Trauma Resuscitation Record - health minnesota 2025

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Damage-control resuscitation in the care of critically injured trauma patients aims to limit blood loss and prevent and treat coagulopathy by combining early definitive hemorrhage control, hypotensive resuscitation, and early and balanced use of blood products (hemostatic resuscitation) and the use of other hemostatic
The initial steps of trauma resuscitation focus on general assessment and management of major organs, such as ensuring an adequate airway, evaluating breathing (or respiratory) function, assessing blood circulation, and evaluating neurological status.
The DD 3019 Resuscitation Record is considered the primary form and should be used preferentially for trauma evaluations. The MASCAL form should be used in austere trauma scenarios and during mass casualty events when an individual cannot be dedicated to documentation.
In the Trauma Resuscitation Unit (TRU), the prehospital clinicians will have the opportunity to observe the assessment and treatment of critically injured patients and examine the admission process.
A full head-to-toe physical exam should be performed, starting with the head and face. Examine the head for lacerations, abrasions, foreign bodies, bony malformations, and unstable midface bones. Examine the ears for hemotympanum, TM rupture, blood within the canal, and external trauma.
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Initial hemorrhagic shock resuscitation begins with the administration of IV fluids, followed by transfusion of blood products at a 1:1:1 ratio. The initial IV fluids should be a 2 L bolus of 0.9% normal saline or two 20 mL/kg boluses by patient weight.
Nursing, Allied Health, and Interprofessional Team Interventions Airway alertness with cervical immobilization. Breathing/ventilation. Circulation and control of hemorrhage. Disability (neurologic status) Exposure and environmental control. Full set of vitals and family presence. Get resuscitation adjuncts (LMNOP)

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