Level 1 trauma unit
cares for all levels of injuries and are staffed around the clock with physicians surgeons and support
personnel who are highly trained int he care and treatment of traumatic injuries. Level 1 hospitals have
access to helicopter rescue units. provide emergency radiography, fluoroscopy, CT, MRI, around the
clock. There must also be access to nuclear medicine studies, angiography, and sonography, Facilites for
neurologic care must be available as well.
Level 2 trauma unit
24 hr ED physician and emergency trained staff
radiology and fluoroscopic procedures available as well as CT, angiography, and MRI.
Trauma Unit Staff
highly trained trauma physician and staff, staff made up of nurses, anesthesiology, resp, radiographers,
and a phlebotomist.
Golden Hour
first hour of care for a pt with massive trauma. If stabilized in that time frame, they have a greater
chance of recovery
what does trauma assessment include
transport team
arrival time
radiographs
. Transport team
usually emt or paramedic transports, after airway is estab, bleeding is controlled and pt is immobilized
then they will trasnport.
Arrival time at trauma center. What do they assess in order?
first thing they assess is cardiac, then resp, and lastly spinal fractures. After that they will treat other
needs.
Trauma assessment- radiographs
P CXR, AP pelvis, x-table c spine or CT, generally pts stabilized before we get them so airway estab, IV
started, have had pain meds, and bleeding will be controlled before we take other radiographs.
Emergency patient condition
observe pt for chnage in condition. They may go into shock, delayed emotion reaction. Be as calm as you
can, reassure pt, and be confident with out job.
ex of delayed emotional reaction