Contents:

Protocol for paging Trauma team The Trauma Team Primary Survey Secondary Survey Radiology Placement Head injuries Spinal Injuries Chest Injury Blunt abdominal Trauma Penetrating abdominal Trauma Urological Injuries Eye Trauma

Hand Injuries Burns Carbon monoxide poisoning Obstetric Trauma Paediatric Trauma Paediatric resuscitation chart Hypothermia Universal Precautions Blood Alcohol Testing Patient transfers into Liverpool Patient transfers out of Liverpool Telephone numbers Acknowledgments

History

• MVA ejected from vehicle
• Pedal cyclist, motorcyclist or pedestrian hit by car or truck
• Fall 6m or greater
• MVA with one or more fatality
• Fall from horse
• Interhospital trauma transfer

• Airway Obstruction
• Shallow or retractive breathing
• Cyanosis
• Skin Pallor or slow capillary refill > 2 sec.
• Systolic Blood Pressure < 90 mm/Hg
• Pulse >130 or < 50 / min.
• Depressed level of consciousness or fitting
• Pupil(s) dilated or unreactive
• Trauma Score 12 or less
• Deterioration in Emergency Department

• Injury to 2 or more body regions (head/neck/chest/abdomen/pelvis/back/femur)
• Fracture to 2 or more long bones (adjacent radius/ulna or tib/fib do not count as 2)
• Spinal cord injury
• Crush injury or amputation of a limb
• Penetrating injury to head, neck, chest, abdomen, pelvis, groin or back
• Burns to airway or smoke inhalation. Adults > 15% surface area, children >10%
• Penetrating injury to head, neck, chest, abdomen, groin or back
  

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