FALLS

Protocol 17
By Adnan ahmed
Defination
To drop down from a height is
called Fall. It can be accidental
or even intentional.
 Risk Factors
 60% of falls occur at home.
 Fall rates are highest children age 0-4 years
and adults age 75 and older.
 At least one-third of all falls among older
people involve environmental hazards in the
home.
 Fall is one of the leading cause of trauma
(serious injury).
 Causes
 Accidental
 Dizziness
 Electrocaution/Lightning
 Fainted/Nearly Fainted
 Jumped
Key Questions
 How far did patient fall?
 What caused the fall?
Is there any Serious Bleeding?
 What part of the body is
injured?
When did this happen?
 The height of the victim from where he fall is
very impotant to know.

EXTREME FALL:
The patient has fallen from a distance of
30ft/10m or higher.

LONG FALL:
The patient has fallen from a distance of
 Adult/Child> 10-29ft (3-9m)
 Infant > 6-29ft (2-9m)
Un-conscious (Arrest) / Not Alert
Check Breathing
Maintain Airway
Do not move Head / Neck
Dangerous Body Area
 Abdomen
 Amputation (exculding finger/toe)
 Back
 Chest (breathing normally)
 Genitalia
 Head (alert)
 Leg, upper (obvious deformity)
 Neck (breathing normally)
Proximal Body Area
Arm, upper
 Collar (clavicle) bone
 Hip/Pelvis
 Knee
 Leg, lower (tibia)
 Leg, upper (without deformity)
 Shoulder
Distal Body Area
 Ankle
 Elbow
 Finger
 Foot
 Forearm
 Hand
 Toe
 Wrist
Worker are at great risk of fall
Serious Bleeding
Uncontrolled bleeding
(spurting/pouring) from any body
area is Serious Bleeding.
Suffixes
J = Jumper (suicide attempt)

G= On the Ground or Floor

Important Points
 Distance of the fall is very important.
 Not Alert with INEFFECTIVE BREATHING,
the EMD should Protect LIFE over Limb and
open the Airway.
Time is very of fall is very important (more
than 6 hours is Non-Recent)
 Ground level falls caused by
Fainting/Dizziness should be handled on
Protocol 31.
Spinal Injury
If Spinal injury in a breathing patient and PAI’s
are not necessary. EMD should encourage
not to move and stabilise patient’s head and
neck.
 Abnormal breathing
 Diving accident
 Extreme or Long fall
 Facial or Head injury
 Tingling sensation or numbess in Limbs
 Unconsciousness at a Trauma scene
18 OCT 2010 – 28 FEB 2011 (453)

Calls/Stations

11. PECHS 13

10. Baldia Town 37

9. Clifton 33

8. Site Area 13

7. North Nazimabad 36

6. North Karachi 44

5. Gulberg 48

3. Korangi 77

2. Bin Qasim 75

1. Malir 77
18 OCT 2010 – 28 FEB 2011 (453)

Shifting Wise

223 196
0
3 19 12
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i ta sp e rr
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Ho m o d si d s f e
Ho
2. .H a a n
1.
3
. Ro y T
4 a d
Al re
5 .
18 OCT 2010 – 28 FEB 2011 (453)

Category Wise

15
101 148
D (Delta)
B (Bravo)
A (Alpha)
O (Omega)

189
18 OCT 2010 – 28 FEB 2011 (453)

Gender Wise

104

1. Male
223
2. Female
3. Children

126
Thank You
FOR YOUR
PATIENCE