Trauma Triage Scenario 1

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Trauma Triage Scenario 1
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Scenario 1
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Scene Info

• Motorcycle v. Pickup Truck
• Truck traveling 40 mph, ? Cycle speed
• 30 y/o male thrown 20 feet
• Truck has damage
• Riders helmet has few, minor scratches

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

• Opens eyes to loud verbal stimuli
• Localizes painful stimuli
• Confused verbal response to questions
• Airway is open and clear
• RR32, ? chest expansion, R. wall bruising
• Strong radial pulses, no major bleeding
• Skin pale, moist, cool

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

• No obvious head injury, PERRLA
• No JVD or tracheal tugging, C-spine non-tender
• ? Chest expansion, crepitus, ? lung sounds R.
• Abdomen soft, pelvis stable
• Open L. femur fracture
• Abrasions and small laceration on R. arm
• Pulse 100, BP 110/68, RR 32
• Medic alert tag for Coumadin use

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
• Area Level III Trauma Hospital is 10 minutes
• Regional Level I Hospital is 20 minutes
• ALS intercept is unavailable
• Helicopter is available and ETA to scene is 20
  minutes

What decision will Medical Control make and why?
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Questions?