• Physical injury caused by external forces or violence is defined as trauma • Major healthcare and economic concern because of the loss of life, the societal burden in terms of lost productivit... y and increased disability of injured persons, as well as the consumption of healthcare resources • Injury prevention is key to trauma care • A model trauma system provides an organized approach to trauma care • Includes components of prevention, rapid access, acute hospital care, rehabilitation, and research activities • Four levels of certification • GOAL: provide comprehensive processesto deliver optimal care through an established trauma system network that matches a patient’s medical needs to the level of trauma hospital with the resources necessary to provide the best possible care for the type and severity of traumatic injury • *Primary Prevention: Prevent the event: Driving safety classes, speed limits, campaigns to not drink and drive • *Secondary Prevention: Minimize the impact of the traumatic event: Seatbelt use, airbags, car seats, and helmets • *Tertiary Prevention examples: Maximize patient outcomes after a traumatic event: Emergency response system, medical care, and rehabilitation • Thisfirst hour of emergent care, the “golden hour,” focuses on rapid assessment, resuscitation, and treatment of life-threatening injuries • Within 1 st hour of trauma, not from when they get to you • Hypovolemic shock kills in trauma: STOP the bleeding • Triage means sorting the patients to determine which patients need specialized care for actual or potential injuries. • Triage decisions are often made by prehospital personnel based on knowledge of the mechanisms of injury and rapid assessment of the patient’s clinical status • The ultimate goal of any EMS system is to get the patient to the right level of hospital care in the shortest span of time to o........................................................................................Continued [Show More]
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