Trauma Transport Protocol Flashcards
how many trauma centers are located in Florida
22
What hospital can you take a trauma alert patient
Level 1 or Level 2 trauma center
Is it ok to take a pediatric trauma patient to a Level 1 trauma centers are pediatric centers
Yes all Level 1 centers are pediatric centers
Level 1 - 15 specialists
Trauma surgeon, anesthesiologist, neurosurgeon, on staff in the hospital 24/7
they are teaching hospitals - have MD on fellowship
burn unit or an affiliation with a burn center
Level 2
Can respond to the hospital within 30 minutes 90% of the time
trauma transport catchment areas
I275 determines where you are going to go
north or west side of I275 - you are going to St. Joes
south or east - you are going to Tampa General
Quiz on Wednesday
TTP - can use the sheet - timed quiz
golden hour
time for the patient to be on the table in the OR
platinum 10 minutes
time for the EMT to decide to call
Adult - for trauma
anyone over the age of 15yrs
Pediatric - for trauma
less than 15yrs
Bagging a patient that has been involved in a trauma
2 points - automatic trauma alert
Lack of radial pulse with sustained heart rate >120 or BP<90
2 points - automatic trauma alert
BMR (Best Motor Response) <=4 (Withdraws to pain)
Paralysis
suspected spinal cord injury
loss of sensation
2 points - automatic trauma alert
Amputation proximal to the wrist or ankle
2nd or 3rd degree burns >= 15% TBSA
Any high voltage electrical or lightning injury
Penetrating injury to head, neck or torso (excluding superficial wounds in which depth can be assessed)
2 points - automatic trauma alert
Multiple Fracture Sites - long bones
2 points - automatic trauma alert
GCS score less than 12
2 points - automatic trauma alert
A neck laceration with swelling, sustained bleeding, escape of air from wound or stridor
Any neck laceration ; transport to the nearest trauma center,
neck laceration worried about air embolism
tissue loss - mr smith a carpenter cuts off all of his fingers with a skill saw is he a trauma alert
not proximal
60 yr old ale riding bicycle - breaks femur -
1 point - was not a motor vehicle
not a trauma alert
ems provider high index of suspicion
better be sure - lady driving a vehicle with dump truck - 20 inch intrusion - got 1 point for HR
bruising from armpit to iliac crest
elevated HR going into shock
pediatric quiz - traffic accident pediatric 20 pound infant mother unresponsive
size
reliable LOC
