Trauma Transport Protocol

Question 1

how many trauma centers are located in Florida

Answer 1

22

Question 2

What hospital can you take a trauma alert patient

Answer 2

Level 1 or Level 2 trauma center

Question 3

Is it ok to take a pediatric trauma patient to a Level 1 trauma centers are pediatric centers

Answer 3

Yes all Level 1 centers are pediatric centers

Question 4

Level 1 - 15 specialists

Answer 4

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

Question 5

Level 2

Answer 5

Can respond to the hospital within 30 minutes 90% of the time

Question 6

trauma transport catchment areas

Answer 6

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

Question 7

Quiz on Wednesday

Answer 7

TTP - can use the sheet - timed quiz

Question 8

golden hour

Answer 8

time for the patient to be on the table in the OR

Question 9

platinum 10 minutes

Answer 9

time for the EMT to decide to call

Question 10

Adult - for trauma

Answer 10

anyone over the age of 15yrs

Question 11

Pediatric - for trauma

Answer 11

less than 15yrs

Question 12

Bagging a patient that has been involved in a trauma

Answer 12

2 points - automatic trauma alert

Question 13

Lack of radial pulse with sustained heart rate >120 or BP<90

Answer 13

2 points - automatic trauma alert

Question 14

BMR (Best Motor Response) <=4 (Withdraws to pain)

Paralysis

suspected spinal cord injury

loss of sensation

Answer 14

2 points - automatic trauma alert

Question 15

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)

Answer 15

2 points - automatic trauma alert

Question 16

Multiple Fracture Sites - long bones

Answer 16

2 points - automatic trauma alert

Question 17

GCS score less than 12

Answer 17

2 points - automatic trauma alert

Question 18

A neck laceration with swelling, sustained bleeding, escape of air from wound or stridor

Any neck laceration ; transport to the nearest trauma center,

Answer 18

neck laceration worried about air embolism

Question 19

tissue loss - mr smith a carpenter cuts off all of his fingers with a skill saw is he a trauma alert

Answer 19

not proximal

Question 20

60 yr old ale riding bicycle - breaks femur -

Answer 20

1 point - was not a motor vehicle

not a trauma alert

Question 21

ems provider high index of suspicion

Answer 21

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

Question 22

pediatric quiz - traffic accident pediatric 20 pound infant mother unresponsive

Answer 22

size

reliable LOC