* Triage

* Treatment

* Transport

* Morgue

1. Head

2. Neck

3. Shoulders

4. Chest

5. Arms

6. Abdomen

7. Pelvis

8. Legs

9. Back

*Airway obstruction

* Excessive bleeding

* Shock

Rapid assessment

Rapid treatment

* Maintain proper hygiene

* Maintain proper sanitation

* Purify water (if necessary)

1. Wash hands frequently using soap and water

2. Wear latex gloves; change or disinfect after each patient

3. Wear a mask and goggles

4. Keep dressings sterile

5. Avoid contact with body fluids

* Control disposal of bacterial sources

* Put waste products in plastic bags, tie off, and mark as medical waste

* Bury human waste.

The site selected should be:

1. In a safe area

2. Close to (but upwind and uphill from) the hazard

3. Accessible by transportation vehicles

4. Expandable

* Bruising

* Swelling

* Severe pain

* Disfigurement

* Determines the extent of injuries and treatment

* Determines the type of treatment needed.

* Documents injuries.

* Cool the burned area

* Cover to reduce chance of infection

1. First-degree (superficial) burns First-degree burns affect only the epidermis, or outer layer of skin. The burn site is red, painful, dry, and with no blisters. Mild sunburn is an example. Long-term tissue damage is rare and usually consists of an increase or decrease in the skin color.

2. Second-degree (partial thickness) burns Second-degree burns involve the epidermis and part of the dermis layer of skin. The burn site appears red, blistered, and may be swollen and painful.

3. Third-degree (full thickness) burns Third-degree burns destroy the epidermis and dermis. Third-degree burns may also damage the underlying bones, muscles, and tendons. The burn site appears white or charred. There is no sensation in the area since the nerve endings are destroyed.

* Control bleeding

* Prevent secondary infection

* Clean wound—don’t scrub

* Apply dressing and bandage

1. In the absence of active bleeding, remove dressing and flush, check wound at least every 4-6 hours

2. If there is active bleeding, redress over existing dressing and maintain pressure and elevation

* Control bleeding

* Treat for shock

* Save tissue parts, wrapped in clean cloth

* Keep tissue cool

* Keep tissue with the victim

* Immobilize object and area

* Don’t move or remove object

* Control bleeding

* Clean and dress wound

* Wrap to prevent movement

* DO NOT draw exposed bones back into tissue

* DO NOT irrigate wound

* DO: Cover wound Splint fracture without disturbing wound

DO: Place a moist 4" x 4" dressing over bone end to prevent drying

* Tenderness at injury site

* Swelling and/or bruising

* Restricted use or loss of use

Treatment: Immobilize and elevate

1. Support the injured area

2. Splint injury in the position that you find it

3. Don’t try to realign bones

4. Check for color, warmth, and sensation

5. Immobilize above and below the injury

Causes:

* Blunt force

* Skull fracture

* Nontrauma-related conditions

Notes: 

* Blood loss can lead to shock.

* Victims may become nauseated and vomit if they swallow blood.

Primary signs and symptoms:

* A body temperature of 95o F (37o C)or less

* Redness or blueness of the skin

* Numbness accompanied by shivering

At later stages, hypothermia will be accompanied by: * Slurred speech

* Unpredictable behavior

* Listlessness