Lesson 01

Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc.

Prehospital Trauma Life SupportPrehospital Trauma Life Support

Developed by theDeveloped by theNational Association of EMTs (NAEMT)National Association of EMTs (NAEMT)

In cooperation withIn cooperation withThe Committee on Trauma, The Committee on Trauma,

American College of Surgeons American College of Surgeons (COT-ACS)(COT-ACS)

NAEMTNAEMT MOSBY MOSBY

Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Slide 2

Lesson 1Lesson 1

Introduction Introduction and Overviewand Overview


ObjectivesObjectives

As a result of active participation in this As a result of active participation in this lesson you should be able to:lesson you should be able to: Recognize the seriousness of traumatic injury as Recognize the seriousness of traumatic injury as

a disease, globally and within your own a disease, globally and within your own communitycommunity

Explain the history and purpose of PHTLSExplain the history and purpose of PHTLS Discuss the responder’s role and responsibilities Discuss the responder’s role and responsibilities

in trauma management and injury preventionin trauma management and injury prevention


Accident vs. Disease Accident vs. Disease Is perspective important?Is perspective important?

Injury: being hurt or Injury: being hurt or killedkilled

Trauma: inflicted Trauma: inflicted wounds or injurywounds or injury

Accident: an event that Accident: an event that is unforeseen or without is unforeseen or without apparent causeapparent cause

Disease: an unhealthy Disease: an unhealthy conditioncondition, illness, or , illness, or disorderdisorder


Traumatic Injury in the U.S.Traumatic Injury in the U.S.

Leading cause of death in persons ages 1 to Leading cause of death in persons ages 1 to 44 years 44 years

Three times more Americans die from trauma Three times more Americans die from trauma each year than died in the entire Vietnam wareach year than died in the entire Vietnam war

Only in the fifth decade of life do cancer and Only in the fifth decade of life do cancer and heart disease compare with trauma as heart disease compare with trauma as leading causes of deathleading causes of death

80% of teenage deaths and 60% of 80% of teenage deaths and 60% of

childhood deaths result from traumachildhood deaths result from trauma


Traumatic Injury WorldwideTraumatic Injury Worldwide

WHO Statistics (2000)WHO Statistics (2000) 5 million people died from 5 million people died from

injuriesinjuries Mortality rate: 83.7/100,000 Mortality rate: 83.7/100,000

populationpopulation 9% of world deaths9% of world deaths 12% of world burden of 12% of world burden of

diseasedisease 90% of world injury deaths 90% of world injury deaths

occur in low- and middle-occur in low- and middle-income countriesincome countries

Road traffic injury is the Road traffic injury is the leading cause leading cause of injury-related deaths of injury-related deaths


Traumatic Injury WorldwideTraumatic Injury WorldwideWHO Statistics (2000) WHO Statistics (2000)

Injury mortality among men is twice that among Injury mortality among men is twice that among womenwomen

In some regions mortality rates for suicide and In some regions mortality rates for suicide and burns in females are as high or even higher than burns in females are as high or even higher than in malesin males

Young people between 15 and 44 years account Young people between 15 and 44 years account for almost 50% of injury-related mortalityfor almost 50% of injury-related mortality

Children under 5 years account for 25%Children under 5 years account for 25%of drowning deaths and 15% of of drowning deaths and 15% of fire-related deaths fire-related deaths


Global Injury Control InitiativesGlobal Injury Control Initiatives Injury prevention programsInjury prevention programs Creation of safe Creation of safe

environmentsenvironments Public policy and legislation Public policy and legislation Funding Funding Enabling public access to Enabling public access to

datadata Networks to sustain and Networks to sustain and

promote programspromote programs Enabling and promoting Enabling and promoting

researchresearch Ensuring optimal Ensuring optimal

emergency response, emergency response, acute care, and acute care, and rehabilitation rehabilitation

How is your EMS service How is your EMS service participating?participating?


Global Injury Control InitiativesGlobal Injury Control Initiatives AustraliaAustralia

National Injury Prevention Plan: Priorities for 2001-2003 National Injury Prevention Plan: Priorities for 2001-2003 and the Implementation Planand the Implementation Plan

CanadaCanada A Safer Canada (year 2000): Injury Control Objectives A Safer Canada (year 2000): Injury Control Objectives

for Canadafor Canada United KingdomUnited Kingdom

Preventing Accidental Injury: Priorities for ActionPreventing Accidental Injury: Priorities for Action United StatesUnited States

Healthy People 2010Healthy People 2010 DOD: Injury/Occupational Illness, DOD: Injury/Occupational Illness,

Prevention, Practices, and InitiativesPrevention, Practices, and Initiatives World Health OrganizationWorld Health Organization


By participating in this PHTLS Provider program By participating in this PHTLS Provider program and using what you learn here in your own and using what you learn here in your own practice, you will be contributing to the success practice, you will be contributing to the success of global injury control initiative programs by of global injury control initiative programs by decreasing death rates and minimizing disability.decreasing death rates and minimizing disability.

Global Injury Control InitiativesGlobal Injury Control Initiatives


The History of PHTLSThe History of PHTLS

Based on the ATLS Program (ACS)Based on the ATLS Program (ACS) Developed in response to the need for Developed in response to the need for

improved prehospital trauma careimproved prehospital trauma care Pilot courses held in 1983Pilot courses held in 1983 Now offered in 33 countriesNow offered in 33 countries The fifth edition text is published in severalThe fifth edition text is published in several

languageslanguages


What Is PHTLS?What Is PHTLS?

Continuing education programContinuing education program Builds on participants’ base knowledge and Builds on participants’ base knowledge and

skillsskills Focuses on critical thinking and problem Focuses on critical thinking and problem

solving skillssolving skills Promotes teamworkPromotes teamwork


What Is PHTLS? What Is PHTLS?

Provides a “safe” skills Provides a “safe” skills practice environmentpractice environment

Contributes to life-long Contributes to life-long learning and learning and professional professional developmentdevelopment

Provides foundations of Provides foundations of understandingunderstanding

Uses principles, not Uses principles, not protocolsprotocols

Based on science Based on science (research)(research)


Course Agenda–Day 1Course Agenda–Day 1

15 minutes15 minutes Course Introduction and OverviewCourse Introduction and Overview

45 minutes45 minutes BaselinesBaselines

20 minutes20 minutes Lessons LearnedLessons Learned

10 minutes10 minutes BreakBreak

60 minutes60 minutes KinematicsKinematics

45 minutes45 minutes Principles of Assessment and ManagementPrinciples of Assessment and Management

50 minutes50 minutes Airway, Oxygenation, and Ventilation Airway, Oxygenation, and Ventilation

45 minutes45 minutes LunchLunch

45 minutes45 minutes Central Nervous SystemCentral Nervous System

3 hours, 20 3 hours, 20 minutesminutes

Skill–Teaching StationsSkill–Teaching Stations


Course Agenda–Day 2Course Agenda–Day 2

55 minutes55 minutes Shock: A Multisystem ApproachShock: A Multisystem Approach

45 minutes45 minutes Thoracic TraumaThoracic Trauma

30 minutes30 minutes Thermal TraumaThermal Trauma


45 minutes45 minutes Special Considerations: Elderly, Pediatric, and Special Considerations: Elderly, Pediatric, and Pregnant PatientsPregnant Patients

90 minutes90 minutes Skill–Teaching StationsSkill–Teaching Stations


20 minutes20 minutes Golden PrinciplesGolden Principles

3 hours3 hours Final EvaluationsFinal Evaluations


Alternative Course Agenda–Day 1Alternative Course Agenda–Day 1

15 minutes15 minutes Course Introduction and OverviewCourse Introduction and Overview

20 minutes20 minutes Lessons LearnedLessons Learned

60 minutes60 minutes KinematicsKinematics


45 minutes45 minutes Principles of Assessment and ManagementPrinciples of Assessment and Management

50 minutes50 minutes Airway, Oxygenation, and VentilationAirway, Oxygenation, and Ventilation

45 minutes45 minutes Central Nervous SystemsCentral Nervous Systems


45 minutes45 minutes BaselinesBaselines

3 hours 20 3 hours 20 minutesminutes

Skill–Teaching StationsSkill–Teaching Stations


Alternative Course Agenda–Day 2Alternative Course Agenda–Day 2

55 minutes55 minutes Shock: A Multisystems ApproachShock: A Multisystems Approach

45 minutes45 minutes Thoracic TraumaThoracic Trauma

30 minutes30 minutes Thermal TraumaThermal Trauma


45 minutes45 minutes Special Considerations: Elderly, Pediatric and Special Considerations: Elderly, Pediatric and Pregnant PatientsPregnant Patients

90 minutes 90 minutes Skill-Teaching StationsSkill-Teaching Stations


20 minutes20 minutes Golden PrinciplesGolden Principles

3 hours3 hours Final EvaluationsFinal Evaluations


Continued InvolvementContinued Involvement

Other opportunities to contribute to global Other opportunities to contribute to global trauma caretrauma care Become a PHTLS InstructorBecome a PHTLS Instructor PreventionPrevention

• Embrace it within your own lifeEmbrace it within your own life——modelingmodeling

• Actively teach it within your communityActively teach it within your community

Engage in researchEngage in research


QUESTIONS?

Lesson 01

Education

Transcript of Lesson 01