STANDARD COMPETENCIES:

 Upon completion of this course the participant will be able to:

 • Identify and categorize trauma patients

 • Assess the trauma patient for the following conditions:

        a. Uncontrolled bleeding

        b. Thoracic trauma

        c. Abdominal and Genitourinary trauma

        d. Musculoskeletal trauma

        e. Soft tissue trauma

        f. Head, facial, and neck trauma

        g. Traumatic brain injury

        h. Traumatic and nontraumatic spinal trauma

         i. Environmental related conditions

        j. Multi-systems trauma

 • Integrate mechanism of injury, physical exam findings, history findings, and pathophysiology when assessing and treating the trauma patient

 • Formulate an appropriate treatment and transport plan for the trauma patient

 • Manage bleeding and shock using appropriate fluid resuscitation

 • Demonstrate bleeding control, bandaging, splinting and spinal immobilization

 • Recognize special consideration for assessing and treating trauma in special patient populations

 TOPICAL OUTLINE:

 

 I. Trauma Systems and Mechanism of Injury

        a. Incidence and scope of traumatic injuries and death

        b. Levels of trauma centers

        c. Kinematics

        d. Injury patterns

        e. Injury prevention

        f. Triage

        g. Incidence Command system

        h. Time management

 II. Bleeding and Shock

        a. Incidence, morbidity, and mortality of bleeding

        b. External bleeding/internal bleeding

        c. Control of external bleeding

       d. Fluid resuscitation

 III. Thoracic Trauma

        a. Incidence, morbidity, and mortality of thoracic trauma

        b. Anatomy and physiology of the thoracic organs and structures

        c. Mechanism of injury associated with thoracic injuries

        d. Types of thoracic injuries

        e. Assessment and management of thoracic injuries

 IV. Abdominal and genitourinary trauma

        a. Incidence, morbidity, and mortality of abdominal and genitourinary trauma

        b. Anatomy and physiology of the abdominal organs and structures

        c. Mechanism of injury associated with abdominal and genitourinary trauma

        d. Pathophysiology of abdominal and genitourinary injuries

        e. Assessment and management of  abdominal and genitourinary injuries

 V. Musculoskeletal trauma

        a. Incidence, morbidity, and mortality of musculoskeletal trauma

        b. Anatomy and physiology of the musculoskeletal system

        c. Mechanism of injury associated with musculoskeletal trauma

        d. Types of musculoskeletal injuries

        e. Pathophysiology of musculoskeletal injuries

        f. Assessment and management of musculoskeletal injuries

        g. Application of splints

 VI. Soft tissue trauma

        a. Incidence, morbidity, and mortality of soft tissue trauma and burns

        b. Anatomy and physiology of the skin and joints

        c. Mechanism of injury associated with musculoskeletal trauma and burns

        d. Types of musculoskeletal injuries and burns

        e. Pathophysiology of soft tissue injuries and burns

        f. Assessment and management of soft tissue injuries and burns

        g. Application of dressing and bandaging soft tissue injuries and burns

 VII. Head, neck and facial trauma

        a. Incidence, morbidity, and mortality of head, neck and facial trauma

        b. Anatomy and physiology of the head, neck and face

        c. Pathophysiology of head and brain injuries

        d. Anatomy and related physiology of the central nervous system

        e. Mechanism of injury associated with head, neck and facial injuries

        f. Types of head, neck and facial injuries

        g. Assessment and management of head, neck and facial injuries

        h. Removal of helmet

 VIII. Traumatic brain injury

        a. Incidence, morbidity and mortality of brain trauma

        b. Anatomy and physiology of the brain and skull

        c. Mechanism of injury associated with brain trauma

        d. Types of brain injuries

        e. Pathophysiology of brain injuries

        f. Assessment and management of brain injuries

 IX. Traumatic and nontraumatic spinal injuries

        a. Incidence, morbidity and mortality of spinal trauma

        b. Anatomy and physiology of the spine

        c. Mechanism of injury associated with spinal trauma

        d. Types of spinal injuries

        e. Pathophysiology of spinal injuries

        f. Assessment of traumatic and nontraumatic injuries with assessment and history

        g. Assessment and management of spinal injuries

        h. Spinal immobilization

 X. Environmental related conditions

        a. Incidence, morbidity and mortality of environmental illness or injury

        b. Define environmental illnesses and conditions

        c. Risk factors associated with environmental emergencies

        d. Preexisting illness complications

        e. Environmental conditions

        f. Types of environmental illnesses

        g. Body temperatures

        h. Compensatory mechanisms for temperature regulation

        i. Pathophysiology for heat ,cold, and altitude illnesses

        j. Pathophysiology of drowning, diving injuries, altitude illness

        k. Assessment and management of environmental illnesses and injuries

 XI. Multi-systems Trauma

        a. Incidence, morbidity and mortality of multi-systems trauma

        b. Define multi-system trauma

        c. Mechanism of injury associated with multi-systems trauma

        d. Assessment  and management of multi-systems trauma