TRAUMA

TRAUMA

100

FIRST SIGN OF HYPOXIA AND SHOCK IN TRAUMA PT

AMS

200

YOU ARRIVE ON SCENE OF A PT WHO IS NOT RESPONSIVE. 

STEPS TO ASSESS TO AIRWAY AND BREATHING INTERVENTIONS

HEAD TILT CHIN LIFT VS JAW THRUST

SP02>95%

PPV

300

HOW TO TRANSPORT AMPUTATED BODY PART

COOL AND DRY

IN BAG, ON ICE 

DO NOT LET IT GET IN DIRECT CONTACT W ICE

400

YOU ARRIVE ON SCENE TO A ROLLOVER MVC

EXTRICATION TAKES 25 MINUTES

ARE YOU STILL WITHIN GOLDEN 10

YES AS LONG AS YOU INITIATE TRANSPORT WITHIN 10MINUTES

500

RESTRAINED DRIVER IN A FENDER BENDER GOING 20MPH. 

COMPLAINS OF NECK PAIN

WHAT CAUSED HIS NECK PAIN AND WHY DOES THAT HAPPEN

WHIPPLASH

GUN AND KNIFE CLUB

100

YOU NOTICE A GUNSHOT WOUND TO THE CHEST AND ANOTHER GUNSHOT WOUND IN THE ARMPIT

HOW ARE YOU GOING TO DESCRIBE THESE

NOT ENTRANCE AND EXIT WOUNDS

200

IMPALED KNIFE IN THE ABDOMEN, WHAT ARE YOUR NEXT STEPS?

DO NOT REMOVE

STABILIZE IN PLACE

300

WHAT IS CAVITATION

TEMPORARY CAVITY CREATED BY HIGH SPEED BULLET FORMING SHOCK WAVE

400

SUCKING CHEST WOUND, HOW DO YOU TREAT?

3 SIDED OCCLUSIVE DRESSING

500

A PT WEIGHING 180 LBS WILL HAVE HOW MUCH BLOOD

5.6L

180LBS ->80KG 

70ML/KG

BURNS & BLEEDS

100

THREE TYPE OF DESCRIPTIONS FOR BURNS

SUPERFICIAL

PARTIAL THICKNESS

FULL THICKNESS

200

CHILD SPILLED HOT TEA KETTLE ON TORSO, YOU NOTICE BLISTERING WOUNDS. HOW DO YOU TREAT?

WET TO DRY DRESSING

PREVENT HEAT LOSS, BLANKET

300

MOTORCYCLIST THROWN FROM BIKE 50 FEET. HAS SCATTERED ABRASIONS. HOW DO YOU TREAT?

SALINE SOAKED GAUZE

400

WHEN DO YOU SKIP DIRECT PRESSURE AND GO STRAIGHT TO TOURNIQUET

MCI

500

BLEEDING WOUND IN THE GROIN. CANNOT CONTROL WITH DIRECT PRESSURE. WHAT IS YOUR NEXT STEP?

CAN'T APPLY TOURNIQUET -> HEMOSTATIC GAUZE WITH DIRECT PRESSURE

LOCALS ONLY

100

SD COUNTY TRAUMA HOSPITALS

PALOMAR

UCSD HILLCREST

SCRIPPS MERCY

SCRIPPS LA JOLLA

SHARP MEMORIAL

RADYS CHILDREN

200

SD COUNTY BURN CENTER

BONUS: BURN CRITERIA

UCSD

• >20% partial-thickness or >5% full-thickness burns over BSA

• Suspected respiratory involvement or significant smoke inhalation

• Circumferential burn or burn to face, hands, feet, or perineum

• Electrical injury due to high voltage (≥1,000 volts)

300

WHAT IS SD COUNTY TRAUMA CRITERIA

Fall from height ≥10 feet (all ages)

• High-risk auto crash:

o Significant intrusion (including roof)

 ≥12 inches occupant site OR

 ≥18 inches any site OR

 Need for extrication for entrapped patient

o Partial or complete ejection

o Death in passenger compartment

o Child (age 0–9 years) unrestrained or in unsecured child safety seat

o Vehicle telemetry data consistent with severe injury o Vehicle rollover with unrestrained patient

• Pedestrian/bicycle rider thrown, run over, or with significant impact

• Rider separated from transport vehicle with significant impact (e.g., motorcycle/scooter, electric/non-electric bicycles, ATV, horse)

• Exposure to blast or explosion

• Burns in conjunction with trauma

• Significant crush injury

400

FALL FROM WHAT HEIGHT MAKES SOMEONE A TRAUMA

>10 FEET ALL AGES

500

YOU HAVE BOTH AN ADULT AND PEDIATRIC TRAUMA WHO ARE CRITICAL

WHERE WILL YOU TAKE THEM?

MULTIPLE AMBULANCES -> SPLIT UP PTS AND ONE GOES TO PEDS

IF ONLY ONE AMBULANCE THEY BOTH GO TO UCSD

IF PREGNANT PEDIATRIC TRAUMA ->UCSD