2003 Prehospital Patient Care Protocols V. Trauma/Environmental Patient Care Old Dominion Emergency Medical Services Alliance

Trauma/Environmental Patient Care Patient Assessment – Trauma The Trauma Patient – Initial Management Amputated Part Burns Evisceration Head Injury Impaled Objects Inhalation Injuries Hyperthermia / Heat Stroke Hypothermia Snakebites Spinal Injury Thoracic and Abdominal Trauma Trauma Patient Pain Management Nerve Agent Treatment

1. Patient Assessment - Trauma

2. The Trauma Patient - Initial Management

BLS and ALS Initial Assessment: Assess Airway; Maintain C Spine Control. If problem, refer to Airway Management Protocol. ▼ Assess Breathing. If problem, refer to Airway Management Protocol. ▼ Assess Circulation. If problem, refer to Shock Protocol. ▼ Assess Disability If problem, refer to appropriate protocol. ▼ If patient meets “Load and Go” criteria, Begin transport to appropriate facility ▼

2. The Trauma Patient - Initial Management

3. Amputated Part

4. Burns

5. Evisceration

6. Head Injury

7. Impaled Objects

8. Inhalation Injuries

9. Hyperthermia / Heat Stroke

10. Hypothermia

11. Snakebites

12. Spinal Injury

13. Thoracic and Abdominal Trauma

14. Trauma Patient Pain Management

15. Nerve Agent Treatment