#Sizeup details software#

You and the victims may be in danger from bystanders. Do not approach the scene if you see that law enforcement personnel are in defensive positions or have their weapons drawn. Wait for law enforcement, not only for your own safety and the safety of victims, but also to help preserve evidence. Do not approach a known crime scene if law enforcement personnel are not present.

Be alert for persons fleeing the scene, for persons attempting to conceal themselves, and for persons who are armed or who make threatening statements or gestures. Danger may exist even after a crime has been committed.

Be aware of the machinery present as well as manure pits or ponds. Livestock also can pose hazards to emergency care providers. Silos are confined spaces and should not be entered without proper equipment and training. You should never enter such areas without proper training, safety equipment, and appropriate backup support. Is there danger from fire or toxic substances? Is there danger of electrocution? Are unstable surfaces or structures present such as ice, water, a slope, or buildings in danger of collapse? Areas with potential for low oxygen levels or toxic chemical levels (sewers, ship holds, silos, and so on) should never be entered until you have the proper protective equipment and breathing apparatus. Perform a “windshield survey” before leaving your response vehicle. Next, determine if it is safe to approach the patient. In some situations you should not enter the scene until it has been cleared by fire personnel, law enforcement, or hazmat technicians. You would like the vehicle as close to the scene as possible, and yet it must be far enough away for you to be safe while you are performing the scene size-up. Your first decision is to determine the nearest safe place to park the ambulance or rescue vehicle. Remember to protect your patient from body fluid contamination by changing your gloves between patients.īegin sizing up the scene for hazards as you approach it in your vehicle. In a toxic environment, chemical suits and gas masks may be needed. In highly contaminated situations, impervious gowns with mask or face shield may be needed as well. It is wise for the emergency care provider in charge of airway management to don a face shield or eye protection and mask. Protective gloves are always needed, and many situations will require eye protection. Personal protective equipment (PPE) is necessary at trauma scenes. Not only are trauma patients often bloody, but they also frequently require airway management under adverse conditions. The subject of OPIM will be covered in more detail in Chapter 22. Trauma scenes are among the most likely to subject the emergency care provider to contamination by blood or other potentially infectious material (OPIM). Wearing gloves, frequently requires a face shield, and To infectious agents includes treating each patient and To protect themselves and their patient from exposure Standard precautions: steps each health-care worker takes Initial assessment, and either the rapid trauma survey or the

ITLS Primary Survey: a brief exam to find immediately It is the initial step in the ITLS Primary Survey. Scene size-up: observations made and actions taken at a trauma scene before actually approaching the patient. Specifically, this post consists of excerpts from Chapter 1, Scene Size-up, pp 2 – 27.

International Trauma Life Support Home Page.

This post contains excerpts from International Trauma Life Support For Emergency Care Providers Provider Manual, 2016*.

#Sizeup details software#

And that is because the excellent built-in search function of the content management software makes it easy to find my notes on any topic when I want to review them. Placing my notes online makes makes them available to me anywhere. This blog is basically my study notes and my peripheral brain.

It was an excellent course and I believe that any clinician interested in trauma care will benefit from it. I recently completed the International Trauma Life Support Course (ITLS) at IU Health Methodist Hospital in Indianapolis.