Trauma Cases Core Concepts - Dr. Gibbs
1. Only 10% of injured patients are initially managed at regional Trauma Centers
2. Community hospital emergency physicians play a pivotal role in the management of acute injury
3. Over-testing before transfer may cause hazardous delays in care
4. Adult and children who suffer blunt traumatic arrest are almost always dead
5. Contact trauma with cases that may be transferred solely for organ donation - we almost always take these
6. Action steps to take BEFORE transfer include: (a) airway management, (b) treatment of pneumothorax, (c) repair of actively bleeding lacerations, (d) basic resuscitation, (e) reversal of anticoagulation, (f) splinting of extremities
7. Avoid long-acting paralytics in TBI during transfer - this will compromise the exam
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