Notes
Slide Show
Outline
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Mechanism of Injury
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High-risk Mechanisms
  • Ejection from a vehicle
  • Same passenger compartment where another died
  • Fall of more than 20 feet
    • Greater than 10 feet (or twice patient’s height)
      for infants & children
  • Vehicle roll-over
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High-risk Mechanisms continued
  • High-speed collision
  • Vehicle-pedestrian collision
  • Motorcycle crash
  • Unresponsive or altered mental status
  • Penetrating trauma to head, chest
    or abdomen
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Motor Vehicle Collisions
  • Head-on or frontal impact
    • Down and under
    • Up and over
  • Rear impact
  • Lateral or side impact
  • Rollover
  • Rotational impact
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Other Collisions
  • Motorcycle
    • Head-on collision
    • Angular-impact collision
    • Ejection-impact collision
  • Vehicle-pedestrian
    • Adult
    • Pediatric
  • Falls
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Categories of Energy Capacity
  • Low-energy weapons
    • Knife, ice pick
  • Medium-energy weapons
    • Handgun, bow and arrow
  • High-energy weapons
    • Assault weapons, hunting rifles
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Evaluating Patients with Serious Injuries or Mechanisms of Injury
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Perform rapid trauma assessment of:
  • Unresponsive patients
  • Trauma with significant mechanism
  • Multi-system trauma
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DCAP – BTLS - TIC Acronym
  • D- Deformities
  • C- contusions
  • A- abrasions
  • P- penetrations or punctures


  • B- burns
  • T- tenderness
  • L- lacerations
  • S- swelling


  • T-tenderness
  • I - instability
  • C- Crepitus
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Evaluating Patients with No Significant Mechanism of Injury
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