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

ADULT

ICU registrar to find an appropriate bed at another hospital.

Ring Air-Ambulance 9693 5333 for all transfers, road or air.

PAEDIATRIC

Contact the paediatric ICU registrar at Westmead on 9845 0000 who will find a bed and arrange transfer.

Helicopter transfers must be agreed to by the ICU consultant on call. Refer to SWSAHS transfer guidelines for most appropriate mcthod

Remember to give a direct telephone number so that other agencies can ring back easily

Check patient:

ABC must be stable before the patient can be transferred.

A & B : If in any doubt about airway and breathing, intubate and ventilate. Insert ICC for all haemo / pneumothoraces, no matter how small.

C : Two large bore intravenous lines attached to pump sets with blood and colloids en route. Insert indwelling urinary catheter attached to hourly measuring device.

Never transfer a patient who is haemodynamically unstable due to suspected intra-abdominalhaemorrhage. This must be corrected prior to transfer.

It is difficult to do much in the back of a moving ambulance or helicopter so the patient must be well prepared.

Back to top