Major Trauma Patient Document - hscboard.hscni.net · Major Trauma Patient Document The scribe must...

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Major Trauma Patient Document The scribe must complete pages 1-5 and Drug Page The Team Leader is responsible for checking the entire document OPEN FRACTURES - PLEASE COMPLETE ORTHOPLASTIC OPEN FRACTURES PRO FORMA Use addressograph - otherwise write in capitals Surname: ________________________________________ First names: ______________________________________ DOB: ____________________________________________ Health and Care No._______________________________ Date: ________________________ Arrival time: ________________________ ED Consultant: ______________________________________________ Present: Yes No Name: ___________________________________________________ Team Leader: _________________________________________ Grade: ____________________ Scribe: _______________________________________________ Speciality Name Grade Arrival time Nurse ED A nurse: ____________________ Anaesthetics B nurse: ____________________ General surgery C nurse: ____________________ Orthopaedics Runner: ____________________ Cardiothoracic Please ensure each page is completed in full NI Major Trauma Network | September 2018 1

Transcript of Major Trauma Patient Document - hscboard.hscni.net · Major Trauma Patient Document The scribe must...

Page 1: Major Trauma Patient Document - hscboard.hscni.net · Major Trauma Patient Document The scribe must complete pages 1-5 and Drug Page ... Whole body CT Head Spine Chest Abdomen and

Major Trauma Patient Document

The scribe must complete pages 1-5 and Drug Page

The Team Leader is responsible forchecking the entire document

OPEN FRACTURES - PLEASE COMPLETE ORTHOPLASTIC OPEN FRACTURES PRO FORMA

Use addressograph - otherwise write in capitals

Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Date: ________________________ Arrival time: ________________________

ED Consultant: ______________________________________________

Present: Yes No Name: ___________________________________________________

Team Leader: _________________________________________ Grade: ____________________

Scribe: _______________________________________________

Speciality Name GradeArrival time Nurse

EDA nurse: ____________________

AnaestheticsB nurse: ____________________

General surgeryC nurse: ____________________

OrthopaedicsRunner: ____________________

Cardiothoracic

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NI Major Trauma Network | September 20182

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Pre-Hospital Information

Time of incident Time of arrival in ED

Mechanism of injury

HEMS BASICS

Code RED: Yes No Time: ______________

Code AMBER: Yes No Time: ______________

Code GREEN: Yes No Time: ______________

Activated: Pre-hospital ED

RTC: ____________ vs. ___________ Speed: ___________

Pax Front Pax Rear Restrained Airbags

Entrapped Ejection Fatality at scene

Fall

Height: __________

Blunt assault GSW Crush Burns Stab

Name: ______________________________________________ Age: ____________ Time of incident: _____________

Traumatic Cardiac Arrest: Yes No

Mechanism: ________________________________________________________________________________________

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Injuries: ___________________________________________________________________________________________

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Signs: _____________________________________________________________________________________________

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Treatment: ________________________________________________________________________________________

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Drug Dose Drug Dose Pre-hospital fluids

Antiemetic Propofol Crystalloid: _________ mls

Blood: _____________ mlsFentanyl Rocuronium

Ketamine Other:Tranexamic acid

Dose: ____________

Time: ____________

Midazolam Other:

Morphine Other:

Paracetamol Other:

Allergies

Medication Warfarin/NOAC: _______ Antiplatelet: _________

PMH Pregnant: Yes No

Last eaten LMP: ____________ BHCG: Neg Pos

Tetanus covered? Yes No Unknown

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Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

Intubated GCS Time of anaesthesia (24hr) Thoracostomy

Yes No Yes No Yes No Right Left

Tube size: __________ Pre tube: ___________ ___________ : __________

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Primary Survey

Initial observations Time:Sa02: E: HR:

V: RR: M:

Entrapped Temp: GSC:

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First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

Cervical spine

Collar/blocks Yes No

Collar/blocks Yes No

Collar/blocks Yes No

Cleared by:

Airway

Clear Yes No

Intubated Yes No Tube size:

Comprised Yes No

Surgical airway Yes No

Comments:

Breathing

Equal air entry Yes No

Decreased air entry Right Left

Needle Decomp Right Left

Finger Thoracostomy

Right

Air

Blood

Left

Air

Blood

Chest drain

Right

Air

Blood

Left

Air

Blood

Comments:

Disability

Rightpupil Size: _______ mm Reaction: Yes No

Leftpupil Size: _______ mm Reaction: Yes No

Priapism: Yes No Sensory level: _____________

Limb movement Right arm Left arm

Right leg Left leg

Posturing: Decorticate Yes No

Decorticate Yes No

BM:

Temperature:

Circulation

Warm Cold Cap refill Secs: __________

External haemorrhage Yes No

Abdomen Soft Distended

Pelvis symmetrical Yes No

Pelvic binder Yes No

FAST findings:

FAST findings:

Right lung Normal Inadequate Postiive

Left lung Normal Inadequate Postiive

Pericardial Normal Inadequate Postiive

RUQ Normal Inadequate Postiive

LUQ Normal Inadequate Postiive

Pelvis Normal Inadequate Postiive

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Trauma Chronology

Body region findings

Plain films (tick)

Time:_____________ CXR PXR C-SPINE

eFAST

Time:_____________

Clinician name: ____________________

Clinician grade/training: _____________

Result: ________________________________

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IV access: Yes No Site1: ___________ Site2: __________

Site3: ___________ Site4: __________

IO access: Yes No Site1: ___________ Site2: __________

Site3: ___________ Site4: __________

Whole body CT Head Spine Chest Abdomen and pelvis Other:

Airway+C Spine ____________________________________________________________________________________________________

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Breathing ____________________________________________________________________________________________________

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Circulation ____________________________________________________________________________________________________

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Disability ____________________________________________________________________________________________________

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Exposure ____________________________________________________________________________________________________

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Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

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ED Injury Summary

Performed by:____________________________________

Signature:______________________ Date: ____________

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Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

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eFAST

Head

Max Fax

Neck

Chest

Abdomen

Pelvis

Upper limbs

Lower limbs

Log roll/back

Rectal

ECG

Other

Time of death: Admitting Consultant:

Disposal: Signature of Team Leader:

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Secondary SurveyPlease indicate location of all injuries

and interventions

Signature: _______________________ Date: __________

Interventions

Collar Yes No

Tracheal tube Yes No

Chest drainage Yes No Left Right

Pelvic splint Yes No

Traction splint Yes No Left Right

IV accesS Site1: ________ Site2: ____________

Yes No Site3: ________ Site4: ____________

IO access Site1: ________ Site2: ____________

Yes No Site3: ________ Site4: ____________

Central line Yes No Left Right

Arterial line Yes No Left Right

Urine catheter Yes No

Pop backslab Yes No Left Right

Comments:

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Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

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Secondary Survey

Performed by:____________________________________

Signature:______________________ Date: ____________

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Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

Body Region FindingsHead None

Max Fax None

Neck None

Chest None

Abdomen None

Pelvis None

Upper limbs None

Lower limbs None

Log roll/back None

Rectal None

ECG None

Other None

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Team Leader’s notes

Date:______________________ Time: _________________

Consultant: ______________________________________

Print name: ______________________________________

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Signature: _________________________________________ Date: _________________________

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Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

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Signature: _________________________________________ Date: _________________________

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Nursing notes

Date:______________________ Time: _________________

Consultant:____________________________________

Print name: ______________________________________

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Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

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Nursing notes continued

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Signature: _________________________________________ Date: _________________________

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Anaesthetic notes

Date:______________________ Time: _________________

Consultant:____________________________________

Print name: ______________________________________

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Anaesthetics have reviewed the patient and feel there is no further involvement and are signing off.We are happy to review patient on request

Signature: _________________________________________ Date: _________________________

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Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

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Anaesthetic notes continued

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Signature: _________________________________________ Date: _________________________

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General Surgery notes

Date:______________________ Time: _________________

Consultant:____________________________________

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General Surgeons have reviewed the patient and feel there is no further involvement and are signing off.We are happy to review patient on request

Signature: _________________________________________ Date: _________________________

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Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

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General Surgery notes continued

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Signature: _________________________________________ Date: _________________________

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Orthoplastic Open Fracture Pathway

• Indications - Open fractures of Long bones, Hindfoot or Midfoot• Open fractures require timely MDT input, follow BOAST Open

Fractures Standards• All open fractures must be reported to TARN; accurate completion

of proforma is mandatory.

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Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

Injury Description

Wound Characteristics (Size, location, dept etc)

________________________________________________

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Heavily Contaminated (Sewage, Agricultural, Aquatic, Blast)

Wound Photography Yes No

Wound Dressing

Time: ______ : ______

Type: ___________________________________________

Wound Splintage________________________________________________________________________________________________

Imaging X-Ray CT ]Findings________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

IV ANTIBIOTICS [< 1 hour from injury achieved ]Agent: __________________________________________

Time Given: ______ : ______ Date Given: ___________

Tetaus Administered

Allergies___________ Significant Co-Morbidities ______

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Smoker Occupation: _________________________

Clinical Assessment

Vascular Status

CRT ___________ Secs

Distal Pulses Clinically Palpable Doppler

Locations Present ________________________________

Post Splintage Re-check _______________________

SUSPECTED VASCULAR INJURY

Neurological Status

Sensory ________________________________________

Motor __________________________________________

Post Splintage Re-check __________________________

SUSPECTED NEUROLOGICAL INJURY

SUSPECTED COMPARTMENT SYNDROME

Specialist Referral

Orthopaedic Team

Name/Grade ____________________________________

Consultant ______________________________________

Time ____________ : ___________

Plastics Team

Name/Grade ____________________________________

Consultant ______________________________________

Time ____________ : ___________

Combined Orthoplastics Reconstructive Plan

Yes No Not recorded

Date of Injury ___________/___________/ ___________

Mechanism: HIGH ENERGY

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_______________________ Local ED Transfer From________________________________________________Limb involved: ___________________________________

Isolated Open Fracture: Yes No

Completed by: ________________ Grade ________ Date _______ / _______ / _______ Time: _______ : _______

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Orthoplastic Open Fracture Pathway

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Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

Orthoplastic Injury Initial Management

Debridement and Stabilisation within 24 hours: Yes No

Definitive Soft Tissue Coverage: Yes No

Procedure:

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Date: _____ / _____ / ______ Time: ______ : ______

Stabilisation: Temporary / Permanent

Grade of anaesthetist: ____________________________

Grade of Seniour Orthopaedic Surgeon: ____________

Grade of Senior Plastic Surgeon: __________________

Grade of Assisting Surgeons: _____________________

Location of Surgery: DGH / MTC / OPU

Gustillo-Anderson Classification: ___________(if appropriate)

Peri-operative Antibiotics:

Trust protocol / BAPRAS guidelines met:

Yes No

Agent: _________________________________________

Time: _____ : _____

Definitive Reconstructive Management

OPCS Code 1. Fracture _____________________________________2. Soft Tissue ___________________________________

Procedure:

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_________________ Location: _____________________

Date: __________________________________________

Antibiotics Therapy: ______________________________

Time: ______ : ______

Grade of anaesthetist: ____________________________

Grade and Speciality of Surgeon: __________________

Second Surgeon: ________________________________

Supervising Surgeon Present:

Yes No Not recorded

AO Classification: _______________________________

Alternative Classification System: __________________

Return to Theatre: Yes No Not recorded

Indication: ______________________________________

Deep Tissue Samples:

Yes No Not recorded

Isolated Organism: ______________________________

Additional Notes:

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Isolation Open Fracture: Yes No

Additional injuries:

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Injuries Requiring MTC treatment:

Head injury: ____________________________________

Spinal injury: ____________________________________

Thoracic injury: __________________________________

Pelvic injury: ____________________________________

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Orthopaedic notes

Date:______________________ Time: _________________

Consultant:____________________________________

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Orthopaedics have reviewed the patient and feel there is no further involvement and are signing off.We are happy to review patient on request

Signature: _________________________________________ Date: _________________________

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Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

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Orthopaedic notes continued

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Signature: _________________________________________ Date: _________________________

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Cardiothoracic notes

Date:______________________ Time: _________________

Consultant:____________________________________

Print name: ______________________________________

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Cardiothoracic have reviewed the patient and feel there is no further involvement and are signing off.We are happy to review patient on request

Signature: _________________________________________ Date: _________________________

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Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

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Cardiothoracic notes continued

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Burn assessment form

Referral: Acute Post-acute Reconst Rehab

Date: _____________ Time: ______________

T /F from: ______________ Via: NIAS Private

Seen by: ___________ Consultant _____________

Nature of Burn: Scale Oil Flame Flash Chemical Contact Electrical % TBSA: __________

Date of Burn: ______ / ______ / ______ Time of Burn ______ : ______

Predisposing Factors: Age Occupation Alcohol Social

Place of Burn: Indoors Outdoors Rescued by: ________________________________________________

First Aid given: _______________________________ Burn in percentage of total BSA: ____________ (see overleaf)

Additional injuries: ___________________________________________________________________________________

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Pt Wt: __________ Kg Allergies: __________ Medication: __________ PMH: __________ Last meal: __________

Airway

C-Spine clear Yes NoSupraglottic inhal injury: Nose/Mouth Burn: Yes No Nose/Mouth soot: Yes NoStained sputum: Yes NoEpiglottic inhal injury: Hoarseness Yes No Stridor: Yes NoInfraglottic inhal injury: Go to breathing

Circulation

Attach 02 Pulse: ___________ BP: ___________ No. of IV lines: __________ Urinary catheter Yes No

Lymbs escharotomy: Yes No details: _______________________________ Go to fluids

Breathing

Attach 02 Normal chest expansion: Yes No Dyspnoea: Yes No Stridor: Yes No

Added breath sounds: Yes No Resp rate: CHest escharotomy Yes No

Disability

GCS: _______/15 Pupils normal Yes No

Exposure / environment Temp: __________ Clothes/jewellery off: Yes No Warmer: Yes No

Tetanus toxoid: Yes No Corneal injury: Yes No

Laryngoscopy: Direct Indirect by Dr: ________________ Findings: Uvula Epiglottis Cords Oedema

Intubation: Yes No by Dr: ___________________ Size of tube: ________ Position at teeth: __________cm

Investigations (order as required): Direct U+E Gp and hold ABG CoHb CXR

ECG Wound culture

Checklist: Direct IV fluids (see overleaf) Urinary catheter Warmer Tetanus cover Analgesia Antibiotics (one dose of flucloxacillin)

Dressing Theatre required: Yes No ICU required: Yes No Photograph: Yes No

Outcome and additional notes:

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Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

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NI Major Trauma Network | September 2018 23

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Burn assessment form Cont’d

Fluid Resuscitation Required: Yes No

% Total Body Surface Area (TBSA): ____________

Weight of patient: ___________ kg

Parkland Formula: %TBSA burn x weight in kg x 4mls of Hartmann’s solution (Normal saline in children)

(Half of total fluid requirement in first 8 hours from time of burn and half in following 16 hours)

Resuscitation started: Date: ______ / ______ / ______ Time: ______ : ______ Any bolus given: ___________mls

Maintenance fluid added: Yes No (children 24 hour requirements: 100mls/kg/15t 10kg, 50mls/kg/next 10kg,

20mls/kg/remainder body wt)

Urinary Catheter passed: Yes No Initial volume passed: ___________mls

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DOB: ____________________________________________

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Sex: M F

Region %

Head

Neck

Ant. Trunk

Post. Trunk

Right Arm

Left Arm

Buttocks

Genitalia

Right Leg

Left Leg

Ignore simple erythema

Superficial

Deep

Relative percentage of body surface area affected by age

Area Age

0 1 5 10 15 Adult

A = 1/2 of head 9 1/2 8 1/2 6 1/2 5 1/2 4 1/2 3 1/2

B = 1/2 of thight 2 3/4 3 1/4 4 4 1/2 4 1/2 4 3/4

C = 1/2 of one lower leg 2 1/2 2 1/2 2 3/4 3 3 1/4 3 1/2

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A

2

2 2

2

1½1½

A

2 2

1½1½

1

1

BR L L RB B B

C

1¾ 1¾ 1¾ 1¾

1½1½ 1½1½

13

C C C

A

2

2 2

2

1½1½

A

2 2

1½1½

1

1

BR L L RB B B

C

1¾ 1¾ 1¾ 1¾

1½1½ 1½1½

13

C C C

NI Major Trauma Network | September 201824

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Burns/Plastics notes

Date:______________________ Time: _________________

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Burns/Plastics have reviewed the patient and feel there is no further involvement and are signing off.We are happy to review patient on request

Signature: _________________________________________ Date: _________________________

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Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

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NI Major Trauma Network | September 2018 25

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NI Major Trauma Network | September 201826

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Specialty notes

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Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

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NI Major Trauma Network | September 2018 27

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NI Major Trauma Network | September 201828

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Miscellaneous notes

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Consultant:____________________________________

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Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

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NI Major Trauma Network | September 2018 29

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NI Major Trauma Network | September 201830

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Results page

Results

Time

HB

WCC

PLTS

INR

PPT

APPT

NA

K

Urea

Crea

Gluc

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First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

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NI Major Trauma Network | September 2018 31

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Affix Arterial Blood Gas Here

Results page

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First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

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NI Major Trauma Network | September 201832

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Radiology notes

Date:______________________ Time: _________________

Consultant:_______________________________________

Print name:______________________________________

Brain

Mass effect

Inta axial blood

Extra axial collection

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Thorax

Large pneumothorax

Major vascular injury

Pericardial effusion

Pleural collection

Major lung insult

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Peritoneal cavity

Free fluid Free air Extravasation

Major abnormality

Liver Spleen Kidneys

Adrenals Pancreas Bowel

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Skeletal

Spinal alignment

Pelvic integrity

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Transfer Destination

Theatre

Trauma bed

Ward (state speciality)

Interventional Radiology

ED

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Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

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NI Major Trauma Network | September 2018 33

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Radiology notes continued

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Signature: _________________________________________ Date: _________________________

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NI Major Trauma Network | September 201834

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Trauma Team Debrief

1. Contact (team leader starts session)

2. State Event (state what just happened in the room)

3. Appreciation/Thanks (state gratitude to staff)

4. Gather thoughts and feelings (discuss emotions)

5. Support services (state support available)

6. Facilitate (organise if needed extra support for staff members)

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Georgia-May Swales 2015Head of Psychological Services Dr Sarah Meekin 9063 6608 Adult Psychological Service Miss Bridie McElhill 9056 6199

NI Major Trauma Network | September 2018 35

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Trauma Team Debrief continued

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Signature: _________________________________________ Date: _________________________

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NI Major Trauma Network | September 201836

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Next day MDT Ward Round

Date:______________________ Time: _________________

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Surname: ________________________________________

First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

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NI Major Trauma Network | September 2018 37

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Next day MDT Ward Round continued

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NI Major Trauma Network | September 201838

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Prescribed Drugs

Drugs Dose Route Date Time Drs Given by Date Time

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First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

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NI Major Trauma Network | September 2018 39

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Prescribed Drugs continued

Drugs Dose Route Date Time Drs Given by Date Time

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First names: ______________________________________

DOB: ____________________________________________

Health and Care No. _______________________________

Sex: M F

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NI Major Trauma Network | September 201840

Page 41: Major Trauma Patient Document - hscboard.hscni.net · Major Trauma Patient Document The scribe must complete pages 1-5 and Drug Page ... Whole body CT Head Spine Chest Abdomen and

Trauma Ward Notes

Date:______________________ Time: _________________

Consultant: ______________________________________

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Sex: M F

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NI Major Trauma Network | September 2018 41

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Trauma Ward notes continued

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Signature: _________________________________________ Date: _________________________

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NI Major Trauma Network | September 201842

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URGENT TRAUMA TRANSFER FORM

PATIENT DETAILS

Name:

HRC No:

DOB:

NOK Details:

TRANSFER DETAILS

Receiving

Hospital: HDU/ICU

Xray Theatre

Ward ED

STAFF ACCEPTING PATIENT

Name:

Position:

Receiving Location Contact No:

REASON FOR TRANSFER

Ongoing assessment Imaging Surgery Critical Care

BACKGROUND

Allergies: No Yes

Meds Given:

Tetanus

Infection Status: No Yes

RELEVANT PMH & MEDICATIONS

Anticoagulation: No Yes

INVESTIGATIONS

Imaging on Bloods on ECRPACS

WBCT _______________

CXR ________________

WORKING DIAGNOSIS

1.

2.

3.

4.

STATUS PRE-TRANSFER

[A] FM Grade:

Trache/Cric I III

ETT II IV

Tube size/length:

[B] Chest Drain Unclamped

Yes ABG Pre-transfer

No

[C] ECG O2 sats

NIBP ETCO2

PIVC x 2

CVC Yes No

Art Yes No

Inotroples Yes No

[D] (Pre-intubation) (Pre-Transfer)

Pupils R L GCS M

size E

V

If Ventilated TV PIP

PEEP Type Ventilator

ESCORT

Dr Nurse Paramedic

Name:

Reg No:

Position:

Signature:

Time Departure Time Arrival

DETAILS TRANSFER

Clinical

Equipment

Organised

____15

____15

____4

Social Care Board

NI Major Trauma Network | September 2018 43

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250

240

230

220

210

200

190

180

170

160

150

140

130

120

110

90

80

70

60

50

40

30

SpO2

Fi O2

ETCO2

Drugs

Fluids

Time (24hrs)

40˙C

32˙C

BP

HR

•

READY TO GO!

Patient

Airway safe

TXA

ETT secured

Established ventilator

ABG pre transfer

HR, BP stable

No obvious blood loss

IV access

Cervical spine protected

No pneumothorax

Fractures stabilised

Secured to trolley

Wrapped to prevent heat loss

Lines secure

Staff

Handover appropriate

Money

Phone

Equipment

Transfer bag complete

Fluids

Drugs

Bag Valve Mask

Sufficien O2 supply

Suction

Organisation

Trauma documentation

Other medical notes

NOK aware

Receiving unit aware pre departure

NI Major Trauma Network | September 201844


Imaging of trauma in pregnant patient

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Shock and Bleeding in the Trauma Patient

Shock and Bleeding in the Trauma Patient

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Rehab of the Trauma Patient

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Care of the Orthopedic Trauma Patient - jhsmiami.org · Care of the Orthopedic Trauma Patient • Objectives –Identify the common mechanisms of orthopedic trauma –Describe assessment

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PAEDIATRIC TRAUMA. Learning outcomes Approach to patient Approach to patient Differences compared to adult trauma Differences compared to adult trauma.

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ABCs Evaluation of Trauma Patient

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