Trauma
Fall triage
how far did they fall
what surface did they land on
how did they land
Indications of Air Transport
extended extrication time
distance to hospital over 20miles
other ALS providers not available
multiple pts
delay ground transport
what is shock
inadequate tissue perfusion
high risk falls
ground level falls in 65yr+ pt
falls of 20ft for adults
falls of 10ft for peds
falls with LOC
what is a level 1 trauma center
24/7 trauma teams
emergency er
trauma icu
stages of shock
compensated: body is still hanging on
decompensated: body no longer able to compensate
irreversible: rapid cardio collapse
what is a primary blast
caused by pressure wave of blast
what is a level 2 trauma center
stabilize trauma pt to be transferred to lvl 1
what is a secondary blast
caused by flying debris
what is a level 3 and 4 trauma center
limited service and ability to stabilize pt
what is a tertiary blast
caused by being thrown against a stationary object
what is a quaternary blast
everything else: burns,toxic and fumes