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Trauma Triage Scenario 3

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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 Initial ... – PowerPoint PPT presentation

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Title: Trauma Triage Scenario 3


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
  • RR36, ? 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 HP
  • 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?
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