Major Trauma

Question 1

In Major trauma what are the is required for “Airway”

Answer 1

• Manoeuvres and positioning
• NPA only if airway is not patent
• OPA if NPA unsuccessful
• SGA if no gag reflex and prolonged ventilation is required

Question 2

In Major trauma what is required for “breathing”?

Answer 2

• Oxygen as per Oxygen guideline
• ventilation if required
• consider chest decompression

Question 3

What is the Vt, Rate, Sp02% and EtCO2 required for Major trauma?

Answer 3

• 6-8mL/kg
• 12-16 initially, then adjusting for EtCO2 target
• 94%
• 30-35mmHg

Question 4

In major trauma what is required for “circulation”?

Answer 4

• Fluid resuscitation
• 70 - 90 Shock W/O TBI
• > 120 Shock w/ TBI
• Normal saline 250mL as required (MAX 2L)
• Pelvic splint
• Consider other causes of shock

Question 5

In Major trauma what is required in “supportive care”

Answer 5

• WARM the patient
• Pain relief
• Spinal Immobilisation
• Mx wounds/fractures
• Seizures
• Hypoglycaemia
• Pressure care