Trauma Triage Scenario 2 Scenario 2 Scene Info

Trauma Triage Scenario 2

Scenario 2

Scene Info u. MVC rollover u. Freeway speed u 30 y/o pregnant female, ejected u. Major damage to vehicle What does this information provide us? What additional information do you need?

Initial Assessment u Does not opens eyes u Localizes painful stimuli u Non-verbal u Airway: snoring sounds are heard u RR=5, = chest expansion, R. clavicle fracture u Strong radial pulses at 110 u Skin pale, cool, moist Can you estimate GCS & RTS? What is the Patient Status?

Focused H&P u Obvious head injury, pupils sluggish, CSF from R. ear u No JVD or tracheal deviation, no C-spine deformity u = Cx expansion, lung sounds clear, R. clavicle deformity u Abdomen: 3 rd trimester pregnancy, No crowning or abnormal presentations noted u Pelvis stable, R. femur and RLL deformity noted u Abrasions & bruising to upper extremities and back u Pulse 120, BP 106/58, RR 5 u Medic alert bracelet says allergic to PCN Confirm or dispute your initial severity determination.

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

Transport Decision u. Injury Severity u. Hospital capability, location, driving time u. Regional Level I Hospital is 15 minutes by ground u. ALS intercept is available u. Helicopter is available and ETA to scene is 22 minutes What decision will Medical Control make and why?

Questions?