Clinical Pathway

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CLINICAL PATHWAY-Polytrauma assessment & INITIAL RESPONSE

ST JOSEPH’S HOSPITAL TRUST

Activate Trauma Code-10 Min Trauma TL-20 Min Specialist care-30 mts

ESI Trauma Triage Primary Survey -Secondary Survey Communication


/Imaging Matrix
ESI Level 1 A Head – Toe
Head Injury
ESI Level 2 Airway Examination
NURSE
Management Duty Neurosurgeon
Vitals
PRIORITY A- Allergies
Monitoring B CT SCAN
PATIENT l, 1
M- Medications Maxilo-Facial
AMBU
Ventilation P- Past Illness OFMS Surgeon
ESI Level 3
CMO O2 Therapy L - Last Meal CT SCAN
POLYTRAUMA
Initiate PRIORITY C Fractures
In E - Event
Primar 2
y IV Access Duty Orthopedician
ED investigations
Triage Sample Blood XRAY
ESI Level 4 LAB
Fluid Abdomino- Thorasic
ESI Level 5 CBC, RFT, RBS,
Resuscitation General Surgeon
LFT
MLC Notify
D USG/CT SCAN
Documentati Police PRIORITY Radiology
on 3 Spine Urogenital
For Immobilization
& CXR , ECG Urologist
Unknown E Blood Bank
Registrati USG/CT SCAN
on Patient
Control of external
bleeding, Bld
Stabilization of grouping,crossma
RESPOSIBILITY- TRIAGE NURSE & CMO TRAUMA TEAM LEADER
SURGICAL SPECILIST

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