Activation Criteria
84y/o F tripped on carpet and hit head on kitchen tile. Pt has history of HTN, Afib on Eliquis, and IDDM. Pt denies LOC, is A&Ox4, c/o head pain and has large hematoma with active bleeding to right occipital region.
What is a temperature?
This piece of equipment is required for your initial set of vitals and can be found in the MTR.
What is the manual BP cuff? (Bonus if you can say sphygmomanometer)
This person is responsible for the trauma intake and all required documentation on the TFS.
Lead Trauma Nurse
This is how many patients are seen in emergency departments following shark attacks annually.
What is 80?
34y/o M status post MVA at 25mph in which he was hit head-on. Pt has bruising to right shoulder and across lower abdomen. Pt is A&Ox4, c/o head, back, and neck pain.
What is a trauma yellow?
This can be written on the flowsheet or checked in a box but must be documented on every patient.
What is trauma naked/pt disrobed/all clothing removed/etc.?
The use of this equipment can be deferred by an ED Physician even with a positive screen. However, the deferral must be documented with physician name.
What is a c-collar?
This person is there to help facilitate the door to CT Table in 10min goal.
Who is the CT tech?
This is the number of people who have gone over Niagara Falls and lived.
What is 16?
19y/o F assaulted by significant other. Pt BIBA c/o "pain all over". Pt has multiple bruises, scrapes, scratch marks, and abrasions to limbs and face. Pt states she was assaulted with hands and fists. Pt denies LOC, is A&Ox4, and has no apparent life-threats.
What is a non-activation?
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 pt status and condition, clinical changes, pt and family education, and any other pertinent information not documented elsewhere on the flowsheet. It must never be left blank.
What is the Nursing Narrative/Note?
This piece of equipment is used both in the ED and OR for cases where hemorrhage control is necessary.
What is the Zimmer Pneumatic Tourniquet?
These roles require TWO team members during a trauma red activation.
Nurse and Tech
In 2020 the US experienced this many reported injures.
What is 55.4 million?
Pt is a 27y/o M BIBA following a "pressure cooker explosion". Pt has obvious signs of trauma to face and neck, burns to face, neck, torso, and both arms. EMS attempted to intubate without success and pt is being bagged with i-gel.
What is a Trauma Red?
These three times are the first set of times that need to be documented on the flowsheet. Missing ONE creates a fallout for the entire report.
What are Pre-hospital notification, Activation, and Arrival times?
The Level 1 Rapid infuser tubing should be connected here.
What is directly to the hub of the catheter?
This person is responsible for calling the trauma surgeon immediately once a trauma red activation has been called.
Who is the HUC?
This is how often children are treated in the emergency department following an injury.
What is one child every four seconds?
Pt 70y/o M BIBA after being kicked by his horse. Pt has bruising to left flank and is c/o pain and feeling lightheaded. EMS gave pt fluid bolus and states HR is 130, BP is 88/56, RR 24, SpO2 94% on 2L NC. Pt denies LOC and is A&Ox4.
What is a Trauma Red?
This is what the trauma nurse is responsible for in regard to the Orange Trauma Worksheet and Audit.
(Three answers)
What is transcribing team member names and arrival times, ensuring the audit is complete prior to end of shift, and complying with frequency of vital signs appropriate to trauma activation level.
These are three common types of splint/splinting used in the trauma setting.
Traction, sugar tong, thumb spica, sling and swath, long arm, colles, volar, finger, stirrups, posterior leg, buddy taping, etc.
This team member may be involved in vital signs, getting the patient undressed, IV insertion, EKG, wound care and splint application, etc.
Who is the trauma team tech?
This is how many high school athletes who play contact sports will get a concussion this year.
What is 1 in 5 (20%)?