Evergreen Fire EMT CE Refresher Trauma Overview Bleeding and soft tissue injuries Feb 12, 2026
After students complete this chapter and the related course work, they will 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 begin to demonstrate critical thinking in making predictions of injuries and adjusting index of suspicion based on the analysis of evidence gathered in scene size-up simulations. Students will also understand some common injury patterns to major body systems.
After students complete this chapter and the related course work, they will understand the structure and function of the circulatory system, the significance and characteristics of bleeding, the importance of personal protective equipment when treating a bleeding patient, the characteristics of external and internal bleeding, how to conduct a patient assessment, and methodologies for controlling bleeding.
After students complete this chapter and the related course work, they will have an understanding of types of open and closed soft-tissue injuries; how to care for soft-tissue injuries, including the use of dressings and bandages; and the assessment and care of different types of burns, including thermal, chemical, and electrical burns.
Target Audience
Evergreen EMS providers
Learning Objectives
1. Define the terms mechanism of injury (MOI), blunt trauma, and penetrating trauma. (pp 901, 904)
2. Explain the relationship of the MOI to potential energy, kinetic energy, and work. (pp 901–902)
3. Provide examples of the MOI that would cause blunt and penetrating trauma to occur. (pp 904–915)
4. 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. (pp 904–911)
5. Discuss the three specific factors to consider during assessment of a patient who has been injured in a fall, plus additional considerations for pediatric and geriatric patients. (pp 912–913)
6. 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. (pp 913–915)
1. Describe the general structure of the circulatory system and the function of it
different parts, including the heart, arteries, veins, and capillaries. (pp 934–937)
2. Explain the significance of bleeding caused by blunt force trauma, including the
importance of perfusion. (pp 937–941)
3. Discuss hypovolemic shock as a result of bleeding, including the signs of shock.
4. Explain the importance of following standard precautions when treating a patient with external bleeding. (p 938)
5. Describe the characteristics of external bleeding, including the identification of the
following types of bleeding: arterial, venous, and capillary. (pp 938–940)
6. Explain how to determine the nature of the illness (NOI) for internal bleeding,
including identifying possible traumatic and nontraumatic sources. (p 940)
7. Identify the signs and symptoms of internal bleeding. (pp 940–941
1. Describe the anatomy of the skin; include the layers of the skin. (pp 962–964)
2. Know the major functions of the skin. (p 964)
3. Name the three types of soft-tissue injuries. (p 964)
4. Describe the types of closed soft-tissue injuries. (pp 965–966)
5. Describe the types of open soft-tissue injuries. (pp 966–970)
6. Explain patient assessment of closed and open injuries. (pp 970–976)
7. Explain patient assessment of closed and open injuries in relation to airway management. (pp 971–973)
8. Explain the emergency medical care for closed and open injuries. (pp 976–977)
Primary Instructors
Annie Dorchak, Course Coordinator, completed CO EMS edu admin class & EMS Primary Instructor, EMS Capt.
Quatro (Dorrence) Roderick - unknown if completed CO EMS edu admin class, EMS Primary instructor, EMS Capt.
Sarah Provins - EMS Primary instructor, Paramedic/Community Paramedic
Julian Masnicki - EMS Primary instructor, Paramedic
Tony Shepperdson - EMS Primary instructor, Paramedic
EMS Continuing Education approved by the State of Colorado through Common Spirit Prehospital Services Training Center and Group # CO 039 (SAH), #CO 040 (PSF)
Available Credit
- 0.50 Airway, Ventilation, Respiratory
- 0.50 Cardio
- 2.00 Medical

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