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ABCDs
AEIOU-TIPS
AVPU
Applies gentle traction/tension as needed, rotating extremity if necessary and if tolerated by patient.
Applies high flow oxygen via nonbreather
Applies occlusive dressing
Apply suction in a side to side or circular motion as you withdraw the catheter
Arranges for rapid transport
Arranges for transport of patient.
Assesses airway, breathing, circulation (%Q{"ABCDs"}%)
Assesses %Q{"CMS"}%.
Assesses respirations for the following
Assesses the ABCDs, controls any bleeding
Assists breathing, manages/treats life threats.
Based on the chief complaint, gathers information by asking OPQRST questions.
Blanket Roll Splint for Shoulder
Boot Removal
CHEATED
CMS
Calls for transport, equipment, and/or additional assistance.
Calls for transport, equipment, and/or additional assistance, EMS if needed.
Checks for and controls any major bleeding.
Chooses the correct device/material for splinting/stabilization.
Communicates to the patient the procedure you will perform.
Confirms and monitors %Q{"LOR"}% (%Q{"AVPU"}% or %Q{"GCS"}%).
Counts number of breaths for 30 seconds
Crosses ends of cravats that are behind patient to make a figure eight.
DUMBELS
Determines if patient can speak in complete sentences.
Determines if patient has breathing problems.
Determines number of lifters available
Determines the MOI (mechanism of injury) and/or NOI (nature of illness)—patient’s chief complaint.
Do not suction an adult for more than 15 seconds.
Draws ends of sheet together over pelvis
Evaluate patient mental status.
Executes the lift
Explains commands, procedures
Exposes and assesses the injury to determine the location and proximity to hip or knee joint
Exposes and inspects injury to identify level of emergency and formulate treatment plan.
Exposes the chest
Exposes/visualizes injured area to determine that a figure eight is appropriate.
FACTUAL OEC
Figure Eight Application
Starting at the wrists fold 1st glove inside out
Folds sheet lengthwise
Forms a tight blanket roll.
Forms general impression
Gently advance the airway.
Gloves inside out
HAZWOPER
Hold the adjunct against the side of the face
ID-ME
Identifies substance
Identifies the number of patient(s) and the %Q{"LOR"}% of each.
If nerve gas is suspected, obtains nerve gas antidote kit.
If SEVERE signs/symptoms exists
If suspected spinal injury
Insert the lubricated airway into the larger nostril
Keeps patient's knees flexed
Kneels beside or above the patient’s heads.
LAR and HAR
LOR
LUSS / RUGL
Loads patient onto long spine board
Log rolls patient on to backboard
Looks for chest rise and fall
MCI
Maintains airway, uses BVM or suction if needed. Monitor vitals
Maintains spinal alignment
Maintains spinal immobilization if applicable.
Make sure the suctioning unit is properly assembled and turn on the unit if using a power system.
Manages/treats life threats.
Measures and applies a C-collar per local protocol
Minimizes further exposure
Moving as a unit and maintaining spinal stabilization, the rescuers lower the patient to the ground.
NOI
Observes patient for excessive salivation
Obtains baseline set of vitals.
Obtains SAMPLE history
Obtains %Q{"SAMPLE"}% history from patient and/or witness (if available).
Open the patient’s mouth and insert the catheter only as far as you can see.
Open the patient’s mouth with the cross-finger technique.
PERRL
Palpates entire chest
Patient Assessment—Trauma Patient
Peal second glove off
Performs detailed head-to-toe body assessment physical exam %Q{"DCAPBTLS"}%.
Place fingers inside second glove
Place removed glove in dominant hand
Places blanket on flat surface, sizing the roll by folding the blanket to fit the size needed.
Places four cravats crosswise on one end of folded blanket; rolls blanket firmly, including cravats.
Places hands on either side of the patient’s head
Places one cravat around each shoulder
Places patient in a sitting position.
Places patient in supine position, with blanket roll under shoulder blades.
Positions hands underneath patient
Positions rolled blanket and cravats snugly in the axilla (armpit) of the dislocated shoulder.
Positions the lifters
Posterior S/C Dislocation Reduction
Pre-oxygenate patient prior to suctioning.
Prepares and applies splint, keeping movement of injured extremity to a minimum.
Prepares and position all of the equipment needed.
Prepares patient for transport, activates EMS.
Primary Assessment
Provides any necessary interventions related to airway/breathing
Provides interventions per protocols.
Pulls ends of sheet tight over pelvis
RPM
Re-evaluates patient, monitor vitals.
Readjusts occlusive dressing tape
Reassesses CMS after splint is applied.
Reassesses vital signs and primary assessment
Removes boot/shoe per local protocol.
Rescuer #1 applies traction to the wrist on affected side by pulling arm out and downward toward ground.
Rescuer #1 manually stabilizes the fracture site above and below the injury.
Rescuer #1 stabilizes injured area of leg/ankle
Rescuer #1 stabilizes the boot to be removed.
Rescuer #2 firmly grasps ankle hitch with one hand
Rescuer #2 gently removes boot by sliding heel away from foot
Rescuer #2 removes ski or snowboard if present and then applies the ankle hitch.
Rescuer #2 simultaneously places counter-traction on the other side of body by pulling on cravat tied around upper chest.
Rescuer #2 spreads the boot open.
Rescuer #2 stabilizes the boot/shoe or the ski/snowboard if the equipment is still in place.
Rescuer #2 unbuckles/unlaces the boot completely.
Rescuer #3 assesses CMS.
Rescuer #3 connects ankle strap if needed and turns crank/knob
Rescuer #3 positions the splint according to manufacturer’s directions and secures the groin strap around upper thigh.
Rescuer #3 prepares traction splint
Rescuers secure Velcro support straps or cravats.
Rotate the airway 180°.
SAR
SLUDGE
SOAP
START
Secondary Assessment
Secures patient to a backboard.
Secures second cravat around the patient’s waist.
Secures the object with the appropriate materials covering both eyes.
Secures the patient's knees and ankles with cravats, padding any voids.
Secures the patient to the backboard
Size the airway.
Sizes splint properly; uses pads as needed and positions splint.
Splinting a Lower Extremity Injury
Splints and stabilizes extremity with minimal movement.
Stabilizes hand and forearm on the blanket with the remaining two cravats.
Stabilizes the cervical spine if injury is trauma induced.
Ties cravats with square knots, ensuring that the shoulders are in normal position.
Ties sheet in overhand knot
Ties wide cravat around upper chest, under armpits.
Tightens cravats so that the position of the shoulders is the same as if the patientwere sitting normally
Traction Splinting
Transports patient and transfers to EMS personnel.
Treats for shock.
Treats for shock and maintains body temperature
Treats for shock/provides oxygen.
While helper holds blanket roll in place, ties one set of cravats over the opposite shoulder around the neck.
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