Victorian State Trauma System

Major Trauma Guidelines & Education – Victorian State Trauma System

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References

1Brouwers 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. 2Huls CK, Detlefs C. Trauma in pregnancy. Semin Perinatol. 2018;42(1):13-20....

Retrieval and Transfer

Transfer and retrieval response will be managed according to patient need following clinical consultation. It is important to note that an exhaustive clinical workup and interventions are not always necessary or appropriate prior to transfer. Stabilisation and...

Early Management

Early management continues the focus on assessment, management and intervention for the mother, as fetal viability and outcomes are directly related to maternal oxygenation and perfusion. Opportunities to assess fetal wellbeing should be sought, including obtaining...

Planning and Communication

All injured pregnant women should have an obstetric review as soon as possible. Pre-hospital triage Any pregnant trauma patient who meets the pre-hospital major trauma triage criteria should be transported to the Royal Melbourne Hospital. However, where the expected...

Secondary Survey OB

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. eFAST and chest and...