Major Trauma Pathway

Objectives

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Scope

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Audience

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Initial Assessment & Management

Ballistic Injury

Critical Decisions

• Identify time critical injuries (non-compressible haemorrhage requiring urgent evacuation for surgery
• C-Spine collar is not required for penetrating neck injury unless there are signs of abnormal neurology

Caveats

• Check front and back of casualty
• Bullets and fragments cross cavities

Antibiotics

• Refer to DMS Antibiotic Guidelines in Operational Formulary for further advice

Blast Injury

Blunt Trauma Injury

Eye Trauma

Advanced Assessment & Management

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Prolonged Casualty Care

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Paediatric Considerations

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