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

minutes

What decision will Medical Control make and why?

Questions?Questions?