Interpretation Major Trauma airway, ventilation and circulation concurrently compromised – Life threatening scenario Needs action now PART B Activate Trauma Response Assume leadership delegate tasks – Commence primary survey, concurrent with emergent Rx Secure airway if tracheostomy, establish patency and function – C spine immobilization (in line immob, if intubation required) Decompress L chest with needle then re-insert or re-position L ICC – Fluid resuscitation crystalloids and O neg blood – Secondary survey following initial stabilisation Fast track to definitive care urgent laparotomy and probable thoracotomy – Communicate to team and all stakeholders, such as OT and ICU
Interpretation Major Trauma – airway, ventilation and circulation concurrently compromised Life threatening scenario Needs action now PART B Activate Trauma Response Assume leadership – delegate tasks Commence primary survey, concurrent with emergent Rx Secure airway – if tracheostomy, establish patency and function C spine immobilization (in line immob, if intubation required) Decompress L chest with needle – then re-insert or re-position L ICC Fluid resuscitation – crystalloids and O neg blood Secondary survey following initial stabilisation Fast track to definitive care – urgent laparotomy and probable thoracotomy Communicate to team and all stakeholders, such as OT and ICU
cxr-vaqs.docx