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iv fluids major blood loss protocol

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bear hugger

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obs trolley with stethoscopeo negative blood

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spinal precautions at least 5 people for transfers

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Get hangover, prepare area for patient, ensure everyone is aware of their roles ie team leader, scribe etc, equipment ready

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Trama space cleared and prepared,
Staff all aware of the details and the roles giving out
Trauma troll ready
Blood trolly ready

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crash trolley available and stocked

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Prep PPE
Inform blood bank
Call relevant teams
Identify everyone’s role in the team

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Good communication with emergency services, preparation of any necessary equipment : ecg Machine etc.

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advanced trauma team on standby

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Notify x ray and CT

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ECG machine ready

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-        Ensure there is a space in Resus for the patient

-        Ensure the correct people are present for patients arrival

o   Ensure there are enough people to perform a log roll and have a board ready.

o   Ensure the medical team are in place in resus

o   Ensure each member of the team knows their role before the patient arrives to make the care efficient

o   Ring to xray/mri and inform them they may need urgent scans

o   Ring theatre and inform them they may need urgent surgery

o   Inform anaesthesiologists that they may be required?

-        Ensure all equipment that is needed is ready before the patient arrives

o   Ecg machine

o   Portable xrays?

o   Bloods and cannula equipment set up and ready for use

o   Portable ultrasound?

-        Where possible book scans in advance of the patient arriving to avoid delay in care. Could these be portable in terms of xrays?

-        Does he need an interpreter?

-        Have medical notes and stickers ready – does he have a DNAR?

-        Check the crash trolly is ready to be used if necessary

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Radiology notified