Your main priority when providing care is to identify life threats to the patient. Then, treat them in the order they were found. When a patient is involved in trauma, you should also evaluate the "mechanism of injury." The mechanism of injury identifies what happened to the patient and can give you clues to the type 8. severity of injuries you may encounter. An example is a patient that rides their bike into a tree. The potential for head and neck injuries is obvious, yet lacerations, abrasions, broken bones and

internal bleeding may also be involved. Always remember, get help by calling 911 as soon as possible.

The psychological health of the patient is also an important consideration. Most victims will be very frightened, maybe even irrational. Try using a gentle tone of voice or a comforting, professional touch. Some EMS providers believe that unconscious patients can hear what is going on around them. Therefore, avoid making disparaging or negative statements and continue to reassure the patient that help is on the way. Some patients will ask you to repeat information. They may need reassurance or may be having some difficulties with short term memory. Be willing to provide the information they are asking for.

Maintaining continuity of care is essential when EMS personnel arrive at the scene. Provide them with an accurate report that includes information you obtained during your assessment and the care rendered. Once EMS has arrived, step back and let the professionals do their jobs. You may be asked to help at a later time.