Paramedics must remember that critically injured patients may need immediate surgical intervention.
It is imperative to do the following:
- make a quick assessment of scene safety
- assess airway
- assess breathing
- assess circulation and/or problems associated with circulation
- recognize or rule-out the need for additional equipment or personnel
- correct life-threatening problems
- administer oxygen as soon as possible
- immobilize patients
- notify dispatch of START Triage category(ies)
- major area(s) of injury
- rapid transport to the nearest trauma center.
- Once transport has begun, crews will notify the trauma center of all patients being transported with updated condition and ETA.
- All IV lines will be initiated enroute to the trauma center unless the patient is trapped and/or the IV will not delay transport.
- All head trauma patient with decreased level of consciousness should receive proper airway maintenance and should be ventilated with 100% oxygen.
- Crews should attempt to leave the scene within 10 minutes.
- Reassessment of vital signs and neurological status is important and should be done frequently while treating the patient.