► GENERAL GUIDELINES :
1) The patient’s history should not be obtained at the expense of the patient’s
life; life-threatening emergencies should be treated first.
2) Trauma patients should be transported promptly with C.P.R control of
external bleeding, and cervical spine immobilization. Other indicated
procedures should be attempted en route. (on the way)
3) In patients with non-life threatening emergencies, who require I.V
cannulas, only two attempts of I.V insertions should be tried on the
peripheral veins. Try to keep two large bored I.V cannulas in-situ.
4) Patient transport, or other needed treatments should not be delayed for
multiple attempts at E.T intubations.
5) Verbally repeat all orders received prior to their initiation.
6) Any patient with a cardiac history, irregular pulse, unstable B.P., dyspnoea,
or chest pain should be placed on cardiac monitor.
7) Never hesitate to contact medical control team at the base station for any
problem, question, or for any additional information.
► ROUTINE CARE :
2) PRIMARY SURVEY :
A→ Airway with cervical spine control.
B→ Breathing
► U→ Un-responsive.
3. SECONDARY SURVEY :
● Obtain vitals signs, and perform objective head to toe assessment.
● Obtain history.
● Sex, Age, Approximate weight.
● Chief complaint.
● Precipitating factors.
● Significant past medical history.
● Allergies.
● Current medication.
4) Place the monitoring equipment i.e ECG monitor, pulse oxymeter, etc.
1) All trauma patients should receive one, and preferably two I.V. R.L; via
large bored I.V cannulas. Trauma patients with systolic B.P of < 90 mmHg,
should receive I.V fluids fast until the systolic B.P is > 90 mmHg. Trauma
patients with systolic B.P < 90 mmHg should receive I.V fluids at a ‘To
keep the vein open’ rate.
4) In children less than 6 years of age with life threatening emergencies, who
require immediate I.V medication or fluids – an intraosseous needle can be
inserted by a trained doctor.