Maintain Spo₂≥90% GCS GCS GCS 3-8 GCS 0-13 ≥14 Treat S/S Per Appropriate Protocol Obtain Iv access A (maintain A SBP≥90 mm Hg Obtain Iv access A (maintain A SBP≥90 mm Hg Zofran Capnography P P P Lorazepam P Versed Intubate (RSI) P P prn Yes No Capnography where available M Contact Medical Control M P P (maintain EtCO₂ 32-37 mmHg) Multi-System Trauma History: Signs / Symptoms: Differential: · Time and Mechanism of injury ·Altered mental status or unconscious · Chest Tension pneumothorax · Damage to structure or vehicle ·Hypotension or Flail Chest · Location in structure or vehicle · Arrest Pericardial Tamponade · Others injured or dead Deformity Open Chest wound · Speed and details of MVA Contusions Hemothorax · Restraints / protective equipment Abrasions · Intra-abdominal bleeding · Past medical history Punctures/Penetrations · Pelvis/femur fracture · Medications Burns · Spine fracture / Cord injury Tenderness · Extremity fracture / Dislocation Lacerations · HEENT (Airway Obstruction) Swelling · Hypothermia Universal Patient Care Protocol Legend EMT Expose injuries A EMT-A A P EMT-P P Arrange transport according to the Washington State Trauma Triage Tool M MC Order M Spinal Immobilization Procedure
Maintain Spo₂≥90% GCS GCS ≥14 GCS 3-8 GCS 0-13 A Obtain Iv access (maintain SBP≥90 mm Hg A Treat S/S Per Appropriate Protocol A Obtain Iv access (maintain SBP≥90 mm Hg A P Intubate (RSI) prn P P Capnography P P Zofran Lorazepam Versed P No Yes P Capnography where available (maintain EtCO₂ 32-37 mmHg) P M Contact Medical Control M Multi-System Trauma History: · Time and Mechanism of injury · Damage to structure or vehicle · Location in structure or vehicle · Others injured or dead · Speed and details of MVA · Restraints / protective equipment · Past medical history · Medications Signs / Symptoms: ·Altered mental status or unconscious ·Hypotension or · Arrest Deformity Contusions Abrasions Punctures/Penetrations Burns Tenderness Lacerations Swelling Differential: · Chest Tension pneumothorax Flail Chest Pericardial Tamponade Open Chest wound Hemothorax · Intra-abdominal bleeding · Pelvis/femur fracture · Spine fracture / Cord injury · Extremity fracture / Dislocation · HEENT (Airway Obstruction) · Hypothermia Universal Patient Care Protocol Legend EMT A EMT-A A P EMT-P P M MC Order M Expose injuries Arrange transport according to the Washington State Trauma Triage Tool Spinal Immobilization Procedure
2012_lc_ems_protocols.docx