1. Trauma Triage Scenario 3

2. Scenario 3

3. Scene Info uSwimmer struck by a boat uBoat was traveling “fast” u76 y/o male patient uConscious, but “hurt bad” What does this information provide us? What additional information do you need?

4. Initial Assessment uOpens eyes to voice uLocalizes painful stimuli uIs confused and combative uAirway is open uRR=36, ≠ Cx expansion, paradoxical Cx wall motion, open chest wound on L.,  lung sounds on L. uWeak radial pulses at 110 uSkin pale, cool, moist Can you estimate GCS & RTS? What is the Patient Status?

5. Focused H&P uR. temporal bruising, pupils PERRLA uNo JVD or tracheal deviation, no C-spine deformity, some SQ air noted to neck area u≠ Cx expansion,  lung sounds L., unstable segment, paradoxical Cx wall motion and open Cx wound L. uAbdomen: soft, LUQ bruising uPelvis stable uLLE & RLE: deformity, swelling, and bleeding from large lacerations uBack: Bruising to L. side of thoracic area uPulse 110, BP 96/62, RR 36 uMedic alert bracelet says Hx AFib and HTN 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 due to traffic uRegional Level II Hospital is 20 minutes by ground uRegional Level I Hospital is 60 minutes by ground uYour crew includes 1 EMT-P and 2 EMT-Bs uHelicopter is available and ETA to scene is 15 minutes (responding from the Regional Level 1 Hospital) What decision will Medical Control make and why?

8. Questions?