Victorian State Trauma System

Major Trauma Guidelines & Education – Victorian State Trauma System

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Planning and Communication

For effective management of trauma, an identifiable leader should direct the resuscitation, assess the priorities and make critical decisions.21 Good communication between the trauma team members is vital, as is ensuring that local senior staff are aware and can...

Additional points for early management

Trauma imaging Consider diagnostic imaging if indicated and available. Three standard x-rays that should be considered routinely in major trauma: lateral C-spine chest pelvis The desire to protect a child’s reproductive organs from radiation should not outweigh the...

Secondary Survey

History An adequate history taken from family members, bystanders, or emergency personnel of the events surrounding the injury can assist with understanding the extent of the injury. Use the AMPLE acronym to assist with gathering pertinent information: Allergies...

Primary Survey and Early Management

Use a systematic approach based on the ABCDE survey to assess and treat the acutely injured child. The goal is to identify and manage any immediate threat to life and to identify any potential threats. The following vital signs should be utilised to identify a need...

Early Activation

Emergency medical services should notify the receiving hospital that a paediatric trauma patient is on their way. This information may be crucial to managing a severely injured patient and can allow for communication to vital members of the response team as well as...