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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.

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trauma protocols

Trauma Protocols

Critical Care and Paramedic Levels

trauma unstable patients
Trauma: Unstable Patients
  • Traumatic Arrest/Unstable Airway
    • Closest facility
  • Transport unstable patients to hospital/landing zone within 10 minutes of extrication
trauma general guidelines
Trauma: General Guidelines
  • Prolonged transport
    • Consider aeromedical utilization
    • > 45 minutes by ground and 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
Trauma: Aeromedical Utilization
  • Must SIGNIFICANTLY reduce transport time
  • Signs of life!!!
  • Don’t wait for the helicopter
  • <20 mile transport?
  • Entrapment
trauma pregnant patients
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
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
Trauma: Burn Management
  • Fentanyl added
  • Less BP effect
  • Med control only
  • Rigid chest with rapid push
trauma chest
Trauma: Chest
  • Fentanyl added
trauma crush injury
Trauma: Crush Injury
  • New Protocol
  • For prolonged entrapment only
  • Tourniquet use?
  • Pre-medicate
trauma extremity injury
Trauma: Extremity Injury
  • Tourniquet use
  • Hemostatic dressing
  • Once applied do not remove
  • Fentanyl added
trauma hypoperfusion
Trauma: Hypoperfusion
  • Differing fluid goals for compressible injury
  • Reflects current ITLS/ATLS guidelines