It’s #traumatuesday!
This series we are providing #coderedtips on how to optimise casualty management.
Last week we covered a team approach to rapidly identifying and managing major trauma using MARCH alongside COMA.
Today we are discussing the importance of space creation and gaining 360 access around your casualty (where possible) to allow for optimal assessment and treatment.
If your casualty is situated next to or under a vehicle, has major trauma such as a massive haemorrhage or airway compromise and is not mechanically trapped (pinned), then MOVE them:
1. COMMUNICATION IS KEY. Try to make the lift/drag as controlled as possible by quickly verbalising a plan to the responders/bystanders around you (if available). If numbers allow, one person should take control of the head/neck and lead the movement.
2. Try to limit the lift/drag to ONE CONTROLLED MOVEMENT to a designated area with plenty of space. Avoid multiple lifts/drags where possible but communicate ‘stop’ or ‘rest’ if your team need to reset to avoid manual handling injuries.
3. SET UP A KIT DUMP where you plan to move the casualty to (prior to movement if numbers allow for concurrent activity) to enable rapid MARCH and COMA assessments.
But what about potential c-spine injuries you ask?!
A massive haemorrhage or airway compromise will kill your casualty much faster than a c-spine injury. As mentioned above, try to make any necessary movements as controlled as possible to avoid further injuries, but ultimately LIFE SAVING INTERVENTIONS MUST BE PRIORTISED.
Our mission is to make a difference by #empoweringothers to have the knowledge, skills and confidence to alleviate suffering and save lives. Access further free CPD and learn more about our trauma courses at www.coderedtraining.co.uk