Perform rapid patient assessment and treat life-threatening injuries.
Establish and maintain patent airway with spinal precautions as indicated.
Administer oxygen.
Perform secondary survey and treat findings.
Reassess patient, including vital signs, every 3-5minutes.
Control bleeding by direct pressure.
Stabilize impaled objects unless object compromises airway.
Remove objects compromising airway as atraumatically as possible.
Notify Dispatch of trauma alert(s).
Identify each trauma alert patient identifying number of red, blue or green criteria as stated on Trauma Scorecard Methodology.
Apply sterile dressing and bandage soft tissue injuries.
Return tissue flaps to original position.
Monitor EKG, establish IV and attach pulse oximeter.
Establish two large bore IVs, if indicated.
Follow Shock protocols, as indicated.
Provide treatment relative to injury.
Perform endotracheal intubation and ventilate with BVM, as indicated.
Confirm and document tube placement.
Perform advanced airway procedures as indicated.
16.Attach AED and defibrillate if indicated.
17.If defibrillation not indicated, or defibrillation performed and subsequent defibrillation not indicated, initiate CPR and ventilate with 100% oxygen and BVM.
18.Establish two large bore IVs and infuse rapidly until 300 ml have been administered, a pulse returns or BP increases to 100 mmHg systolic.
CAUTION: Do not overhydrate.
Initiate drug therapy according to Cardiac Arrest protocol.
Proceed per Resuscitation policy.
Chest Trauma
4.Blunt: flail chest
Splint initially with hand pressure, followed by folded towel or 1000ml IV bag over flailed segment and bind to chest wall with wide tape around half circumference of chest.
If flail segment is to back or flank area, have patient lie on injured side unless contraindicated, in which case, splint as above.
If tension pneumothorax exists, perform needle thoracentesis.
If pericardial tamponade exists, perform pericardiocentesis and administer fluid challenge.
If systolic BP is >90 mmHg, administer morphine sulfate, as needed, for pain, 2-5 mg IVP. May be repeated as needed in 2 mg increments up to 10 mg.
Penetrating: sucking chest wound
Apply commercial occlusive dressing or use Vaseline gauze dressing taped or held in place on three sides. If tension pneumothorax develops, release occlusive dressing.
If systolic BP is >90 mmHg, administer morphine sulfate 2-5 mg IVP, as needed for pain. May be repeated as needed in 2 mg increments up to 10 mg.
Abdominal/Pelvic Trauma
Blunt
Apply MAST as an air splint for pelvic or long bone fractures.
If systolic BP is >90 mmHg, administer morphine sulfate 2-5 mg IVP, as needed for pain. May be repeated as needed in 2 mg increments up to 10 mg.
Penetrating
b.Cover abdominal viscera with sterile, saline-soaked dressing.
c.Keep dressing moist.
d.Do not replace abdominal viscera.
d.If systolic BP is >90 mmHg, administer morphine sulfate 2-5 mg IVP, as needed for pain. May be repeated as needed in 2 mg increments up to 10 mg.
