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 Beck B, Cameron PA, Braaf S, Nunn A, Fitzgerald MC, Judson RT, et al. Traumatic...

Retrieval and Transfer

ARV is the initial point of contact for transferring or retrieving all adult major trauma patients (phone ARV on 1300 36 86 61). In all cases, the decision regarding the timing of the transfer and the retrieval destination will be coordinated by ARV clinicians in...

Early Management

Airway management If there is potential that the patient’s airway may deteriorate due to injuries or respiratory insufficiency, intubation prior to retrieval should be discussed with the ARV consultants. Assess adequacy of oxygenation and ventilation. Frequent...

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.(19, 20) Clear communication between the trauma team members is vital, as is ensuring that local senior staff...

Secondary Survey

History Taking an adequate history from the patient, bystanders, or emergency personnel of the events surrounding the injury can assist with predicting other damage that may have occurred.(17) Emphasis should be placed on understanding the mechanism, initial level of...