MedFlight 14

Air 1.800.222.5433   Ground 1.877.819.8193 73 Vaughn Lane, Chillicothe, OH 45601, USA

MedFlight 11-12

Air 1.800.222.5433   Ground 1.877.819.8193 2827 West Dublin Granville Road, Columbus, OH 43235, USA

Pediatric Restraint

P618 Pediatric restraints are to used only when necessary in situations where the patient is violent or potentially violent and may be a danger to themselves or others. Administer midazolam (Versed) 0.1 mg/kg (max 5 mg) IV/IO or 0.2 mg/kg (max 10 mg) IN/IM When able and safe to do so, place patient on cardiac […]

Submersion Injury

P616 Remove victim from water and keep patient warm If suspected diving accident or axial load to head, apply C-spine stabilization Ensure adequate airway, breathing, and oxygenation For cardiac arrest, follow appropriate protocol Transport to appropriate trauma center For ice water drowning, transport to pediatric ECMO-capable facility (Cincinnati Children’s Hospital)

Hemorrhagic Shock W/W/O Suspected Head Injury

S500 Trauma WITH head injury Fluid resuscitation to maintain SBP ≥90 and O2 saturation >90% Trauma 2 large bore IVs of 0.9% NaCl Fluid bolus of 500 ml Reassess mental status Repeat fluid bolus

Hemorrhage Control

T710 Tourniquets 1-2″ proximal to hemorrhage Tightened until controlled Record application time Wound packing Wound to groin, axilla, or neck Place gauze as deeply as possible apply pressure dressing Apply manual direct pressure for at least 3 minutes Tranexamic Acid (TXA) Refer to TXA protocol

Regional Trauma Guidelines

SB211 Pulse >120 or <50 or SBP <90 RR <10 or >29 Intubated Evidence of head injury GCS ≤13 Alteration in LOC or LOC > 5 min Failure to localize pain Suspected spinal cord injury Penetrating trauma to head, chest, abdomen, neck, extremities proximal to knee or elbow Amputation proximal to wrist or ankle Fractures […]

Tranexamic Acid (TXA)

S506 Evidence of significant blunt or penetrating trauma AND Age ≥16 y.o. AND Presence of hemodynamic instability AND Sustained SBP <90 or <100 if age >55 AND Sustained heart rate >110 AND Time since injury is KNOWN to be <3 hours    Mix 1 g TXA in 100 ml of 0.9% NaCl or LR and […]