Trauma

Spinal Immob Device-Field Removal Head Trauma Eye and Dental Trauma Burns Head Trauma

Spinal Immob Device-Field Removal

Non-application rules
Age ≥12
Normal mental status
No signs of intoxication
GCS 15 & A & O x 4
No acute stress reaction
No distracting injuries
No communication barriers (deafness, language, etc.)
No neurological deficit
No mid-line spine pain/tenderness on palpation of spinous processes

Head Trauma

Monitor and maintain SpO2 >90%
If breathing is adequate, high flow O2 by NRB mask
Do not hyperventilate, EXCEPT for a) Fixed or asymmetric pupils; b) abnormal extension; c) GCS <9 with a further decrease of 2 or more points
Advanced airway management when needed

Eye and Dental Trauma

Stabilize impaled objects in place and cover both eyes
Cover puncture wound with protective devices over both eyes
Irrigate chemicals or non-penetrating foreign matter from eye with copious amounts of water or normal saline
Instill Proparacaine into affected eye and repeat every 5 minutes as needed
Dental avulsions should be placed in an obviously labeled container with saline or cell-culture medium

Burns

Scene safety; remove patient from burn source, including clothing
Maintain airway and administer oxygen
In burns over 10% BSA, use dry dressings and insulate patient to prevent hypothermia
In burns under 10% BSA, use moist dressings
Initiate IV fluids 0.9% NaCl or Lactated Ringers

Head Trauma

Monitor and maintain SpO2 >90%
If breathing is adequate, high flow O2 by NRB mask
Do not hyperventilate, EXCEPT for a) Fixed or asymmetric pupils; b) abnormal extension; c) GCS <9 with a further decrease of 2 or more points
Advanced airway management when needed