1. Trauma Triage Scenario 1

2. Scenario 1

3. Scene Info uMotorcycle v. Pickup Truck uTruck traveling 40 mph, ? Cycle speed u30 y/o male thrown 20 feet uTruck has damage uRider’s helmet has few, minor scratches What does this information provide us? What additional information do you need?

4. Initial Assessment uOpens eyes to loud verbal stimuli uLocalizes painful stimuli uConfused verbal response to questions uAirway is open and clear uRR=32, ≠ chest expansion, R. wall bruising uStrong radial pulses, no major bleeding uSkin pale, moist, cool Can you estimate GCS & RTS? What is the Patient Status?

5. Focused H&P uNo obvious head injury, PERRLA uNo JVD or tracheal tugging, C-spine non-tender u≠ Chest expansion, crepitus,  lung sounds R. uAbdomen soft, pelvis stable uOpen L. femur fracture uAbrasions and small laceration on R. arm uPulse = 100, BP 110/68, RR = 32 uMedic alert tag for Coumadin use Confirm or dispute your initial severity determination.

6. Trauma Communications What pertinent information will you communicate to medical control?

7. Transport Decision uInjury Severity uHospital capability, location, driving time uArea Level III Trauma Hospital is 10 minutes uRegional Level I Hospital is 20 minutes uALS intercept is unavailable uHelicopter is available and ETA to scene is 20 minutes What decision will Medical Control make and why?

8. Questions?