Trauma Triage Scenario 3 Scenario 3 Scene Info

Trauma Triage Scenario 3

Scenario 3

Scene Info u. Swimmer struck by a boat u. Boat was traveling “fast” u 76 y/o male patient u. Conscious, but “hurt bad” What does this information provide us? What additional information do you need?

Initial Assessment u Opens eyes to voice u Localizes painful stimuli u Is confused and combative u Airway is open u RR=36, ≠ Cx expansion, paradoxical Cx wall motion, open chest wound on L. , lung sounds on L. u Weak radial pulses at 110 u Skin pale, cool, moist Can you estimate GCS & RTS? What is the Patient Status?

Focused H&P u R. temporal bruising, pupils PERRLA u No JVD or tracheal deviation, no C-spine deformity, some SQ air noted to neck area u ≠ Cx expansion, lung sounds L. , unstable segment, paradoxical Cx wall motion and open Cx wound L. u Abdomen: soft, LUQ bruising u Pelvis stable u LLE & RLE: deformity, swelling, and bleeding from large lacerations u Back: Bruising to L. side of thoracic area u Pulse 110, BP 96/62, RR 36 u Medic alert bracelet says Hx AFib and HTN 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 due to traffic u. Regional Level II Hospital is 20 minutes by ground u. Regional Level I Hospital is 60 minutes by ground u Your crew includes 1 EMT-P and 2 EMT-Bs u Helicopter is available and ETA to scene is 15 minutes (responding from the Regional Level 1 Hospital) What decision will Medical Control make and why?

Questions?