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Paramedic San Diego Protocols > Trauma Tree > Flashcards

Flashcards in Trauma Tree Deck (5)
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1

Access Vital Signs / level of consciousness

Glasgow Coma Scale <14
Systolic BP <90
Respiratory rate <10 or >29 or equal too
<20 for infant <1 year , or need for ventilatory support.
PEDS Abnormal Appearance &/or Abnormal Work of Breathing &/or Abnormal Circulation

2

Assess anatomy of injury

• All penetrating injuries to head,neck,torso, or extremities proximal of elbow or knee.
• Chest wall instability or deformity
• Two or more proximal long bone fractures
• Crush injury , degloved , or mangled, pulseless extremely
• Amputation proximal to wrist or ankle
• Pelvic fractures
• Open or depressed skull fractures
• Paralysis
• Neurologic / vascular defect of extremity
• Tourniquet applies to traumatic injury

3

Assess mechanism of injury

• Fall >3 times patients height or >or equal too 15 feet

• Auto vs Pedestrian/ Bicyclist thrown, run over , or with significant (> or equal too 20 MPH) impact

• Motorcycle crash > or equal too 20 MPH

• Exposure to blast or explosion

• Combination trauma with burns

4

Assess mechanism of injury
( High Risk Auto Crash)

• Intrusion, including roof
> or equal too 12 Inches , > or equal too 18 inches any site
• Ejection (partial or complete) from vehicle
• Death in same passenger compartment
• Vehicle telemetry data consistent with high risk injury
• Vehicle rollover with unrestrained patient

5

Assess special considerations

• Age <5 or > or equal too 55
• Low impact mechanism
(ex ground level fall) > or equal too 65 Years old
• Bleeding disorder
• Anticoagulant or antiplatelet therapy (exempt ASA)
• Pregnancy > or equal too 20 weeks
• Poor Baseline physiologic reserve
(Severe cardiac and/or respiratory disease)
• Extrication time > or equal too 20 minutes
• EMS provider judgement