1. 2003 Prehospital Patient Care Protocols V. Trauma/Environmental Patient Care Old Dominion Emergency Medical Services Alliance

2. 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

3. 1. Patient Assessment - Trauma

6. 2. The Trauma Patient - Initial Management

7. 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 ▼

8. 2. The Trauma Patient - Initial Management

10. 3. Amputated Part

12. 4. Burns

16. 5. Evisceration

18. 6. Head Injury

21. 7. Impaled Objects

23. 8. Inhalation Injuries

25. 9. Hyperthermia / Heat Stroke

27. 10. Hypothermia

29. 11. Snakebites

31. 12. Spinal Injury

33. 13. Thoracic and Abdominal Trauma

35. 14. Trauma Patient Pain Management

38. 15. Nerve Agent Treatment