7

Case 7




Questions






7.1 For each of the devices illustrated, outline briefly how they are used.


7.2 What are the benefits and limitations of each device in the management of pre-hospital trauma?


7.3 How will you utilise this equipment in the management of this case? You may select all, none or some of the equipment available. Are any pieces of equipment contraindicated?


Discussion



7.1. Extrication board


Used for removing patients from confined or difficult access areas. Frequently used for facilitating extrication from a motor vehicle (rear, vertical or seated rotation and side door egress) by sliding the patient onto the device. This piece of equipment is also useful, with the patient supine upon it, in extrication over uneven or rough terrain such as through tunnels or collapsed structures where lighter devices (i.e. Sked or Chrysalis rescue stretchers) are not available.


Pelvic splint


Applied when there is a confirmed or suspected pelvic fracture. Requires planning for application (i.e. at the time of patient packaging) and must be placed in alignment with the greater trochanter on each side. Many pelvic splints are single use and have a force/tension measurement capacity.



Intraosseous access device


Used to assist the placement of an intraosseous (IO) cannula by providing battery- powered high-speed drilling of bevelled, hollow drill-tipped needles. Provides secure, controlled vascular access via the IO route to patients of all ages in emergency situations when vascular access is challenging or impossible. The intraosseous space allows drugs and fluids to reach the central circulation as IO vascular flow continues even in shocked states.

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Jul 12, 2016 | Posted by in EMERGENCY MEDICINE | Comments Off on 7

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