Trauma - Where after ED? - SL
Summary
This on-demand teaching session explores the complexities of determining where a medical patient should go after initial care – whether it be their home, a church receptor or a trauma center. Relevant topics such as trauma scores, documentation, initial treatments, and more will be discussed. Join this session to gain the skills and knowledge necessary to make the best decision possible for your patient!
Learning objectives
Learning Objectives for the Session:
- Develop an understanding of the process of patient transfer to trauma centers.
- Explore the indications for transferring a patient to a trauma center.
- Identify the different types of assessments and vital signs needed to assess a patient’s stability.
- Understand the importance of accurate documentation in a medical setting.
- Develop an understanding of the multidisciplinary clinical decision-making process required when determining the best possible treatment and care plan for a patient.
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Computer generated transcript
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The following transcript was generated automatically from the content and has not been checked or corrected manually.
family from sex. Sarah child to you today about and where we go next after we have troubles in that department. So kind of disposal truck. That's where they the best times location. They're highly complex. Decision. No, I ordered you got decision. Wasn't all of presentations. Really need to think about that way. We got just the patients, that district lot of us in the profession. Something in my Sinuses. Patient need to go. Where's the best place for them? Their homes? That's right. T a church receptor. So in order to relieve that for quite for us today, with the sessions where patients go, we don't need to go through the world control process. The trauma tight nine. I think the people here is old enough. Decision. Hey, difference. Accident. Different times. Use what we call information. We have to. So you're somebody from close that assembly Procrit P G on all of the members. So same leaders. Job is th are multi members of presence Teo. Make a direction. So yeah, we're going to do you call it there. You get there. We'll skills that you have an allergy. Your rules. So I think troll must get a real emergency. We're really won't see in your players there for the type of patient. Raise that department. Okay, girls. Property rights of your airway, Doctor, for your team leader, First hormone State Day. Your small senior person in the number two department. That's once the consultants a third bite or one of the senior doctors on this kind of allocate the most appropriate airway. I didn't see a member of the onset acting. So what? You're pretty alert. Ask them to come. You're being a doctor to see your breathing doctor again. Ideally, should be someone. He's called it up Gesture in a social studies comfortable to You have bigger your cost. A base. So he understands the breathing older patient effectively. Okay. All right. Do you need do you remember of surgical tape competing? Someone died, right? Right. Yes. Injuries. Cream of the surgical team. And that can on. You see, Doctor is not charge of your anti access. Can your foot off? It's also gonna terrible. It's well, So do you have a left bundle? You got a lot of blood testing for fractures. Markley market lady forms, right? Femur that needs a Progeston thoughts. They're old to take that, so make sure that the person stable is comfortable. And then the most important person would think maybe your scrape your strange too important down They should give me a cigarette for the nurse in style. You shot right. They're so important. Especially when you think about where the station goes next. There document that everything that's happened, their documents of the drugs that we're getting, the times that were given the sleeves have been given the initial observational sickle suspect Alternations after that. So But this does get chance. Start to church receptor, especially take the nature walk tired. That's good documentation of that. Do you have your team? Deep breath. So your pressure you go on the trailer, discuss what most likely to happen So for examples during the northwest, but hopefully won't have a touch which, and we got to stop. I call for a 21 year old cough like it had a wolf test Chest double in drinks. You're gonna stay, they doctor. Their pollen. Geez, yes. Expect, Right, Right. So I set up for that can be doctor for worried about a crush. Injuries due to chance for these persons just insertion ask you. She don't hurt to be buying. So if they're still helping find her on He considered a look at the extremities for science. Boston. Comfortable? Based on your age. The access off? Yes. Last transfusion. Yeah, calling your, uh Get your drugs. Okay. So the range will happen. So you're going for therapy in their way. Did he have a pulse? But Jenny vessel active hemorrhage. Uh, it is really hard outside of caliber. And again, this is really important because you're gonna have take members your all the part of the decision, That's what. What they all like to hear lot of the state was given initial it tricks where? But well, the initial Petra world's. So today you're permits to get out of the first patients age, time it and drink American country. Interesting signs and symptoms. The last time status bulbs treatment that covered so far your me actions. So you're gonna deal are some plus aspirin. So you're bullets. Remember, Charles, start looking at this station and usually the states. Big black tea. So your control faster cameras spurs on a ranch. Your disability? GCS doctor, Find a doctor. I will look at your ideal kinds. After able, you're going to start filling up back to the team leader. So is it passed on carrots controlled? Do you direct pressure? We need to look at their way. Look, it's er doesn't are going to be performed, does it? Well, did you get this up? Look at the doctor, Asian said. It's just depression. Sees there count situation? No, at this point, after all, that's working out such a shell up here, we're going to say this patient. So was he taking here? It's a CT first theater trying to your first session that you're happy. Yeah, that's Asians Germany. So there's the heart stable. You decompress chest you RSI you. Given the bloods, your have interval pressure is stable internally, they are, think school. You should consider the station to say, uh, otherwise, you may have to go straight to the ER. Sounds very clean to get a CT, but also, if they are low blood and tear up city blocks, the help they get their exploded boil, um, hum a lick. This is just a domicile medication surgeries, and I'm fussy. It's just a lot of that may have a look on the on the same day. Got the patient salty twice, Professor resuscitation and the other, uh, decisions for not planning on what we do with the patient after that. That the patient is stable. Your weight for the CT. You're gonna say before you do that excited Rules of physiology. So we're gonna get blood before you go home. Uh, how it without the pressure or your protective measures? That's a thought. You're gonna prepare the patient transparent. You better reassess this plan and see if you could have me on a whole dress it secure the 89 big location, some precarious, like you're really kind of a little bit during transfer process checklist for you could there or two cc, that's all. So you're 2030 minutes starting the light CT back. You get that for you. See yourself. That's why it's very important. How is that the right team members present? Yeah, from the start. So I didn't get sick like a surgical doctor. Scenery all have a shop. It will. The next treatment steps that that's such a man should be can give all side, you know, if you're already going straight to figure the critical time. I see you for a little bit more muscle citation before we do anything else about us. Ta call the pressure radios You got transferred up to that or that. So I'm like, in this culture case with her trucks registration fall to the trauma center. Take it called So called times a transrectal tomato trauma center, which is the royal right. Why do we do it so on? Well, provocations. Well, there for multi multi, especially. And we said, is false. It'll get your about better It comes, they asked up and and the oil so severe just that. Drinks to feel testicle thirties look like slim special trauma. Well, better suppressed breast skull fracture. Suspect a factor. It's paining from urology. Other eight explore is definitely talk a baby, but reality isn't really used, but I thought just because of records, that's what it is. And so it's basically stopped them. The boys systems are the parts of I eat six different things that you're heading back. Your feet suggest you're off. You're struggling your style. Take off your skin burn, but you're taking two of those and give them a score of six. You're given an e and just great sex wasn't all right. Um oh, family didn't transfer this personally. If they brought on by people injury your all, they just make them comfortable. And you're, uh, transfer that. Let me see the foot. Otherwise you're gonna get them Schoolwork from, uh was a minor and great a critical of tree. You do the highest free square that if it's above 50 you could say that nature trauma and I never actually use that got quite a problem. Never. And she's a very score, especially for out Children over 14 years old. Started people days that the colds and it's just a message away is transferred for patient care center just the steps of the follow that says up on adult Children also race us. That's what The Escort. Remember the patient's stable? Probable we should do. It's important she don't come in Detroit, but it's a meeting I can ask, but they referenced tired of it earlier speech that so I really can't call it in half because they have a bad bite. Patients on the board, which is really it's just cutting back on the depo, especially patients and especially after we should be recurrent. They dragged TV special became so it's a nice little trait. They, you know, surgery. We need to do that about How about discussions with your sexual teeth with the salutation? Okay. They wanted me to trauma. Well, this is a drug that we don't need to do that we could just bone in the works department. Well, say we go. I see the implication. Go up there. And I had a chest from Canada. Great. You can't. Then how is school that she was referring to be on it out. Maybe the current state for, um, current process of the royal. It's a station isn't up to a full neuro surgeons and patients on the way out. Just to kind of silly about agents starting to make a little bit here. And no, it was like a little happens. The trauma center, it won't You from the patient and the he bagel up to the Royal Birds Department may have to remember like, every works, they're really busy. So this is on their little top of a device. But it's kept special for that steak in a form of a self stay off the deal. All thanks to sell it e best patient or even into their apartment. So before the almonds raised off the rails and challenges like they did three large toe AM the Royal Ampyra trauma call. Remember, she's have a date. Oh, I see. Static range from starting the search for ages and PT Bridge sent. They will pay off the for my best days that they got a heads up, but it's concentrated when the patient rays they did the whole trauma time right again. So they do a repeated primary survey that work the way. Three. Uh, they decided you can see questions. What's gonna happen, for example, especially to warm up further emergency was on June 22 with the ER basically reached you. Trouble work. They do that again. That's what your documentation. It's really important to really need to think about it. We don't thanks to say we have extreme doctor like you get it, you get that you get the 50. What was that area? What was JCs Before you do that? Well, that's very important to say station, So be careful that now it's a very busy for two per stuff. Tight, pretty, very. Keep your documentation. Better patient? Yeah. Will help that pretty closely. Patients Paxil? Yes. That's a quick summary or not. Anybody thought Any questions? I will call party. Thanks for much.