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The Big Baby Blue Southeast Region 1 st Regional Trauma

The Big Baby Blue Southeast Region 1 st Regional Trauma Care Conference January 9, 2009 Temecula, CA. WELCOME TO. TBI. GCS. SCI. SBP. Skeletal. RR. Internal. TRAUMA TREE-ÁGE CRITERIA PRESENTED BY: CINDI STOLL, RN TRAUMA & AIR MEDICAL SYSTEM MANAGER

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The Big Baby Blue Southeast Region 1 st Regional Trauma

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  1. The Big Baby Blue Southeast Region 1st Regional Trauma Care Conference January 9, 2009 Temecula, CA WELCOME TO

  2. TBI GCS SCI SBP Skeletal RR Internal TRAUMA TREE-ÁGE CRITERIA PRESENTED BY: CINDI STOLL, RN TRAUMA & AIR MEDICAL SYSTEM MANAGER Riverside County EMS Physiological Anatomical M e c h a n i s m

  3. CAN WE SEE THE FOREST THROUGH THE TREE-ÁGES

  4. Trauma TriageThe Tale of Humpty Dumpty

  5. Origins • 1793 In battlefield care & transport • 1871 Through the Looking Glass is published • 1896 First recorded Auto v Ped fatality. A 44 y/o mother stepped off the curb and went into history as the first person to be killed by an auto in Britain. The British Coroner warned, “This must never happen again!” • 1913 ACS is founded • 1966-1st trauma unit in Cook County Chicago & the White Paper • 2009-Trauma Systems moving forward

  6. The Promise Humpty Dumpty growled out. `… Why, if ever I did fall off -- which there's no chance of -- but if I did --' Here he pursed up his lips, and looked so solemn and grand that Alice could hardly help laughing. `If I did fall,' he went on, `the King has promised me -- ah, you may turn pale, if you like! You didn't think I was going to say that, did you? The King has promised me -- with his very own mouth -- to -- to --' `To send all his horses and all his men,'Alice interrupted, rather unwisely. • American College of Surgeons-Committee on Trauma, • The Great State of California • each local EMS agency • has promised…

  7. TIMEaka The Golden Hour • Development of triage criteria • Development of regulations • Development of EMS, trauma systems, trauma centers • Today we are here to review the criteria

  8. ACS & PHTLS Criteria The Gold Standard

  9. ICEMA Criteria

  10. REMSA Criteria

  11. Imperial County Criteria

  12. San Diego County Criteria

  13. INTERESTING FACTS Of the Big Baby Blue US Dept of Census web site, 2000-2006

  14. THE FALLTHINGS TO CONSIDER • Are we setting ourselves up? • Differences by design? • Each LEMSA’s population • Each LEMSA’s recreation • Each LEMSA’s resources

  15. AFTER THE FALLOver and under triage • Impact towards sending • Increased Air utilization for long transports • Impact towards receiving • Pt records • EMTLA • Continuation of Care

  16. THE WALLBarriers to Regionalization • Same language, is it needed? • Increase or decrease in volume? • Data consistency? • Registries? • Crossing county lines…(omg!) • Providers out of service time? • Funding? • Repatriation? • QI?

  17. Moral of the Story…

  18. TBI GCS SCI SBP Skeletal RR Internal The End Acknowledgements to • Patrice Shepherd for graphic design • Bruce Barton for discussion points • My husband for his tolerance while using our holiday time to prepare. Physiological Anatomical M e c h a n i s m

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