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?