Trauma Triage Scenario 2

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Trauma Triage Scenario 2
2
Scenario 2
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Scene Info

• MVC rollover
• Freeway speed
• 30 y/o pregnant female, ejected
• Major damage to vehicle

What does this information provide us? What
additional information do you need?
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Initial Assessment

• Does not opens eyes
• Localizes painful stimuli
• Non-verbal
• Airway snoring sounds are heard
• RR5, chest expansion, R. clavicle fracture
• Strong radial pulses at 110
• Skin pale, cool, moist

Can you estimate GCS RTS? What is the Patient
Status?
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Focused HP

• Obvious head injury, pupils sluggish, CSF from R.
  ear
• No JVD or tracheal deviation, no C-spine
  deformity
• Cx expansion, lung sounds clear, R. clavicle
  deformity
• Abdomen 3rd trimester pregnancy, No crowning or
  abnormal presentations noted
• Pelvis stable, R. femur and RLL deformity noted
• Abrasions bruising to upper extremities and
  back
• Pulse 120, BP 106/58, RR 5
• Medic alert bracelet says allergic to PCN

Confirm or dispute your initial severity
determination.
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Trauma Communications

• What pertinent information will you
• communicate to medical control?

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Transport Decision

• Injury Severity
• Hospital capability, location, driving time
• Regional Level I Hospital is 15 minutes by ground
• ALS intercept is available
• Helicopter is available and ETA to scene is 22
  minutes

What decision will Medical Control make and why?
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Questions?