Trauma Protocols Critical Care and Paramedic Levels Trauma
- Slides: 13
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 • Prolonged transport – Consider aeromedical utilization – > 45 minutes by ground 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
Trauma: Aeromedical Utilization • Must SIGNIFICANTLY reduce transport time • Signs of life!!! • Don’t wait for the helicopter • <20 mile transport? • Entrapment
Trauma: Pregnant Patients • Adult trauma pt > 20 weeks gestation – Not meeting trauma criteria – ER of their choice – Meeting trauma criteria – Adult trauma center!
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
Trauma: Burn Management • • Fentanyl added Less BP effect Med control only Rigid chest with rapid push
Trauma: Chest • Fentanyl added
Trauma: Crush Injury • New Protocol • For prolonged entrapment only • Tourniquet use? • Pre-medicate
Trauma: Head Injury • No changes
Trauma: Extremity Injury • Tourniquet use • Hemostatic dressing • Once applied do not remove • Fentanyl added
Trauma: Hypoperfusion • Differing fluid goals for compressible injury • Reflects current ITLS/ATLS guidelines
- Extended care paramedic
- Critical semi critical and non critical instruments
- Critical semi critical and non critical instruments
- Critical friends group
- Paramedic method
- The paramedic method
- Tugas paramedis
- Silver cross paramedic program
- Lone star college lvn program cost
- Tertiary level of care
- Level 3 thinking
- Nursing inferences examples
- Air force rmf
- Critical thinking and the nursing process