Victorian State Trauma System

Major Trauma Guidelines & Education – Victorian State Trauma System

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References

1 Brouwers M, Kho ME, Browman GP, Burgers JS, Cluzeau F, Feder G, Fervers B, Graham ID, Grimshaw J, Hanna S, Littlejohns P, Makarski J, Zitzelsberger L for the AGREE Next Steps Consortium. AGREE II: Advancing guideline development, reporting and evaluation in...

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 decisions16. Good communication between the trauma team members is vital, as is ensuring that local senior staff are...

Secondary Survey

History Taking an adequate history from the patient, bystanders, and emergency personnel of the events surrounding the injury can assist with understanding the extent of the injury and any possible other injuries. Use the AMPLE acronym to assist with gathering...