Standards Procedure (Skill)

 <BACK  TOC  NEXT>

MAST

 

Clinical Indications:                                                               Levels: EMT-B, EMT- D,

                                                                                                             EMT-I, EMT-P

 

Ř      Suspect pelvic or closed long bone leg injury

 

Clinical Contraindications:

 

            ·  Absolute:    Pulmonary edema or congestive heart failure

 

            ·  Relative:     Extensive chest trauma

                                    Central nervous system injury

                                    Pregnancy (do not inflate the abdominal compartment)

 

Procedure:

 

a.       Assess the need for the procedure and the patient’s vital signs.

b.      Undress the patient and assess all areas that will be covered by the MAST.

c.       Unfold the MAST suit and lay flat on the spine board.

d.      Carefully slide the MAST suit with the spine board under the patient maintaining spinal precautions.

e.       Close and secure the leg compartments.

f.        Close and secure the abdominal compartment.

g.       Attach the air tubes to the color-coded connections on the MAST suit and open all valves.

h.       Inflate the legs first and assess the blood pressure and the lung sounds.

i.         Inflate the abdominal compartment if necessary and reevaluate the blood pressure and the lung sounds.

j.        Inflation of compartments should be until stabilization occurs or the Velcro starts to “pop”.

k.      Close the valves on each compartment after inflation.

l.         Monitor the amount of air in the MAST suit so that it stays pressurized.

m.     Monitor the patient status and reassess lung sounds frequently.

n.       Document the procedure, time, and patient response on the ACR.

 

 

Certification Requirements:

Successfully complete an annual skill evaluation including the indications, contraindications, technique, and possible complications of the procedure.