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Trauma Triage Scenario 2

Trauma Triage Scenario 2. Scenario 2. Scene 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 Assessment. Does not opens eyes Localizes painful stimuli

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Trauma Triage Scenario 2

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  1. Trauma Triage Scenario 2

  2. Scenario 2

  3. Scene 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?

  4. Initial 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?

  5. Focused 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.

  6. Trauma Communications What pertinent information will you communicate to medical control?

  7. Transport 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 minutes What decision will Medical Control make and why?

  8. Questions?

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