Trauma Management in Emergency Care

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Questions and Answers

What is the primary purpose of the Trauma Tree in the major trauma system?

To ensure patients are appropriately transported to a Major Trauma Centre. (correct)

To assess the severity of trauma.

To provide rehabilitation support.

To communicate with speech therapists.

Pre-hospital care is not considered important in the trauma care process.

False

Which of the following accurately defines trauma?

An injury that occurs due to internal bodily processes.

A chronic condition resulting from repeated exposure to low-energy impacts.

An emotional response to stressful events.

An injury caused by the transfer of energy from an external source to the body. (correct)

List two types of professionals involved in personalized rehabilitation after a severe injury.

Physiotherapists and Occupational therapists Signup and view all the answers

The Major Trauma Centre conducts a focused assessment by a ____________.

specialist trauma team Signup and view all the answers

Major trauma is defined as an injury that does not result in permanent disability or death.

False Signup and view all the answers

What is the leading cause of death in patients aged 20 to 24?

Major trauma Signup and view all the answers

Match the following stages of trauma care with their descriptions:

Initial Assessment = Identifying the seriousness of the injury at the scene Transport = Transferring the patient to the Major Trauma Centre Imaging = Completing CT scans immediately upon hospital arrival Rehabilitation = Starting a program to help patients return to an active life Signup and view all the answers

In an emergency setting, interrogation dispatch must occur within ______ minutes.

7 Signup and view all the answers

Match the trauma types with their corresponding scenarios:

RTC = Road Traffic Collision Impaled on an object = A person has a foreign object lodged in their body Electrocution = Injury due to electrical shock Drowning = Suffocation due to submersion in water Signup and view all the answers

Which of the following is a role of Major Trauma Centers (MTCs)?

Consultant led care Signup and view all the answers

The Major Trauma Decision Tree should always be checked before conveying a patient to a trauma center.

True Signup and view all the answers

What does Mechanism Of Injury (MOI) refer to?

The sum of all physical forces exerted on the body resulting in an injury. Signup and view all the answers

The Major Trauma Decision Tree helps identify and ________ patients who may benefit from a specialist trauma center.

triage Signup and view all the answers

Match the following aspects of Major Trauma Centers to their descriptions:

Open 24/7 = Availability of care at any time Consultant led care = Care provided by specialists Access to diagnostics = Facilities for accurate injury assessment Rehabilitation access = Support for recovery post-treatment Signup and view all the answers

What must be documented when using the Major Trauma Decision Tree?

Step triggered Signup and view all the answers

The MOI alone can predict the extent of an injury.

False Signup and view all the answers

What is the main purpose of the Major Trauma Decision Tree?

To identify and triage patients who may benefit from a specialist trauma center. Signup and view all the answers

Before conveying a patient to a trauma center, inappropriate use could block ________ and delay ambulance availability.

beds Signup and view all the answers

Which version of the Major Trauma Decision Tree is available?

Adult and pediatric Signup and view all the answers

Study Notes

Understanding Trauma

Trauma occurs when external energy transfers to the body faster than it can dissipate, leading to injury.
Major trauma poses a risk of permanent disability or death.

Major Trauma Statistics

Major trauma is the leading cause of death in individuals aged 1-44.
High-risk situations for major trauma include falls from heights, vehicle collisions, and traumatic amputations.

Major Trauma System Process

Dispatch Response: Initial dispatch time is within 7 minutes for trauma incidents.
Pre-hospital Care: Critical collaboration between HEMS (Helicopter Emergency Medical Service) and ambulance staff for initial patient management.
Trauma Tree: Used for transporting patients to a Major Trauma Centre (MTC) based on injury severity.

Major Trauma Centre (MTC)

MTCs operate 24/7 and provide consultant-led care with access to advanced diagnostic and treatment facilities.
Focused assessments by specialized trauma teams perform life-saving interventions.

Mechanism of Injury (MOI)

MOI refers to the physical forces acting on the body that cause injury.
Significant MOI includes falls from heights greater than 6 meters and motor vehicle collisions with certain criteria (e.g., ejection from vehicle).

Special Considerations for Trauma Alerts

Lower thresholds for alerts should be provided for:
- Patients over 55 years.
- Pregnant patients over 20 weeks.
- Individuals on anticoagulants or with known bleeding disorders.
- Morbidly obese patients and children who meet specific weight/height criteria.

Reporting Mechanisms in Trauma Scenarios

METHANE Report: Used during major incidents to provide essential information:
- M: Major incident declared
- E: Exact location
- T: Type of incident
- H: Hazards known
- N: Number of patients
- E: Emergency resources needed

Handover Models

ATMIST: For trauma handovers, includes:
- Age
- Time of incident
- Mechanism of injury
- Injuries
- Signs and Symptoms
- Treatment given
CATMIST: Used for trauma blue calls with focus on critical details of the case.

Emergency Preparedness

Windscreen reports should follow the METHANE model for clear and concise communication with emergency operations centers (EOC).

Importance of Rehabilitation

Post-injury treatment may involve reconstructive surgery followed by tailored rehabilitation from a team of specialists (physiotherapists, occupational therapists) to support recovery and return to normal life.

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Description

This quiz assesses your understanding of the processes and systems used to manage trauma patients in emergency and urgent care settings. Explore the essential components of effective trauma management to enhance patient outcomes. Test your knowledge on strategies and protocols essential for trauma care.