Surgical Care at the District Hospital
Part 1 2 3 4 5 6 Primary Trauma Care Manual
ABCDE of trauma
Airway management
Airway management techniques
Ventilation (breathing) management
Circulatory management
Circulatory resuscitation measures
Secondary surgery
Chest trauma
Abdominal trauma
Head trauma
Spinal trauma
Neurological trauma
Limb trauma
Special trauma cases
Transport of critically ill patients
Trauma response
Activation plan for trauma team
Primary Trauma Care Manual | Activation plan for trauma team



The following patients should undergo full trauma assessment:


:: Fall >3 metres
:: Motor vehicle accident: net speed >30 km/hour
:: Thrown from vehicle/trapped in vehicle
:: Death of a person in accident
:: Pedestrian vs car/cyclist vs car/ unrestrained occupant.


:: Airway or respiratory distress
:: BP >100 mmHg
:: Glasgow Coma Scale <13/15 (see page PTCM–23)
:: >1 area injured
:: Penetrating injury.


Disasters do occur and disaster planning is an essential part to any trauma service. A disaster is any event that exceeds the ability of local resources to cope with the situation.

A simple disaster plan must include:

:: Disaster scenarios practice
:: Disaster management protocols including:
– On-scene management
– Key personnel identification
– Trauma triage
:: Medical team allocations from your hospital
:: Agreement in advance on who will be involved in the event of a disaster:
– Ambulance
– Police/army
– National/international authorities
– Aid and relief agencies.
:: Evacuation priorities
:: Modes of transport: road/air (helicopter/fixed wing)/sea
:: Communications strategies.

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