Victorian State Trauma System

Major Trauma Guidelines & Education – Victorian State Trauma System

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Resource Limited Facility

Ideally in the treatment of TCA, there will be enough staff available for interventions to be conducted simultaneously. In situations where staff and resources are limited, then a systematic approach must be utilised to identify the cause of the TCA as well as the...

Resuscitation procedures

Ultrasonography Ultrasonography should be used in the evaluation of the critically ill patient in cardiac arrest to establish the likely cause of arrest and prioritise life-saving treatments. In the hands of a skilled clinician, a haemo-peritoneum, a haemo or...

Management

Most deaths in trauma occur within the first 5 minutes following the event and most cannot be prevented. There are, however, the following preventable early deaths in trauma that need to be addressed prior to the conventional teaching of ABCDE. Haemorrhage Trauma...

Conventional BLS and ALS considerations

Priority should be given to managing the above emergencies before conventional CPR modalities (external chest compressions/defibrillation) are commenced, as correcting the cause of the cardiac arrest will give the patient the best chance at survival. This will only...

Pre-hospital considerations

The Australian and New Zealand Committee On Resuscitation (ANZCOR) recommends that in the prehospital setting patients in cardiac arrest from trauma should only be transported to hospital after return of spontaneous circulation.1 The exception to this is where the...