Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download Trauma flow sheet
Document related concepts
no text concepts found
Transcript
GRI ED Team Leader:______________________ Major Trauma Flow Sheet Date: DD/MM/YY Time ED: HH:MM Arrival – Transcribe from SAS PRF Mode SAS Self Stand-by SAS on scene HH:MM Yes EM Consultant Present? Yes No Trauma Team? Yes No Pre Arrival Trauma Team? Yes Attach Patient Sticker No PRIMARY SURVEY No SAS call HH:MM SAS left scene HH:MM Initial Observations EMRS HR c MIST RR BP Cleared Immobilised Clear RTC Mechanism (Circle) Driver Fall vs. FSP RSP Speed: Restrained Airbags Entrapped Ejection A Blunt Assault Crush Burns Other B Spontaneous Respiratory Effort? Yes CRIC OXYGEN N/DECOMPRESSION CHEST WALL CHEST DRAIN ED THORACOTOMY EXT HAEMORRHAGE RADIAL PULSE Treatment (Circle) HR BP RR Sp02 GCS E V M 02 IV Fluid Pelvic Binder Analgesia RSI Collar Scoop Airway Adjuncts ICD Other C Y N Details HH:MM ECG HH:MM Result CELOX ABDOMEN G&S / XM PELVIS PELVIC BINDER CENTRAL ACCESS TRANEXAMIC ACID GIVEN? (remember CRASH3 randomisation) AMPLE GCS Allergies D NKDA PUPILS E= LATERALISING SIGNS BM/GLUCOSE Other: TEMPERATURE ASA: Meal: LMP: Draft Nov 2014 Authors J Millar / D Lowe / D Maguire ßHCG: -ve +ve E LOG ROLL V= M= Equal and Reactive Warfarin / APT / NOACS PMHx Last TOURNIQUET HEART SOUNDS FEMURS Medications No RSI BREATH SOUNDS Injuries Initial SAS Observations PH ED TRACHEA Stab EVM Obstructed Adjunct NP ETT Guedel Height: GCS Sp02 Right Large Normal Flexor Left Large Extensor Unreactive No Response ACTIVE REWARMING Fluid BAIR NAD C SPINE T SPINE EXPOSED COMPLETELY? L SPINE PLAIN FILMS SECONDARY SURVEY STAFF C SPINE CHEST PELVIS OTHER: SPECICALTY TIME ED CONS HH:MM ANAES HH:MM ITU HH:MM RIGHT LUNG GEN SURG HH:MM LEFT LUNG ORTHO HH:MM PERICARDIAL PLASTICS HH:MM RUQ VASC HH:MM LUQ OTHER HH:MM PELVIS OTHER HH:MM E-FAST +VE -VE N/A GRADE Attach Patient Sticker NAME CT (Circle) WHOLE BODY CT HEAD BLOODS C SPINE CHEST ABDOMEN & PELVIS MAJOR HAEMORRHAGE PROTOCOL? Y OTHER N TIME HH:MM GAS 1 H+ pCO2 pO2 LAC BE HCO3 Hb Hct GAS 2 H+ pCO2 pO2 LAC BE HCO3 Hb Hct ROUTINE Hb Hct COAG INR Plt PT Na K Ur APTT INJURIES/MANAGEMENT 1 Cr Fibrinogen 2 DRUGS DRUG Tranexamic Acid DOSE ROUTE 1g IV PRESCRIBED GIVEN TIME 3 4 5 DISPOSITION Time HH:MM INPUT/OUTOUT CRYSTALLOID Millilitres BLOOD PRODUCTS : PRC Units FFP Units TOTAL Millilitres URINARY CATHETER Y / N Plt Pools Millilitres CHEST DRAIN Y / N RT Millilitres LT Millilitres SUCTION Millilitres FLOOR Millilitres TOTAL Millilitres THEATRE ICU HDU WARD MORTUARY COMPLETION NAME GRADE TIME
Related documents