time critical guidelines and rules

Question 1

Vital Signs

Answer 1

HR: <60 or >120
BP: <90mmHg
RR: <10 or >30
SpO2: <90%
GCS: <13 for 16+, <15 for 15-

Question 2

Specific Injuries

Answer 2

• Blunt force injuries: serious to one body region or crucial body region (chest)
• Limb amputation or limb threatening injury
• Suspected spinal cord injury or spinal fracture
• Burns >20% TBSA, (>10% 15-)
• Burns to respiratory tract
• High voltage burns (>1000 volts)
• Serious crush injury
• Open dislocation or major compound fracture
• Fracture to 2 or more, tibia, femur, humorous
• Fractured pelvis

Question 3

Mechanism of injury

Answer 3

• MVA >60km/hr
• Motor/cyclist crash >30km/hr
• Pedestrian impact
• Ejection from vehicle
• Prolonged extrication
• Fall from >3m
• Head strike from object falling >3m
• Explosion

Question 4

Co-morbidities

Answer 4

• Pregnancy
• Age <12
• Age >55
• Specific underlying medical condition

Question 5

Appropriate hospitals

Answer 5

Paeds: Royal children’s
Burns: Alfred
Major Trauma: Royal Melbourne, Alfred

Question 6

Rules

Answer 6

All patients get O2 therapy (hudson 5-10L/min), non-rebreather (10-15L/min)