Trauma - Stable Patient

Question 1

Primary Survey

Answer 1

• Stabilize head & neck if necessary
• Assess lvl of consciousness (AVPU scale)
• Assess & manage ABC’s as required
• Expose & examine injuries - visualize, palpate where appropriate
• Complete RBS
• Intervene at each injury as per traumatic injuries list
• Apply O2 (standard face mask or nasal cannula)
• Consider the position based on findings and S/S
• Apply cold pick & elevate injured limbs, if appropriate

Question 2

Decision Point

Answer 2

Findings in Stable PT include:
- Alert, Oriented
- Adequate airway
- Deep & unlaboured breathing
- Strong regular radial pulse
- Absence of life or limb threatening injuries
- Pink, warm, dry skin

Question 3

Load & Transport

Answer 3

Transport stable PT after all treatments and protocols administered. You may assess & manage a stable PT on scene if MOI indicates minor injuries. Constantly monitor PT in case they become RTC.

Question 4

Secondary Survey

Answer 4

• Critical History
• Patient history (SAMPLE & OPQRRRST)
• Vital signs
• Notifications (ISBAR)
• Head to toe and functional inquiry

Question 5

Protocol(s)

Answer 5

• Pain management protocol (if indicated)
• Pain management protocol should be considered prior to definitive management of injuries
• Monitor PT q15 mins for stable PT
• Consider application of ice