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
Disclaimer: All original material and images included on this website are the sole property of CMC EM Residency and cannot be used or reproduced without written permission. Information contained on this website is the opinion of the authors and does not necessarily represent the official opinion of Atrium Health or Carolinas Emergency Medicine Residency.
For Health Care Providers: Every effort is made to provide the most up to date evidence based medicine. However, this content may not necessarily reflect the standard of care and application of material contained on this website is at the discretion of the practitioner to verify for accuracy.
For the Public: This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Relying on information contained on this website is done at your own risk. Do not disregard professional medical advice or delay seeking care secondary to content on this website. Call 911 or seek a medical professional immediately for any medical emergencies.
Like us on Facebook or
follow us on Twitter/Instagram
Department of Emergency Medicine
Medical Education Building., Third floor
1000 Blythe Blvd.
Charlotte, NC 28203