SNHD Protocols continued

Question 1

Mild hypothermia ranges from what temperatures?

Answer 1

90-95 degrees (33-35 C)

Question 2

Moderate hypothermia ranges from what temperatures?

Answer 2

82-90 degrees (28-32 C)

Question 3

Severe hypothermia is below?

Answer 3

Anything less than 82 degrees

Question 4

What is step 1 of Trauma Field Triage Criteria?

Answer 4

Measure vital signs and LOC.
A. If GCS is 13 or less
B. Systolic BP is less than 90
C. RR is less than 10 or greater than 29
Transport to level 1 or 2 trauma center

Question 5

What is step 2 of Trauma Field Triage Criteria?

Answer 5

Assess anatomy of injury.
A. Penetrating injuries to head, neck, torso, or extremities proximal to elbow or knee
B. Chest wall instability or deformity
C. Two or more proximal long bone fractures
D. Crushed, degloved, mangled, or pulseless extremity
E. Amputation proximal to wrist or ankle
F. Pelvis fractures
G. Open or Depressed skull fractures
H. Paralysis
Transport to level 1 or 2 trauma center

Question 6

What is step 3 of Trauma Field Triage Criteria?

Answer 6

Assess mechanism of injury and evidence of high-energy impact
A. Falls
1.Adults greater than 20 feet
2. Children greater than 10 feet or two times their height.
B. High risk auto crash
1. Motor vehicle was traveling at least 40 mph before crash
2. Intrusion greater than 12 inches on occupant side, Greater than 18 inches on any site.
3. Ejection, partial or complete.
4. Rollover with unrestrained passengers.
5. Death in same passenger compartment.
C. Motorcycle crash greater than 20 mph
D. Auto vs Pedestrian/Bicyclist thrown, run over, or with significant (greater than 20 mph) impact.
Transport to level 1,2, or 3 trauma center

Question 7

What is Step 4 of Trauma Field Triage Criteria?

Answer 7

Assess special patients
A. Older Adults
1. Risk of injury/death is increased after 55 years
2. SBP less than 110 might represent shock after 65 years old
3. Low impact mechanisms
B. Children should be triaged preferentially to a trauma center
C. Anticoagulants and bleeding disorders
D. Burns
1. Without trauma mechanisms, transport to burn protocols
E. Pregnancy greater than 20 weeks
Transport to level 1,2, or 3 trauma center

Question 8

What level trauma center is St. Rose Dominican- Siena Campus?

Answer 8

Level 3 trauma center

Question 9

What level trauma center is O’Callaghan Medical Center?

Answer 9

Level 3 trauma center

Question 10

What level trauma center is Sunrise Hospital?

Answer 10

Level 2 trauma center

Question 11

What level trauma center is UMC?

Answer 11

Level 1 trauma center for adults, Level 2 trauma center for pediatrics