R1 MTP Intro_HemControl03172016
- 2. This introduction to the Region 1 Mass Trauma Pack is intended to provide information about a resources available to Region 1 agencies and communities for incidents or events that may require supplies beyond what is currently available. Neither the R1 Mass Trauma Packs or this introduction are intended to expand the scope or the capabilities of any agency or community. Personnel must work within Sponsor Hospital Guidelines along with their agency standard operating procedures and/or guidelines and community unified response plans.
- 3. Bolster R1 EMS agency capabilities and provider skill-sets when the need for aggressive bleeding control and rapid intervention/movement is dictated by scene dynamics.
- 4. The reality is there has been an increasing number of dynamic incidents in the U.S. and abroad. EMS providers & first responders are being challenged on a regular basis to respond to these events. The traditional model of assessment, intervention & transport is not conducive to the number and types of injuries produced at these events. Equipment needs may exceed resources very quickly The injury patterns of long guns vs. hand guns is remarkably more devastating EMS must better prepare and equip to respond.
- 5. The Committee for Tactical Emergency Casualty Care (C-TECC) uses the acronym TH.R.E.A.T. THreat suppression Hemorrhage control Rapid Extrication to safety Assessment by EMS Transport to definitive care
- 6. Hand Gun v. Long Gun Injury Patterns
- 7. Tourniquets Wound care (4x4s, trauma dressings, kerlex/kling) Occlusive Dressings Blankets Stretchers/Long Boards/Scoops/Reeves
- 8. Tourniquets Military Dressings Chest Seals Mylar Blankets Rapid Extrication Devices
- 9. 40 CAT Tourniquets 20 Chest Seals 20 Military Style Dressings 10 Mylar Blankets 2 Foxtrot Litters Trauma Shears 8th = Training and Event Pack
- 10. Back in vogue May be used FIRST line in hemorrhage control Arterial bleeding may cause exsanguination in 3 minutes if left uncontrolled
- 12. Non-life-threatening bleeding should be left until the secondary treatment area. Apply without delay if indicated. Apply at least 2-3 inches above bleeding site Do not apply over a joint Tighten until bleeding is controlled If bleeding continues, add a 2nd TQ proximal to the first
- 13. For use when TQs are contraindicated Neck/Head Torso/Abdomen Groin Do not use for minor wounds or controlled bleeding
- 14. For use on patients with sucking chest wounds, Pneumo/Tension-Pneumothorax
- 16. An open chest wound results from intrusions into the chest wall Apply occlusive dressings (or HyFin vent) to all penetrating wounds between the neck & navel Apply an occlusive during expiration If conscious & practical, place patient in a sitting position.
- 17. Treat for shock Maintain body temperature
- 18. FoxTrot Litter Rapid deployment Easy to use with limited manpower
- 19. Be Alert/Be Safe Consider Secondary Hazards or Threats Operate within Unified Command Identify safe work areas for EMS Responders Call for Resources Control Bleeding Aggressively Time = LIFE
Editor's Notes
- #5: NOTE: Even agencies and personnel who have a great deal of experience with shootings will be challenged when faced with shooting victims where long guns are utilized. The wound patterns tend to be much more dramatic and devastating.
- #7: Traditionally EMS has dealt with shootings inflicted primarily using hand guns… During shooting events where long guns are utilized the wound patterns tend to be much more dramatic and devastating.
- #10: Rapid resource deployment to support EMS providers at events that may require a large amount of supplies for hemorrhage control Purchase by the Southwest Regional EMS Advisory Council Being deployed to agencies in communities that have identified high risk potential for dynamic trauma incidents (Malls, hospitals, college campuses & mega-employers) The agency must be able to deploy the pack without delay 24/7 and agrees to respond to other requesting communities with the MTP to support their response. MTPs are standardized in their contents MTPs are to supplement the community’s capabilities, not be a first-line resource
- #21: Questions? Comments? Proclaimations?
- #22: Questions? Comments? Proclaimations?
- #23: Questions? Comments? Proclaimations?
- #24: Questions? Comments? Proclaimations?