Trauma Triage Scenario 3

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Trauma Triage Scenario 3
2
Scenario 3
3
Scene Info

• Swimmer struck by a boat
• Boat was traveling fast
• 76 y/o male patient
• Conscious, but hurt bad

What does this information provide us? What
additional information do you need?
4
Initial Assessment

• Opens eyes to voice
• Localizes painful stimuli
• Is confused and combative
• Airway is open
• RR36, ? Cx expansion, paradoxical Cx wall
  motion, open chest wound on L., ? lung sounds on
  L.
• Weak radial pulses at 110
• Skin pale, cool, moist

Can you estimate GCS RTS? What is the Patient
Status?
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Focused HP

• R. temporal bruising, pupils PERRLA
• No JVD or tracheal deviation, no C-spine
  deformity, some SQ air noted to neck area
• ? Cx expansion, ? lung sounds L., unstable
  segment, paradoxical Cx wall motion and open Cx
  wound L.
• Abdomen soft, LUQ bruising
• Pelvis stable
• LLE RLE deformity, swelling, and bleeding from
  large lacerations
• Back Bruising to L. side of thoracic area
• Pulse 110, BP 96/62, RR 36
• Medic alert bracelet says Hx AFib and HTN

Confirm or dispute your initial severity
determination.
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Trauma Communications

• What pertinent information will you
• communicate to medical control?

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Transport Decision

• Injury Severity
• Hospital capability, location, driving time due
  to traffic
• Regional Level II Hospital is 20 minutes by
  ground
• Regional Level I Hospital is 60 minutes by ground
• Your crew includes 1 EMT-P and 2 EMT-Bs
• Helicopter is available and ETA to scene is 15
  minutes (responding from the Regional Level 1
  Hospital)

What decision will Medical Control make and why?
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Questions?