Activation Criteria
84 y/o female, tripped and fell. Struck head on tiled floor. Is on Eliquis. Large hematoma to occipital region with 2 cm bleeding laceration. GCS 15,
Trauma Orange
This must be included in a full set of VS on arrival.
Must list all:
temperature, HR, RR, BP, SpO2
This piece of equipment can be placed by EMS, triage, or the primary nurse. The physician alone has responsibility to approve its removal.
What is a c-collar?
The ED provider has ____ minutes to respond to the trauma from the time of activation.
What is 10 minutes?
An obvious open tib/fib fracture that can take the attention away from more serious injuries such as c-spine pain or intra-abdominal bleeding is an example of what?
What is a distracting injury?
34 y/o male, MVC rollover x 2. Estimated speed 45 mph. Pt. c/o bruising left shoulder and lower abdomen pain. Also c/o head and neck pain. VSS.
Trauma Yellow
List the elements are part of a full primary survey.
Airway, Breathing, Circulation, Disability, Exposure
(list all 5)
This procedure is done by a physician to look for intra-abdominal bleeding.
What is the FAST exam?
Who are the primary nurse and the surgeon?
Provide 2 examples of penetrating trauma.
GSW
Stabbing
Impaled objects
19 y/o male, GSW to right chest from drive by shooting. Pt. walked into ED through and appears fine. Small amount of blood noted on shirt in triage. C/O mild shortness of breath.
Trauma Red
This is the trauma nurse’s opportunity to describe what they see and what is happening in the trauma bay. It needs to include initial arrival, follow up assessments, including patient status and condition, clinical changes in the patient, family education and any other pertinent information not documented elsewhere on the flowsheet. It must never be left blank.
Nurse's Narrative Notes/Nurse's Notes
This procedure is done along with the primary survey to help locate potential life threats.
What is completely undressing the patient? AKA trauma naked.
Patients with open fractures must receive IV antibiotics within ______ minutes of arrival.
What is 60 minutes?
The number of nurses who get sued annually for malpractice.
What is 13,000?
94 y/o female, ground level fall, struck head, no blood thinners. Pt. confused and having difficulty following commands. Pt is normally alert and oriented. GCS 13.
Trauma yellow
These three times are the first set of times that need to be documented on the flowsheet. Missing ONE creates a fall-out for the entire report/flowsheet.
Alert time
Arrival time
Injury time
The Level 1 Rapid Infuser tubing should connected here.
What is directly to the hub of the catheter?
The definition of timeliness when referring to patients receiving CT scans.
What is <30 minutes from the order to the start of the 1st CT scan?
The number of geriatric falls every year.
36 million
35 y/o female who is 34 weeks pregnant. Fell down flight of steps (approx. 12 steps). Pt. c/o abd pain and right knee pain. No LOC.
Trauma Yellow OB
Q 5 minutes x 4, q 15 min x 4, q 30 min x 4 and hourly
What is trauma VS and neuro-check frequency?
During the primary assessment, these 2 procedures take priority.
The following 4 people can activate traumas at ARMC.
Who are the ED physician, the trauma trained nurse, EMS, and the trauma surgeon?
The number of high school athletes who place contact sports who will get a concussion this year.
What is 1 in 5 or 20%?