Transfer to definitive care

Question 1

Criteria for transfer to definitive care:
Primary survey - airway

Answer 1

Airway compromise
High risk for airway loss

Question 2

Criteria for transfer to definitive care:
Primary survey - breathing

Answer 2

Tension pneumothorax
Open pneumothorax
Haemothorax

Question 3

Criteria for transfer to definitive care:
Primary survey - circulation

Answer 3

Hypotension
Pelvic fracture
Vascular injury
Open fracture
Abdo distention / peritonitis

Question 4

Criteria for transfer to definitive care:
Primary survey - disability

Answer 4

GCS < 13
Paralysis
Intoxicated and cannot be evaluated

Question 5

Criteria for transfer to definitive care:
Primary survey - exposure

Answer 5

Severe hypothermia

Question 6

Criteria for transfer to definitive care:
Secondary survey - Head and skull

Answer 6

Depressed skull fracture
Penetrating injury

Question 7

Criteria for transfer to definitive care:
Secondary survey - Maxillofacial

Answer 7

Eye injury
Open fracture

Question 8

Criteria for transfer to definitive care:
Secondary survey - neck

Answer 8

Haematoma
Midline tenderness
Crepitus

Question 9

Criteria for transfer to definitive care:
Secondary survey - chest

Answer 9

Multiple rib fractures
Flail chest
Pulmonary contusion
Widened mediastinum
Pneumomediastinum

Question 10

Criteria for transfer to definitive care:
Secondary survey - other factors

Answer 10

Age
Comorbidities
Pregnancy
Thermal injuries

Question 11

Handover tools

Answer 11

ABC-SBAR
ATMIST

Question 12

ABC-SBAR

Answer 12

Airway
Breathing
Circulation

Situation inc pt details and IV access
Background inc AMPLE Hx
Assessment
Recommendation inc transport mode

Question 13

ATMIST

Answer 13

Age
Time of injury
Mechanism of injury
Injuries sustained head to toe
Signs / Symptoms
Treatment given + ETA

Question 14

Modes of transport available

Answer 14

Ground
Air
Water