Trauma Triage Trauma Triage Scenario 2Scenario 2
Scenario 2Scenario 2
Scene InfoScene Info MVC rollover Freeway speed 30 y/o pregnant female, ejected Major damage to vehicle
What does this information provide us?
What additional information do you need?
Initial AssessmentInitial Assessment Does not opens eyes Localizes painful stimuli Non-verbal Airway: snoring sounds are heard RR=5, = chest expansion, R. clavicle fracture Strong radial pulses at 110 Skin pale, cool, moist
Can you estimate GCS & RTS?
What is the Patient Status?
Focused H&PFocused H&P Obvious head injury, pupils sluggish, CSF from R. ear No JVD or tracheal deviation, no C-spine deformity = Cx expansion, lung sounds clear, R. clavicle deformity Abdomen: 3rd trimester pregnancy, No crowning or
abnormal presentations noted Pelvis stable, R. femur and RLL deformity noted Abrasions & bruising to upper extremities and back Pulse 120, BP 106/58, RR 5 Medic alert bracelet says allergic to PCN
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
Regional Level I Hospital is 15 minutes by ground
ALS intercept is available Helicopter is available and ETA to scene is 22
minutesWhat decision will Medical Control make
and why?
Questions?Questions?