Multiply Injured Patient Flashcards
What is a trauma network?
Includes all providers needed for trauma cases: pre-hospital services, smaller local trauma units and larger trauma centres, and rehabilitation services
What is a major trauma centre?
Provide multi-specialty hospital care to seriously injured patients, optimised for the provision of trauma care
What is a pre-alert team made up of?
ED,
Anaesthetics,
Radiology,
Surgical specialities
What does the paramedic mention at point of handover?
Time of injury, Mechanism of injury, Suspected serious injuries, Viral signs, Interventions carried out
In a trauma assessment what is a primary survey?
ABC
- detects and treats immediate threats to life
In a trauma assessment what is a secondary survey?
Identification of all injuries and more detailed history
ABCDE stands for in primary surgery of trauma patient?
Airway with C-spine control Breathing with O2, Circulation with haemorrhage control, Disability, Expose and Environement
when should ABC in trauma be used?
In a catastrophic haemorrhage control
A C spine is needed in injuries with?
There was a dangerous mechanism,
Reduced conscious levels,
Injury above clavicle,
Neurological signs
Blood tests for circulation assessment?
Blood gas,
Lactate,
Haemoglobin
Circulation 5 sites for blood loss?
Clue- on the floor and 4 more
Floor, Chest, Abdomen, Pelvis, Long bones
How to monitor volume replacement?
Viral signs,
Urine output,
Lactate
Lethal triad in blood loss patients?
Coagulopathy,
Acidosis,
Hypothermia
Assessment of Disability in a trauma patient
AVPU, GCS, Pupils, Tone and reflexes, Log roll
DEFG in trauma assessment?
DONT
EVER
FORGET
GLUCOSE