What is the first title in the flow chart?
Status
What are the two key things under Status
Trauma injury OR
Medical illness
What is the next box (2nd one) in the flow chart
Immediate life theat
If there is a no to the 2nd flowchart box what is the next criteria to check?
Vital signs
If there is a yes to the 2nd flowchart box what is the next criteria to check?
Action
What falls under the 2nd box = immediate life threat
Airway compromise pr threat (that cannot be corrected)
severe external bleeding (that cannot be adequately controlled)
What falls under the 3rd box if there is a yes to immediate life threat (Green action box)
(5 dot points)
Manage airway
SITREP/confirm backup
Notfiy AV clin
Transport Signal 1 w/ notfication
Closest appropriate hospital/urgent care centre
What falls under the 4th box if there is a no to immediate life threat
(Red vital signs box box)
(5 dot points)
SpO2 <90
RR <10 or >30
HR <60 or >120
BP <90
GCS <13
If it is a no to the red vital signs box what do you look for next?
Pattern of injury and
Pattern of illness
What falls under the yellow box Pattern of injury (titles only)
Penetrating trauma
Blunt trauma
Specific injuries
What falls under penetrating trauma (dot point)
Penetrating injuries (except isolated superfical limb injuries)
What falls under the yellow box Pattern of illness (titles only)
Medical symptoms/conditions
What falls under blunt trauma
(2 dot points)
Serious injury to a single body region such that specialised care or intervention may be requiredor such that life, limb or long term quality of life may be at risk
Signif injuries involving more than one body region
What falls under specific injuries
(9 dot points)
Limb Amputation/limb threat injury
Suspect spinal cord injury/#
Burns >20% TBSA
Suspect resp tract burns
High voltage (>1000 volts) burn injury
Serious crush injury
Major compound #/open dislocation
# to two oe moew of femur/tibia/humerus
# pelvis
What falls under medical symptoms
(13 dot points)
Chest pain/cardiac nature/angina
Resp distress
Altered state consc
Anaphylaxis
Stroke
Suspected meningococcal disease
Suspected aortic aneurysm
Not dx severe pain
Acute decompression illness
Hypothermia
Heat stress
Posoning
Obstetric emergency
What does the 2nd green action box have. Action to pattern on injury and pattern if illness
SITREP/Confirm backup
Consult AV clin
Commenece/prepare transport Signal 1 w/ notifcation
- Trauma: Aim for highest level of trauma service w/in 60 min
- Medical: Closest appropriate hospital/urgent care
Rendezous w/ paramedic backup
If no to:
immediate life threat
vital signs
Pattern of injury/pattern of illness
What comes next?
MOI and vulnerability
What falls under MOI and vulnerability
Motor cyclist/cyclist impact >30kmh
High speed MCA >60kmh
Pedestrian impact
Ejection from vehicle
Prolonged extrication
Fall from height >3m
Struck on head by falling object >3m
Explosion
AND
Age > 55
OR
Pregnant
OR
signif underlying med condtion:
- Poorly controlled BP
- Obesity
- Congestive heart failure
- Symptomatic lung disease
- Ischaemic heart disease ICH
- Chronic kidney or liver disease
If yes to What falls under MOI and vulnerability what is the action you must do?
SITREP/confirm backup needed
COnsult AV clin
Commence/prepare transport under Signal 1 w/ notification
Aim for closest trauma service
Do not bypass another medical facility unless an RV has arranged it
Rendezvous with paramedic backup
