Victorian State Trauma System

Major Trauma Guidelines & Education – Victorian State Trauma System

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References

by | Sep 8, 2024

1 Thompson L, Hill M, Davies C, Shaw G, Kiernan MD. Identifying pre-hospital factors associated with outcome for major trauma patients in a regional trauma network: an exploratory study. Scand J Trauma Resusc Emerg Med. 2017;25(1):83. 2 Fitzharris M, Stevenson M,...

Persisting hypovolaemic shock

by | Aug 1, 2024

HEMS with blood delivery capacity Image used with permission from Ambulance Victoria If signs of shock are present, it is vital that non-hypovolaemic causes must be excluded, including neurogenic shock in spinal injuries as well as obstructive shock from possible...

Transport Time

by | Aug 1, 2024

Patients meeting the criteria for major trauma should be triaged to the highest level of trauma care within 60 minutes transport time of the incident location.(7)In cases where a MTS is within the 60 minutes transport time, the patient should be taken to that service,...

Retrieval service notification

by | Aug 1, 2024

If it is necessary for a pMT patient to be taken by ambulance to a hospital designated other than an MTS, Ambulance Victoria will notify ARV or PIPER of the case and ARV or PIPER will contact the primary receiving hospital within 60 minutes to determine the need for...

Scene Time

by | Aug 1, 2024

As a general rule, the aim should be for a scene time of 20 minutes or less for non-trapped major trauma patients.(7). Literature has suggested that prolonged scene times in the major trauma patient negatively effects morbidity and mortality.(8, 9). It is acknowledged...