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Trauma Triage Trauma Triage Scenario 1Scenario 1
Scenario 1Scenario 1
Scene InfoScene Info
Motorcycle v. Pickup Truck Truck traveling 40 mph, ? Cycle speed 30 y/o male thrown 20 feet Truck has damage Rider’s helmet has few, minor scratches
What does this information provide us?
What additional information do you need?
Initial AssessmentInitial Assessment Opens eyes to loud verbal stimuli Localizes painful stimuli Confused verbal response to questions Airway is open and clear RR=32, ≠ chest expansion, R. wall bruising Strong radial pulses, no major bleeding Skin pale, moist, cool
Can you estimate GCS & RTS?
What is the Patient Status?
Focused H&PFocused H&P No obvious head injury, PERRLA No JVD or tracheal tugging, C-spine non-tender ≠ Chest expansion, crepitus, lung sounds R. Abdomen soft, pelvis stable Open L. femur fracture Abrasions and small laceration on R. arm Pulse = 100, BP 110/68, RR = 32 Medic alert tag for Coumadin use
Confirm or dispute your initial severity determination.
Trauma CommunicationsTrauma Communications
What pertinent information will you
communicate to medical control?
Transport DecisionTransport Decision Injury Severity Hospital capability, location, driving time
Area Level III Trauma Hospital is 10 minutes Regional Level I Hospital is 20 minutes
ALS intercept is unavailable Helicopter is available and ETA to scene is 20
minutes
What decision will Medical Control make and why?
Questions?Questions?