers to an event without apparent cause or events that are not foreseeable. The term accident implies that the incident was not preventable. A disease can be preventable.
  2. Instructor Notes: Research statistics appropriate to your country. The WHO site (www.who.org) is a good place to start. Also contact local agencies in your country that maintain such statistical references. Be sure to cite your sources.
  3. Instructor Notes: Global injury control initiatives typically involve: Injury prevention programs Creation of safe environments Public policy and legislation Funding Enabling public access to data Networks to sustain and promote programs Enabling and promoting research Ensuring optimal emergency response, acute care, and rehabilitation All of these initiatives can involve participation from local prehospital care providers. Encourage the course participants to become involved in their community.
  4. Instructor Notes: What injury prevention initiatives are available in your area?
  5. Instructor Notes: PHTLS does have a “Prevention” PowerPoint presentation available on the PHTLS website for use by any PHTLS Instructor. Transition: Next topic is the History of PHTLS
  6. Instructor Notes: Although the 5 th edition text is available in several languages, it will take time post-6 th edition to translate and publish the new edition. Notice of new available editions will be posted on the website.
  7. Instructor Notes: Continuing education — uses primary EMS education as a starting place; does not replace it. Emphasize the importance of teamwork between prehospital care providers and between prehospital care providers and other emergency care providers.
  8. Instructor Notes: Not a protocol-based system but rather a set of principles that enable the provider to deal with dynamic environments, situations, patients… Considers that there may be more than one way to accomplish the management of the trauma patient. The ‘traditional’ way of doing things may not meet the needs of all trauma patients. The principles — philosophies of PHTLS are based upon the most current available science. Allows the provider an opportunity to review current management of trauma patients and assess how science may require changes in approach. The PHTLS course is based on the PHTLS text, but the PHTLS text goes beyond the course to provide a comprehensive trauma management resource.
  9. NOTE** Not final
  10. NOTE** Not final
  11. NOTE** Not final
  12. NOTE** Not final