StrategicPlanUpdate.pptVIP

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StrategicPlanUpdate

Trauma Triage Scenario 4 Scenario 4 Scene Info Car v. child on a sled Car was traveling 50 mph 5 y/o female patient (45 lbs) impacted the front bumper and was then run over by the car Witnesses lifted the car and removed the child Initial Assessment Does not open eyes Responds to pain with abnormal flexion Non-verbal Airway: moderate amount of bleeding, gurgling RR=12, = Cx expansion, = lung sounds Strong radial pulse of 70 Skin pale, cool, moist Focused HP Head: Bleeding from ears, nose, and mouth Pupils: ≠ and L. does not respond to light Neck: No JVD, tracheal deviation, or C-spine deformity Chest: No injuries noted, = Cx expansion, = lung sounds Abdomen: soft Pelvis: stable Extremities: R. leg deformity and swelling to entire leg Back: No injuries noted Pulse 80, BP 90/50, RR 14 Trauma Communications What pertinent information will you communicate to medical control? Transport Decision Injury Severity Hospital capability, location, driving time due to traffic Regional Level III Hospital is 10 minutes by ground Regional Level I Hospital is 20 minutes by ground ALS intercept is not available Helicopter is available and ETA to scene is 10 minutes (responding from the Regional Level 1 Pediatric Hospital) * What does this information provide us? What additional information do you need? Can you estimate GCS Pedi RTS? What is the Patient Status? Confirm or dispute your initial severity determination. What decision will Medical Control make and why? Questions? THE TWO QUESTIONS: mainly for discussion at this point. -Major MOI -Assessment info (use Triage Card as a reference) You are dispatched to the scene of a car versus sled involving a child. The dispatcher states that the child is reported to be unconscious and trapped under the car. Further updates from the Police on the scene state that the child and the sled have been extricated from under the car. The mother and father have been notified and are enroute to the scene. It is reported that the car w

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