Trauma Triage Trauma Triage Scenario 3Scenario 3

Scenario 3Scenario 3

Scene InfoScene 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?

Initial AssessmentInitial Assessment Opens eyes to voice Localizes painful stimuli Is confused and combative Airway is open RR=36, ≠ 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?

Focused H&PFocused H&P 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.

Trauma CommunicationsTrauma Communications

What pertinent information will you

communicate to medical control?

Transport DecisionTransport 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?

Questions?Questions?