Catastrophic Bleeding
- IV access
- Bloods:
- Group and Save (pink tube)
- FBC
- U+E
- Coag
- Urgent CT scan request:
- 'camp bastion protocol'
- Head, neck, chest, abdomen, pelvis at least
Airways + Breathing
- Oxygen
- 15L high flow non-rebreathe mask
Circulation
- IV fluid resuscitation:
- start with IV Crystalloid but consider early switch to blood
Disability
- Covered by CT scan
- Neurological exam
Everything else
- Pain relief:
- Involve seniors and other specialities:
- Should have a trauma call
- Just in case, make sure everyone is here!
- (orthopaedics, general surgery, anaesthetics, radiology)
- Update family
