Hospital Matrix Flashcards

1
Q

Baylor Centennial

A

Level 3 trauma. Pt >18yrs. No pedi. Primary stroke.

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2
Q

Baylor Medical Center-Plano

A

No trauma. No burns. No pedi. No Stemi. Comprehensive stroke. No OB.

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3
Q

Carrollton Regional

A

No trauma. No burns. No pedi. No stroke. No OB.

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4
Q

Children’s Plano (legacy)

A

Level 4 trauma under 14yrs. No burns. No adult medical. No stemi. No stroke. No OB.

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5
Q

Children’s Medical Center Dallas

A

Level 1 trauma < 14yrs. No burns. No adult medical. Not primary pedi medical. No stemi. Not primary resuscitation center. No stroke. No OB. Not primary sexual exam.

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6
Q

Heart Hospital at Baylor Plano

A

No trauma. No burns. No medical. No pedi. No stroke. No OB. No sexual assault.

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7
Q

Medical City Frisco

A

Level 3 trauma >18yrs. No burns. No pedi medical. No stroke.

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8
Q

Medical City Lewisville

A

Level 3 trauma > 18yrs. No burns. No stemi. No resuscitation center. Primary stroke center.

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9
Q

Medical City Plano

A

Level 1 trauma >14yrs. Burns >14yrs. No pedi medical. Comprehensive stroke.

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10
Q

Parkland

A

Level 1 trauma >14yrs. No pedi. Not primary for medical, stemi, resuscitation, OB, sexual assault, or as comprehensive stroke.

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11
Q

Texas Health Frisco

A

Level 3 trauma > 14yrs. No burns. No pedi. No stemi. No resuscitation. No stroke.

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12
Q

Texas Health Plano

A

Level 2(?) trauma >14yrs. No burns. No pedi medical. Comprehensive stroke center.

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13
Q

Major Burns

A

> 10% TBSA of partial thickness (2nd Degree) or full thickness (3rd degree). Any electrical or chemical burns or burns from traumatic injuries.

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14
Q

Sexual Assault

A

No longer transported to facility in same county.

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15
Q

Resuscitation center

A

24/7 PCI; electrophysiology; induced hypothermia

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16
Q

Stroke

A

LKN< 3.5 hours and LAMS 0-3= any stroke center.
LKN< 3.5 hours & LAMS 4-5= comprehensive.
LKN 3.5 to 24hrs = Comprehensive.
LKN > 24hrs = any stroke center

17
Q

Pedi Cardiac Arrest

A

Children’s Plano (legacy) for anyone under 18yrs

18
Q

Pedimate

A

4.5- 18kg (10-40 pounds)

19
Q

Baylor Medical Center Frisco

A

Pregnant patients only

20
Q

Freestanding Emergency Department

A

Can transport if patient requests. Never take an unstable patient. Can transport to in case of inclement weather.

21
Q

Hyperbaric Chambers

A

MCP, Texas Health Dallas, Baylor Dallas

22
Q

Psychiatric Patients

A

Must not be suspected of overdose or medical emergency. Only PD may transport patients to facility (Green Oaks, Seay Center)

23
Q

Superutilizers

A

More than 5 times in a month or 15 or more times in 6 months

24
Q

Helicopter criteria- Pedi. (1 red/ 2 blue)

A

Red: advanced airway, penetrating injury, spinal cord injury, amputated proximal wrist/ankle, flail chest, 2+ long bone fractures, pelvic fracture, open/depressed skull fracture, pulse less extremity, burns >10% TBSA
Blue:
GCS <14 trauma , GCS < 10 nontrauma, LOC> 5 minutes, resp rate > 40/minute, HR > 150 min,
BP < 70+2age

25
Q

Adult Helicopter

A

Amputation proximal to wrist/ankle

26
Q

Helicopter PEARLS

A

Anticipated ground transport time. Consider for unstable pedi drowning. If expected landing is 20 minutes beyond extrication then ground transport. Do not use for CPR.

27
Q

Trauma Field Triage. Level 1 or 2 Center

A

Advanced airway. GCS <14. All blunt/penetrating trauma with unstable vitals. All penetrating injuries (or with CPR). Chest wall instability. Pelvic fractures/ two or more longbone fractures. Crush/degloved/mangled extremity. Skull fracture. Paralysis or hanging injuries. Profuse bleeding or tourniquet application.

28
Q

Trauma Field Triage- Level 1,2,or 3 Trauma Center

A

Fall >10 feet. High risk auto crash. Auto v Ped (>5 mph impact). Motorcycle/bicycle crash > 5mph. Pregnancy > 20 weeks
Older adults with risk of injury and death increases after 55. Anticoagulation and bleeding disorders, specifically w/head trauma.

29
Q

Trauma Field Triage- Level 4 Center

A

Stable.

30
Q

Trauma Field Triage Pearls

A

When in doubt, transport to level 1/2.

Blunt traumatic CPR patients should be transported to closest hospital.

31
Q

Medical Director Notification

A

Action/inaction that could lead to injury or death. Performance outside the scope of credentials/qualifications. Missing/tampered controlled substances. Any attempt of surgical airway.

Sudden cardiac arrest after: antiarrhythmic in a previously hemodynamically stable pt. Physical, chemical, or mechanical restraint. Sedation. Analgesia. Neuromuscular blockade. Taser by PD.