506 - Trauma Triage (12-01-14)

Question 1

Can EMTs transport hypotensive patient with life-threatening penetrating injuries to the torso?

Answer 1

Yes, to the closest trauma center (not MAR), only when transport time less than estimated time of paramedic arrival.

Question 2

Aircraft transport for pediatric and adult

Answer 2

If transported together, receiving trauma center shall also be a PTC

Question 3

Blunt traumatic full arrest not meeting 814 destination?

Answer 3

MAR

Question 4

Trauma Triage - Physiological Assessment

Answer 4

S97, R2912, V-CPT

Question 5

Trauma triage - anatomical injury assessment

Answer 5

All penetrating injuries to neck, torso and extremities above elbows and knees

Blunt head injuries associated with

• suspected skull Fx
• GCS less than and equal to 14
• seizures
• unequal pupils
• focal neurological deficit

Spinal injury associated with acute sensory or motor deficit

Blunt chest injury with unstable chest wall (flail chest)

Diffuse abdominal tenderness

Suspected pelvic Fx (excluding isolated Hip Fx from a ground level fall)

Extremity Injuries with

• neurological/vascular compromise and/or
• crushed, degloved, or mangled;
• amputation proximal to the wrist or ankle; or
• fractures of greater than or equal to 2 proximal (humerus/femur) long bones

Question 6

Trauma triage - Mechanism of Injury assessment

Answer 6

FU PEA

Falls:

• Adult > 15 feet
• Pediatric > 10 feet, > 3x height of child

Unenclosed transport crash with significant impact (>20 mph)

Patient extrication

Auto vs. ped/bicyclist/motorcyclist thrown, run over, or impact > 20 mph

Question 7

Trauma triage - trauma guidelines assessment

Answer 7

Passenger space intrusion > 18 inches into an unoccupied passenger space

Auto vs. Pedestrian/

Question 8

Trauma triage - special considerations assessment

Answer 8

Adult >55 years

SBP 20 weeks

Prehospital judgement

Question 9

Patient that require immediate transportation to MAR

Answer 9

Obstructed airway

Patients, determined by the base hospital personnel, whose lives would be jeopardized by transportation to any destination but the MAR

Question 10

What type of patient should not be delayed for spinal immobilization?

Answer 10

Hypotensive with penetrating trauma to Torso