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Trauma Protocols

Trauma Protocols. Critical Care and Paramedic Levels. Trauma: Unstable Patients. Traumatic Arrest/Unstable Airway Closest facility Transport unstable patients to hospital/landing zone within 10 minutes of extrication. Trauma: Transport Guidelines. Trauma: General Guidelines.

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Trauma Protocols

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  1. Trauma Protocols Critical Care and Paramedic Levels

  2. Trauma: Unstable Patients • Traumatic Arrest/Unstable Airway • Closest facility • Transport unstable patients to hospital/landing zone within 10 minutes of extrication

  3. Trauma: Transport Guidelines

  4. Trauma: General Guidelines • Prolonged transport • Consider aeromedical utilization • > 45 minutes by ground and air not available • Call medical direction – consider transporting to closest emergency department • Transporting trauma to non-trauma center • Notify emergency department as early as possible

  5. Trauma: Aeromedical Utilization • Must SIGNIFICANTLY reduce transport time • Signs of life!!! • Don’t wait for the helicopter • <20 mile transport? • Entrapment

  6. Trauma: Pregnant Patients • Adult trauma pt > 20 weeks gestation • Not meeting trauma criteria – ER of their choice • Meeting trauma criteria – Adult trauma center!

  7. Trauma: Burn Patients • Burn Criteria for transport to burn center • >10% BSA partial thickness burns • Involvement of face, hands, feet, genitalia, or major joints • Third degree burns • Electrical burns, including lightning injuries • Chemical burns • Inhalation injury • Circumferential burns

  8. Trauma: Burn Management • Fentanyl added • Less BP effect • Med control only • Rigid chest with rapid push

  9. Trauma: Chest • Fentanyl added

  10. Trauma: Crush Injury • New Protocol • For prolonged entrapment only • Tourniquet use? • Pre-medicate

  11. Trauma: Head Injury • No changes

  12. Trauma: Extremity Injury • Tourniquet use • Hemostatic dressing • Once applied do not remove • Fentanyl added

  13. Trauma: Hypoperfusion • Differing fluid goals for compressible injury • Reflects current ITLS/ATLS guidelines

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