Attachment 1a YAS Stepwise Trauma Assessment and Management (JRCALC) 1) 1.1 1.2 1.3 1.4 1.5 2) Scene Assessment _____ Safety_____ Casualties_____ Event_____ Needs_____ Equipment- 3) PPE, external hazards Number of patients? Mechanism of injury? Any other services required? What is required? 2.2 2.3 _____ GENERAL IMPRESSION OF PATIENT _____ CERVICAL SPINE manual in-line stabilisation by hand ___ LOC A – alert _____ V – responds to voice _____ P – responds to pain _____ U – unresponsive at same time CATASTROPHIC HAEMORRHAGE (Tourniquet/Haemostatic dressing ) 2.4 _____ AIRWAY Assessment Management 2.5 _____ BREATHING Assessment Management Open / clear / listen / look / feel Position / suction / jaw thrust / OPA / NPA / LMA / Intubate / Needle Cric. Rate/quality (adequate 2 ventilation / O ) look / listen / 2 feel / spO / TWELVE / FLAPS / Auscultate / Percuss 2 100 % O / Assist vents / Seal sucking wound / Decompress T.P. 2.6 _____ CIRCULATION Assessment Carotid & radial, rate / quality Ext / Int haemorrhage / Cap.refill / Skin colour / Temp Management Stepwise haemorrhage control. Indirect/Direct pressure. Consider fluid. 2.7 ____ DISABILITY AVPU as above 2.8 _____EXPOSE / EVALUATE 2.9 3.1 _____ VITAL SIGNS _____ Airway _____ Respiration / Pulse oximetry _____ Monitor Pulses / BP / ECG 3.2 _____ NEUROLOGICAL EXAMINATION _____ LOC – AVPU _____ Pupils _____ Motor _____ Sensation Primary Survey CABC Problems to be dealt with as encountered 2.1 Secondary Survey SAMPLE / Immobilisation. 3.3 HEAD TO TOES EXAMINATION 3.3.1_____ Head _____ Re-assess airway _____ Racoon eyes (late presentation) _____ Battles’ sign (late presentation) _____ Blood / fluid from nose or ear _____ Mouth (burns / soot) _____ Pupil size and activity 3.3.2_____ Neck ______ Palpate for steps and/or tenderness ______ Distended neck veins ______ Deviated trachea 3.3.3_____ Chest (repeat TWELVE/FLAPS) _____ Deformity Contusion Abrasion Penetration--DECAP _____ Bruising Tenderness Laceration Swelling---BTLS _____Paradoxical movement _____ Crepitus / instability of ribs _____ Breath sounds _____ Percussion note _____ Recheck seals over open wounds _____ Recheck flails 3.3.4_____ Abdomen _____ Tenderness / Guarding _____ Pain _____ Rigidity 3.3.5_____ Pelvis and Extremities _____ Assume pelvic injury based on mech.of injury _____ PMS – on all fractures Stabilization of fractures including possible pelvic fracture (T-POD) 4) Handover A T M I S T Age Time of incident Mechanism of Injury Injuries Signs and Symptoms Treatment