đ 1RĂP/TRAU. 3 Traumatisme
đ 1RESP/TRAU. 3 Isolated Extremity Trauma (PR-2, 3)
đ Contenu du Protocole
1. Se rĂ©fĂ©rer au protocole dâapproche clinique prĂ©hospitaliĂšre en traumatologie.
2. Si prĂ©sence dâhĂ©morragie, se rĂ©fĂ©rer au protocole 1RĂP/TECH. 2 (ContrĂŽle dâhĂ©morragie);
3. VĂ©rifier les fonctions neurovasculaires distales Ă la blessure avant lâimmobilisation.
4. Enlever les bijoux ou les vĂȘtements du membre blessĂ© (seulement si faciles Ă retirer).
5. Couvrir les blessures ouvertes avec des pansements stĂ©riles secs selon la technique 1RĂP/TECH. 2
(ContrĂŽle dâhĂ©morragie).
6. Immobiliser en position trouvée en incluant les articulations proximales et distales à la blessure.
7. RĂ©pĂ©ter la vĂ©rification des fonctions neurovasculaires distales Ă la blessure aprĂšs lâimmobilisation. Si
absence de pouls distal, transmettre lâinformation aux techniciens ambulanciers paramĂ©dics.
8. Poursuivre le protocole 1RĂP/ACP.TRAU. (Approche clinique prĂ©hospitaliĂšre en traumatologie).
9. Ă lâarrivĂ©e des techniciens ambulanciers paramĂ©dics, leur transmettre lâinformation pertinente et
effectuer le transfert de responsabilités.
Remarques :
La vérification des fonctions neurovasculaires comprend : motricité, sensibilité, pouls, coloration et température.
Les priorités de réanimation du patient polytraumatisé ont toujours préséance sur le traitement spécifique. Se
référer au protocole approprié.
ProblĂšmes traumatiques â Traumatisme isolĂ© des extrĂ©mitĂ©s 1
PROTOCOLE DâAPPROCHE CLINIQUE EN TRAUMATOLOGIE 1 REP/ACP.TRAU.
PRĂSENCE OUI
PROTOCOLE 1 RĂP/TECH. 2
D'HĂMORRAGIE
NON
ENLEVER LES BIJOUX OU LES
VĂTEMENTS DU MEMBRE BLESSĂ SI
FACILE Ă RETIRER
COUVRIR AVEC DES
BLESSURE OUI PANSEMENTS STĂRILES SECS
OUVERTE SELON 1RĂP/TECH. 2
NON
VĂRIFIER LES FONCTIONS NEUROVASCULAIRES DISTALES Ă LA BLESSURE
IMMOBILISER EN POSITION TROUVĂE EN INCLUANT LES ARTICULATIONS
PROXIMALES ET DISTALES Ă LA BLESSURE
VĂRIFIER LES FONCTIONS NEUROVASCULAIRES DISTALES Ă LA BLESSURES
APRĂS LâIMMOBILISATION. SI ABSENCE DE POULS DISTAL, TRANSMETTRE
LâINFORMATION AUX TECHNICIENS AMBULANCIERS-PARAMĂDICS
POURSUIVRE LE PROTOCOLE D'APPROCHE CLINIQUE EN TRAUMATOLOGIE
1RĂP/ACP.TRAU
Ă LâARRIVĂE DES TECHNICIENS AMBULANCIERS-PARAMĂDICS, LEUR
TRANSMETTRE LâINFORMATION PERTINENTE ET EFFECTUER LE TRANSFERT DE
RESPONSABILITĂS
ProblĂšmes traumatiques â Traumatisme isolĂ© des extrĂ©mitĂ©s
1RĂP/TRAU. 3
đ Protocol Content
1. Refer to the prehospital trauma clinical approach
INFORMATION FOR AMBULANCE-PARAMEDIC TECHNICIANS
CONTINUE THE CLINICAL APPROACH PROTOCOL IN TRAUMA
1RESP/ACP.TRAU
UPON THE ARRIVAL OF THE AMBULANCE-PARAMEDIC TECHNICIANS, THEIR
TRANSMIT RELEVANT INFORMATION AND CARRY OUT THE TRANSFER OF
RESPONSIBILITIES
Traumatic Problems â Isolated Extremity Trauma
1REP/TRAU. 3
protocol.
2. If hemorrhage is present, refer to the 1RESP/TECH protocol. 2 (Hemorrhage control);
3. Check neurovascular functions distal to the injury before immobilization.
4. Remove jewelry or clothing from the injured limb (only if easy to remove).
5. Cover open wounds with dry sterile dressings using the 1RESP/TECH technique. 2
(Hemorrhage control).
6. Immobilize in the position found including the joints proximal and distal to the injury.
7. Repeat checking neurovascular functions distal to the injury after immobilization. If
absence of distal pulse, transmit information to paramedic ambulance technicians.
8. Continue the 1RESP/ACP.TRAU protocol. (Prehospital clinical approach in traumatology).
9. When paramedic ambulance technicians arrive, provide them with relevant information and
carry out the transfer of responsibilities.
Notes:
Checking neurovascular functions includes: motor skills, sensitivity, pulse, coloring and temperature.
The resuscitation priorities of the polytraumatized patient always take precedence over the specific treatment. Se
refer to the appropriate protocol.
Traumatic problems â Isolated extremity trauma 1
CLINICAL APPROACH PROTOCOL IN TRAUMATOLOGY 1 REP/ACP.TRAU.
PRESENCE YES
PROTOCOL 1 REP/TECH. 2
HEMORRHAGE
NO
REMOVE JEWELRY OR
CLOTHING OF THE INJURED MEMBER IF
EASY TO REMOVE
COVER WITH
WOUND YES DRY STERILE DRESSINGS
OPEN ACCORDING TO 1RESP/TECH. 2
NO
CHECK NEUROVASCULAR FUNCTIONS DISTAL TO THE INJURY
IMMOBILIZE IN FOUND POSITION INCLUDING THE JOINTS
PROXIMAL AND DISTAL TO THE INJURY
CHECK NEUROVASCULAR FUNCTIONS DISTAL TO THE INJURY
AFTER IMMOBILIZATION. IF ABSENCE OF DISTAL PULSE, TRANSMIT