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

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

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 […]

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 […]