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The EMT, following this lecture should have an understanding of the basic concepts of energy and its effect on the human body; the general injury patterns associated with different types of impacts, falls, and penetrating trauma; and the basic application of laws of physics on the assessment of trauma patients. Students will also understand some common injury patterns to major body systems.

Knowledge Domains:

The EMT student should be able to define the terms: mechanism of injury (MOI), blunt trauma, and penetrating trauma. You should be able to explain the relationship of the MOI to potential energy, kinetic energy, and work. Describe the five types of motor vehicle crashes, the injury patterns associated with each one, and how each relates to the index of suspicion of life-threatening injuries. Discuss the three specific factors to consider during assessment of a patient who has been injured in a fall. Discuss the effects of high-, medium-, and low-velocity penetrating trauma on the body and how an understanding of each type helps EMTs form an index of suspicion about unseen life-threatening injuries. Discuss primary, secondary, tertiary, and miscellaneous blast injuries and the anticipated damage each one will cause to the body. Describe multisystem trauma and the special considerations that are required for patients who fit this category. Explain the major components of trauma patient assessment; include considerations related to whether the method of injury was significant or nonsignificant. Discuss the special assessment considerations related to a trauma patient who has injuries in each of the following areas: head, neck and throat, chest, and abdomen. Explain a general overview of multisystem trauma patient management and patient management in relation to scene time and transport selection. List the Association of Air Medical Services criteria for the appropriate use of emergency air medical services as well as talk about the American College of Surgeons’ Committee on Trauma classification of trauma centers. Last, explain, the American College of Surgeon’s Committee on Trauma and the Centers for Disease Control and Prevention field triage decision scheme as it relates to making an appropriate destination selection for a trauma patient.penetrating trauma.