Trauma Triage Scenario 4 Scenario 4 Scene Info

Trauma Triage Scenario 4

Scenario 4

Scene Info u. Car v. child on a sled u. Car was traveling 50 mph u 5 y/o female patient (45 lbs) impacted the front bumper and was then run over by the car u. Witnesses lifted the car and removed the child What does this information provide us? What additional information do you need?

Initial Assessment u Does not open eyes u Responds to pain with abnormal flexion u Non-verbal u Airway: moderate amount of bleeding, gurgling u RR=12, = Cx expansion, = lung sounds u Strong radial pulse of 70 u Skin pale, cool, moist Can you estimate GCS & Pedi RTS? What is the Patient Status?

Focused H&P 1. Head: Bleeding from ears, nose, and mouth 2. Pupils: ≠ and L. does not respond to light 3. Neck: No JVD, tracheal deviation, or C-spine deformity 4. Chest: No injuries noted, = Cx expansion, = lung sounds 5. Abdomen: soft 6. Pelvis: stable 7. Extremities: R. leg deformity and swelling to entire leg 8. Back: No injuries noted 9. Pulse 80, BP 90/50, RR 14 Confirm or dispute your initial severity determination.

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

Transport Decision 1. Injury Severity 2. Hospital capability, location, driving time due to traffic 1. Regional Level III Hospital is 10 minutes by ground 2. Regional Level I Hospital is 20 minutes by ground 3. ALS intercept is not available 4. Helicopter is available and ETA to scene is <10 minutes (responding from the Regional What decision will Medical Control. Level make 1 Pediatric Hospital) and why?

Questions?