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

Is patient ABC Stable? If yes, then go head to toe, front to back, over the whole patient looking for injuries/complications etc. Constantly reassess ABC's

1. Head and skull (including ears and oral cavity)
2. Maxillofacial injuries
3. Neck
4. Chest
5. Abdomen
6. Perineum/Rectum
7. Extremities
8. Complete neurological examination
9. Appropriate x-rays, laboratory tests, and special studies
10. "Tubes and fingers" in every orifice ie PV / PR.

MONITOR

• ECG
• BP
• O2 saturation
• Core temperature

INSERT

• Urinary catheter
• Gastric tube (Oro-gastric NOT Naso-gastric if head / facial injuries)

X-RAYS

• Cervical spine lateral initially and ensure C7 and Tl are visualised.
• Erect CXR
• Pelvis

BLOODS

• ABG - Remember acidosis is a sensitve indicator of the effectiveness of resuscitation. Repeat frequently.
• X match
• FBC
• UEC, LFT, AMY
• Blood Glucose

Back to top