Rapid trauma assessment
Rapid Trauma Assessment is a quick method, (60 to 90 seconds), to identify hidden and obvious injuries in a trauma victim.[1] The goal is to identify and treat immediate threats to life that may not have been obvious during an initial assessment. After an initial assessment involving basic checks on airway, breathing and circulation, the caregiver considers things like mechanism of injury (how the person was hurt) to determine if a more rapid diagnostic approach is indicated than might otherwise be used.
Indications for rapid trauma assessment
Generally, rapid trauma assessment is indicated if:[2]
- There was a significant mechanism of injury (for example, a high-speed car accident); OR
- The patient has an altered mental status; OR
- The medical responder suspects that the patient has multi-systems trauma
If NONE of these criteria are met, the medical provider may go through a slower or more focused trauma assessment.[2]
Identifying life threats
A standard rapid trauma assessment will check for each of the following life threats, and provide some forms of basic treatment. Treatment that would not be life-saving is not conducted until after the rapid trauma assessment.[3]
A rapid trauma assessment goes from head to toe to find these life threats:[2][3]
- Skull fractures and signs of brain injury
- Airway problems (although these were checked during the initial assessment, they are rechecked during the rapid trauma assessment)
- Penetrating trauma to the neck, or a break in the tracheal-bronchial tree
- Cervical spinal injury
- Signs of serious chest injuries, including penetrating trauma to the chest, which can cause a sucking chest wound; flail chest; tension pneumothorax; and cardiac tamponade
- Breathing problems (like airway problems, these are also rechecked during the rapid trauma assessment by listening to breath sounds with a stethoscope)
- Signs of serious abdominal injuries, including evisceration; penetrating or blunt force trauma; or peritonitis from bleeding into the abdomen
- A fractured pelvis (a person can exsanguinate from a fractured pelvis)
- Bilateral femur fractures (a person can also exsanguinate from bilateral femur fractures)
- Lower spinal injury or any other trauma to the back
See also
References
- ↑ Andrew N. Pollak; Benjamin Gulli; Les Chatelain; Chris Stratford, eds. (2005). Emergency Care and Transportation of the Sick and Injured (9th Edition). Sudbury, MA: Jones and Bartlett Publishers. pp. 1195–3. ISBN 978-0-7637-4406-9.
- 1 2 3 Mistovich, Joseph J.; Karren, Keith J.; Hafen, Brent (July 18, 2013). Prehospital Emergency Care (10th ed.). Prentice Hall. ISBN 978-0133369137.
- 1 2 Sanders, Mick J.; McKenna, Kim D.; et al. (2011). Mosby’s Paramedic Textbook. Jones & Bartlett Publishers. ISBN 9780323072755.