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    Table 13-1 Rapid Triage and Transport Guidelines

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    Marios Ghobrial
    This document provides rapid triage and transport guidelines for trauma patients. It outlines primary and secondary surveys to assess a patient's airway, breathing, circulation, disability, and exposure. For each finding, it recommends interventions and adjuncts that can be performed locally as well as whether the patient should be transferred. The goal is to evaluate and make the transfer decision within the first 15-30 minutes of the trauma team leader's arrival.

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    Table 13-1 Rapid Triage and Transport Guidelines

    Uploaded by

    Marios Ghobrial
    78 views2 pages
    This document provides rapid triage and transport guidelines for trauma patients. It outlines primary and secondary surveys to assess a patient's airway, breathing, circulation, disability, and exposure. For each finding, it recommends interventions and adjuncts that can be performed locally as well as whether the patient should be transferred. The goal is to evaluate and make the transfer decision within the first 15-30 minutes of the trauma team leader's arrival.

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    This document provides rapid triage and transport guidelines for trauma patients. It outlines primary and secondary surveys to assess a patient's airway, breathing, circulation, disability, and exposure. For each finding, it recommends interventions and adjuncts that can be performed locally as well as whether the patient should be transferred. The goal is to evaluate and make the transfer decision within the first 15-30 minutes of the trauma team leader's arrival.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    78 views2 pages

    Table 13-1 Rapid Triage and Transport Guidelines

    Uploaded by

    Marios Ghobrial
    This document provides rapid triage and transport guidelines for trauma patients. It outlines primary and secondary surveys to assess a patient's airway, breathing, circulation, disability, and exposure. For each finding, it recommends interventions and adjuncts that can be performed locally as well as whether the patient should be transferred. The goal is to evaluate and make the transfer decision within the first 15-30 minutes of the trauma team leader's arrival.

    Copyright:

    © All Rights Reserved
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    table 13-1 rapid triage and transport guidelines

    PRIMARY INTERVENTIONS AND ADJUNCTS TO BE CONSIDER


    SURVEY FINDING PERFORMED AT LOCAL FACILITY TRANSFER?

    Airway Airway compromise Intubate, end-tidal CO2, pulse oximeter, EKG, Y


    chest x-ray

    High risk for airway loss Monitor EKG, pulse oximeter, ABG Y

    Breathing Tension pneumothorax Needle, finger, chest tube Y

    Hemothorax, open pneumothorax Chest x-ray, chest tube Y

    Hypoxia/hypoventilation Intubate Y

    Circulation Hypotension Reliable IV/IO access, warm IV fluids, control Y


    external hemorrhage using pressure, topical
    hemostatics, or tourniquets

    Pelvic fracture Pelvic x-ray, pelvic binder, or sheet Y

    Vascular injury (hard signs, such Reliable IV/IO access, warm IV fluids, control Y
    as expanding hematoma and external hemorrhage using pressure, topical
    active bleeding) hemostatics, or tourniquets

    Open fracture Reduce and splint and dress Y

    Abdominal distention/peritonitis FASTa Y

    Disability GCS < 13 Intubate when GCS < 9b Y

    Intoxicated patient who cannot Sedate, intubate Y


    be evaluated

    Evidence of paralysis Restrict spinal motion; monitor for neurogenic shock Y

    Exposure Severe hypothermia External warming Y

    SECONDARY INTERVENTIONS AND ADJUNCTS TO BE CONSIDER


    SURVEY FINDING PERFORMED AT LOCAL FACILITY TRANSFER?

    Head and Depressed skull fracture or CT scanc Y


    Skull penetrating injury

    Maxillofacial Eye injury, open fractures, CT scanc Y


    complex laceration, ongoing
    nasopharyngeal bleeding

    Note: Evaluate and make the decision to transfer within first 15–30 minutes of trauma team leader arrival.
    a. Perform only if it affects the decision to transfer.
    b. Patients with GCS scores 9–13 may require intubation, depending on clinical circumstances and discussion with accepting doctor.
    c. Perform only in hemodynamically stable patients for whom the results will affect the decision to transfer or the care provided before transfer.

    Continued
    table 13-1 rapid triage and transport guidelines (continued)

    SECONDARY INTERVENTIONS AND ADJUNCTS TO CONSIDER


    SURVEY FINDING BE PERFORMED AT LOCAL FACILITY TRANSFER?

    Neck Hematoma, crepitus, midline CT scanc Y


    tenderness or deformity

    c
    Chest Multiple rib fractures, flail chest, CXR, FAST , CT scanc Y
    pulmonary contusion, widened
    mediastinum, mediastinal air

    a
    Abdomen Rebound, guarding FAST, DPL , CT scanc Y

    Perineum/ Laceration Proctosigmoidoscopyc, speculum Y


    Rectum/Vagina examinationc

    Neurologic Deficit Plain filmsc, CT scanc, MRIc Y

    Musculoskeletal Complex or multiple fractures or Extremity xraysc, spine xraysc, or CT scanc Y


    dislocations or bony spine injuries

    Other Factors Age, multiple comorbidities,


    pregnancy, burn

    Note: Evaluate and make the decision to transfer within first 15–30 minutes of trauma team leader arrival.
    a. Perform only if it affects the decision to transfer.
    b. Patients with GCS scores 9–13 may require intubation, depending on clinical circumstances and discussion with accepting doctor.
    c. Perform only in hemodynamically stable patients for whom the results will affect the decision to transfer or the care provided before transfer.

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