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Trauma Triage Scenario 3

Trauma Triage Scenario 3. Scenario 3. Scene Info. Swimmer struck by a boat Boat was traveling “fast” 76 y/o male patient Conscious, but “hurt bad”. What does this information provide us? What additional information do you need?. Initial Assessment. Opens eyes to voice

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Trauma Triage Scenario 3

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  1. Trauma Triage Scenario 3

  2. Scenario 3

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

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

  5. Focused H&P • R. temporal bruising, pupils PERRLA • No JVD or tracheal deviation, no C-spine deformity, some SQ air noted to neck area • ≠ Cx expansion,  lung sounds L., unstable segment, paradoxical Cx wall motion and open Cx wound L. • Abdomen: soft, LUQ bruising • Pelvis stable • LLE & RLE: deformity, swelling, and bleeding from large lacerations • Back: Bruising to L. side of thoracic area • Pulse 110, BP 96/62, RR 36 • Medic alert bracelet says Hx AFib and HTN Confirm or dispute your initial severity determination.

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

  7. Transport Decision • Injury Severity • Hospital capability, location, driving time due to traffic • Regional Level II Hospital is 20 minutes by ground • Regional Level I Hospital is 60 minutes by ground • Your crew includes 1 EMT-P and 2 EMT-Bs • 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?

  8. Questions?

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