I must admit, I am not going about the study thing very well, its not my full time job, so I study on the side. I just finished the Chapter on Head trauma, which is pretty long in comparison to other chapters there. Epidural hematomas, subdural hematomas how to tell the two apart.How to treat etc.
Just mentioning the challenges, not asking for someone to explain that.Thats what I am reading PHTLS for [/edit]
Decerebrate versus decorticate positioning sp?. Anyone ever seen a PT in this position?
Rosbach, where are you situated, EU or CONUS?
Last edited by dacanadianbomb; 05-03-2012 at 04:28 AM.
Secure the X.
Get off the effing X.
I know I'm digging this up but I was just reading through the pages of this thread and thought I would address the acronym MARCH. Everything was correct except the "H" usually refers to "Hypothermia" as most head trauma that is treatable during Tactical Field Care is superficial. The head is extremely vascular and will bleed profusely but not to the degree that it endangers the pt. Most even stops on its own. On the other hand, hypothermia will kill your pt if not taken care of. It effects the body's cardiovascular and clotting abilities.
*EDIT- Just realized "get off the effing X" was the last step. Do that before attending to Airway, etc.
Last edited by Ace 227; 09-29-2012 at 11:13 PM.
Depending on how you come across the casualty. MARCH is a quick acronym for Tactical Field Care which would be after the pt is off the "X", which would be the point of wounding. In the military, we would achieve fire superiority, approach the casualty, address any immediate, life-threatening hemorrhage, then move them to a safe/safer location. Once at this location, MARCH would come in to play as you have time to work. In a LEO/Civilian approach to trauma, as long as you aren't being shot at, MARCH works.