Victorian State Trauma System

Major Trauma Guidelines & Education – Victorian State Trauma System

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References

1 Brouwers MC, Kho ME, Browman GP, Burgers JS, Cluzeau F, Feder G, et al. AGREE II: advancing guideline development, reporting and evaluation in health care. Cmaj. 2010;182(18):E839-42. 2 Victoria State Trauma Registry Annual Report 2021-2022. Melbourne, Victoria;...

Retrieval and Transfer

It is important to note that an exhaustive clinical workup and intervention is not always necessary or appropriate prior to transfer. Stabilisation and ensuring life-threatening problems are addressed, as well as taking measures to prevent deterioration enroute, are...

Early Management

Airway management If there is potential that the patient’s airway may deteriorate, then intubation prior to retrieval should be discussed with the ARV coordinator. Always have emergency airway equipment available. Fluid resuscitation Avoidance of hypovolaemia in...

Planning and Communication

For a trauma team to run effectively there must be an identifiable leader who will direct the resuscitation, assess the priorities, and make critical decisions (23, 24). Clear communication between the trauma team members is vital, as is ensuring that local senior...

Secondary Survey

The secondary survey is only to be performed once the primary survey has been completed and any life-threatening injuries have been managed. If during the examination any deterioration is detected, reassess the primary survey from the beginning. History Taking an...