The trauma team is activated

Preparation is complete 

*Rapid Infuser

*Chest Trauma Equipment

PPE has been donned by the team

Primary Survey

Alertness with Simultaneous Cervical Spinal Stabilization

AVPU

Assess AVPU**

State C Spine stabilization** Provided and Demonstrate Opening of Airway** Check for tongue obstruction, loose or missing teetth, foreign objects, bleeding, vomitus other secretions, edema, snoring, gurgling or stridor

State neep for OPA or definitive airway**

Reassess after intervention

At least 4**

Is breathing spontneous

Symmetrical Chest Rise

Depth, Pattern, Rate of Respirations

Increased Work of Breathing 

Skin Color

Open Wounds

Deformity

Subcutaneous Emphysema

Jugular Venous Distention

Breath Sounds Present and Equal

State needed for Assisted Ventilation** BVM

RSI

Breathing and Ventilation

Need for Assisted Ventilation

Assess ET Tube Placement**

Attach CO2 detector**

Observe for Chest Rise and Fall with ventilation

Observe Chest Rise an Fall**

Auscultate over Epigastrium and Bilateral Breath Sounds**

Give 5 to 6 breaths and observe for CO2 in exhaled air**

Assess for Improvement in Skin Color**

Assess ET tube position note number at teeth and secure**

Begin or Continue Manual Ventilation**

Circulation and Control of Hemorrhage

Demonstrate and Describe Technique for Determining Adequacy of Circulation Using Inspection, Auscultation, and Palpation

Inspects for Uncontrolled Hemorrhage**

Palpats for Central Pulse**

Inspects and Palpates Skin for Color, Temp, Moisture**

Assess Patency of Prehospital Line

States Need for Additional Large Bore IV** (blood collect)

States Need for Administration of Warm Isotonic Crystalloid Fluid Via Blood Tubing at controlled Rate

Describe assessment for Glasgow Coma Scale**

Best Eye Opening

Bet Verbal Response

Best Motor Response

Assess for PERRLA

State Need for CT and Notify Radiology**

Remove Clothing and Inspect for Uncontrolled Bleeding or Obvious Injuries**

Keep Patient Warm with Blankets, Lights, Increased Room Temperature, Warmed Fluids, Warmed Oxygen

Full Set Of Vital Signs

Facilitate Family Presence

Obtain a Full Set of Vital Signs

Family presence

State the need for Laboratory Analysis (blood typing, Blood Gases, lactate)

Attach Patient to Monitor

State the Need to Consider Naso or Orogastric tube

Attahes Patient to Pulse Oximetry and Capnography

States the need to assess Pain**

Give Appropriate Nonpharmacologic Comfort Measures Apply Icek Reposition, Pad bony prominences and consider analgesic medication

Secondary Survey

History

Get pertinent past medical history from prehospital providers and family

MIST

Inspects and palpates head and face for injuries

Inspects and palpates neck for injuries demonstrating removal and replacement of cervial collar for assessment

Inspets and palpates chest for injuries

Auscultates breath sounds and Heart Sounds

Insptects the abdomen and flanks for Injuries

Auscultates Bowel Sounds

Palpates all four quadrants of the abdomen for injuries

Inspects the pelvis and perineum for injuries

Applies gentle pressure over iliac crests downward and medially

Applies gently pressure on the symphisis pubis

States the need to assess for indications or contraindications of a urinary catheter

Inspects and palpates al four extremities for neurovascular status and injuries

States the need for the team to maintain spinal stabilization for the assessment of posterior surface**

Inspect and Palpate Posterior Surface

States the Need to Remove Spine Board

States the need for reevaluation adjuncts

Identifies at least 3

CT or Radiograph Spine

CT or Radiograph Chest

CT Abdomen

Pelvic Radiograph

Revised Trauma Score

Clean and Dress Wounds

Tetanus

Reevaluate primary assessent, vital signs, pain and all identified injuries and effectiveness of interventions