1 / 8

Trauma Triage Scenario 3

Trauma Triage Scenario 3. Scenario 3. Scene Info. Swimmer struck by a boat Boat was traveling “fast” 76 y/o male patient Conscious, but “hurt bad”. What does this information provide us? What additional information do you need?. Initial Assessment. Opens eyes to voice

Sharon_Dale
Download Presentation

Trauma Triage Scenario 3

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Trauma Triage Scenario 3

  2. Scenario 3

  3. Scene Info • Swimmer struck by a boat • Boat was traveling “fast” • 76 y/o male patient • Conscious, but “hurt bad” What does this information provide us? What additional information do you need?

  4. Initial Assessment • Opens eyes to voice • Localizes painful stimuli • Is confused and combative • Airway is open • RR=36, ≠ Cx expansion, paradoxical Cx wall motion, open chest wound on L.,  lung sounds on L. • Weak radial pulses at 110 • Skin pale, cool, moist Can you estimate GCS & RTS? What is the Patient Status?

  5. Focused H&P • R. temporal bruising, pupils PERRLA • No JVD or tracheal deviation, no C-spine deformity, some SQ air noted to neck area • ≠ Cx expansion,  lung sounds L., unstable segment, paradoxical Cx wall motion and open Cx wound L. • Abdomen: soft, LUQ bruising • Pelvis stable • LLE & RLE: deformity, swelling, and bleeding from large lacerations • Back: Bruising to L. side of thoracic area • Pulse 110, BP 96/62, RR 36 • Medic alert bracelet says Hx AFib and HTN Confirm or dispute your initial severity determination.

  6. Trauma Communications What pertinent information will you communicate to medical control?

  7. Transport Decision • Injury Severity • Hospital capability, location, driving time due to traffic • Regional Level II Hospital is 20 minutes by ground • Regional Level I Hospital is 60 minutes by ground • Your crew includes 1 EMT-P and 2 EMT-Bs • Helicopter is available and ETA to scene is 15 minutes (responding from the Regional Level 1 Hospital) What decision will Medical Control make and why?

  8. Questions?

More Related