Down South Gaming - QAS

Head Trauma

Objectives

To identify and appropriately triage potentially serious head injury.

To optimize ventilation, oxygenation and cerebral perfusion pressure in order to prevent secondary brain injury.

Notes

The Trauma Time Critical Guidelines require patients with serious blunt trauma to a single region to be moved to hospital ASAP. When assessing injury, the patient can be considered to have a serious blunt head injury with GCS 13 - 15 and any of:

any loss of consciousness exceeding 5 minutes
skull fracture (open or base of skull)
vomiting more than once
neurological deficit
seizure

General Care

Where the patient is severely agitated, manage with Ketamine.

Dress open skull fractures / wounds with an appropriate dressing.

Consider spinal immobilisation as per Spinal injuries. If intubation is required, apply cervical collar after intubation.

Blood Products

Doctors may administer Packed Red Blood Cells (PRBC).

Scene time should not be prolonged waiting for PRBC.

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