1. Trauma Triage Scenario 2

2. Scenario 2

3. Scene Info uMVC rollover uFreeway speed u30 y/o pregnant female, ejected uMajor damage to vehicle What does this information provide us? What additional information do you need?

4. Initial Assessment uDoes not opens eyes uLocalizes painful stimuli uNon-verbal uAirway: snoring sounds are heard uRR=5, = chest expansion, R. clavicle fracture uStrong radial pulses at 110 uSkin pale, cool, moist Can you estimate GCS & RTS? What is the Patient Status?

5. Focused H&P uObvious head injury, pupils sluggish, CSF from R. ear uNo JVD or tracheal deviation, no C-spine deformity u= Cx expansion, lung sounds clear, R. clavicle deformity uAbdomen: 3 rd trimester pregnancy, No crowning or abnormal presentations noted uPelvis stable, R. femur and RLL deformity noted uAbrasions & bruising to upper extremities and back uPulse 120, BP 106/58, RR 5 uMedic alert bracelet says allergic to PCN 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 uRegional Level I Hospital is 15 minutes by ground uALS intercept is available uHelicopter is available and ETA to scene is 22 minutes What decision will Medical Control make and why?

8. Questions?