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Handbook

Trauma Handbook

Contents:

  1. Protocol for paging Trauma team
  2. The Trauma Team
  3. Primary Survey
  4. Secondary Survey
  5. Radiology
  6. Placement
  7. Head injuries
  8. Spinal Injuries
  9. Chest Injury
  10. Blunt abdominal Trauma
  11. Penetrating abdominal Trauma
  12. Urological Injuries
  13. Eye Trauma
  14. Hand Injuries
  15. Burns
  16. Carbon monoxide poisoning
  17. Obstetric Trauma
  18. Paediatric Trauma
  19. Paediatric resuscitation chart
  20. Hypothermia
  21. Universal Precautions
  22. Blood Alcohol Testing
  23. Patient transfers into Liverpool
  24. Patient transfers out of Liverpool
  25. Telephone numbers
  26. Acknowledgments

Paediatric Resuscitation Chart

 AGE  2 Months  6 Months  1 Year  3.5 Years  6 Years  10 Years  13 Years  14 Years
 Length cm 55 70  75 90 115 135 155 160
 Weight kg 5 7.5 10  15 20 30 40 50
ET Tube uncuffed uncuffed  uncuffed  uncuffed  uncuffed  cuffed  cuffed  cuffed
 - diam mm  3  3 - 3.5 4 4.5 - 5 5.5 6 - 6.5 7 - 7.5 8
 - length cm  10 10 12 13-14 15 16-17 18 18-21
 Fluid Bolus  100 150 200 300 400 600 800 1000

Adrenaline 0.1ml/kg

Initial Dose 1 / 10,000

ET or Subsequent 1 / 1,000

 0.5 0.75 1.0 1.5 2 3 4 5
 Aminophylline (250 mg/ml)  1 1.5 2 3 4 6 8 10

 Atropine (1mg / 10ml)

IV Dose (ET = IV x 2)

 1 1.5 2 3 4 6 8 10
 HCO3- (8.4%)  5 7.5 10  15 20 30 40 50
 CaCl2 (10%)  0.5 0.75 1 1.5 2 3 4 5
 IV Diazepam (10mg / 2ml)  0.25 0.4 0.5 0.75 1 1.5 2 2
 PR Diazepam (Stesolid) mg  2.5 2.5 5 5 10 10 10 10
 Glucose (10%)  25 40 50 75 100 150 200 250
 Lignocaine (1%)  0.5 0.75 1.0 1.5 2 3 4 5
 Naloxone (800 mcg / 2 ml)  0.2 0.4 0.5 0.75 1 1.5 2 2.5
 Salbutamol Neb (5 mg / ml)      0.5 1 1 1 1 1
 Initial DC Defibrillation (J)  10 15 20 30 40 60 80 100

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Last modified: Thursday, 24 April 2003