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Importance of teamwork in trauma resuscitation,each member of the team has a specific role and assignment to perform and it's up to the team leader to make sure everyone performs their tasks.Subglottic suction tube.The trauma itself and the resuscitation is not a time to veer from standard protocols and policies or try new things.for patients safety a high reliability organization utilizes crew resourc management and situational awareness to make sure the patient gets the best care possible.we've got a 21 year old male unrestrained driver, 50 mph rollover with the airbag of Floyd's airway is patent GCS of 15, blood pressure 115 / 78 ETA approximately 5 minutes and they will also consciousness.OK, Also give him some antibiotics, OK, couple grams of. It's a baseline got it couple of guns and that was only a couple of units before all this looks like this all right, the OG 2 confirmed by auscultation all right, anything else any from the team this year 11 startling.Hi, we got a 21 year old male who's involved in a rollover accident on the Expressway.Unrestrained airbag deployed.Let me know what his repeat blood pressure is. 60 / 40 Alright, start that massive transfusion protocol, all the operating room, we'll let them know we have a case for them straight up to the OR we'll have the images.Will communicate with it to you before the patient, well before we could do an incubation attempt, and initiate stabilization.We got an IV established 18 gauge left hand cube.It looks like we've got a bad bruise and some hematoma of the left upper quadrant.Of the left thigh, the femur is exposed as well as a deep laceration 2 deep lacerations to the right foot.We'll do 20 milligrams and we'll also do rock coronium, We'll do 100 milligrams of rocuronium.I'll be providing infrastructure for.You should be doing ceasefire.Alright I'm the cricoid pressure till lunis passed the cords that letters out to balloon is up. Perhaps and check the end title.Vitals are going repeating Ivy fluids still infusing and I was playing block pressure, so give me a new blood pressure.It is not intended to be anything else but performed in a way where everybody is on the same page.each member of team should look out and see if there's anything that another member may not be visualizing at the time of the resuscitation.Depending on what the patients airway status looks like, either myself or the senior resident will take the first step.Alright, I'm your primary nurse Dexter, if you can get my labs for me, Aaron is my cut off the patients clothes and hook them up to the monitor.He's got pain on the lower left rib cage on inspiration.Backward C collar.The rest of the primary survey airway is clear.Doctor Francis, what radiology studies would you like?OK, maintaining any other obvious signs of integration?I remember foremost exam and his level of consciousness has declined.I'll be holding cricoid pressure and I'll be holding these kind of stabilization.Sounds good, ET Seen above the Carina below the clavicles.He has fluid in Morrison's pouch.Either up in the OR after we address this hemoperitoneum, secure the tube, package them up and let's get him up to go our safety or we'll be ready in 10 minutes.The massive transfusion protocol for initiated Mike is on his way down to the blood bank to grab the blood.Our plan is we're going to do video learn Jacoby with the CMAC.We have to LA for backup as well as Boogie for assistance.Take some deep breaths for me That sounds clear bilaterally.The pulses bilaterally.Secretarial podcast players.Pupils are three to 2mm bilaterally.What cutaneous manifestations of trauma are present?We've got to open fracture.We have IV access established.We're going to roll them towards me. Only one person on this side to check his spine and perform a rectal exam.We're going to roll towards me. Yeah, we're doing the example you've been examining, or we can roll towards you.OK, Sir, can you feel my fingers on the top of your spine?No. Rectal exam uh, normal sphincter tone.Now let's get them rolled one more time before they filmed on three 123.And we're going to go ahead and incubate them since you keep compensating.OK, we'll push the medicine.We have a good Paul Sacks tracing.Coronium and how much accommodate would you like?OK. We've been checks out.OK. You have your meds ready?We're going to need a OG tube as well as blood pressure is still 110 over.Maybe a few skull films you'll need before you leave.Positive fluid in the left upper quadrant.Is there any further assistance with ESPN?Appreciate it. Let's recycle the blood pressure in the pelvis.Got diffuse hemoperitoneum.We have a size 4 curved blade available.Good.

Importance of teamwork in trauma resuscitation,each member of the team has a specific role and assignment to perform and it’s up to the team leader to make sure everyone performs their tasks. The purpose of the short communication is to be direct. It is not intended to be anything else but performed in a way where everybody is on the same page.each member of team should look out and see if there’s anything that another member may not be visualizing at the time of the resuscitation. The trauma itself and the resuscitation is not a time to veer from standard protocols and policies or try new things.for patients safety a high reliability organization utilizes crew resourc management and situational awareness to make sure the patient gets the best care possible.we've got a 21 year old male unrestrained driver, 50 mph rollover with the airbag of Floyd's airway is patent GCS of 15, blood pressure 115 / 78 ETA approximately 5 minutes and they will also consciousness.
Alright, what are we gonna do if we need an airway? Our plan is we're going to do video learn Jacoby with the CMAC.
We have a size 4 curved blade available.
We also have the deed late available if there's any issue. We have to LA for backup as well as Boogie for assistance. Depending on what the patients airway status looks like, either myself or the senior resident will take the first step.
Will communicate with it to you before the patient, well before we could do an incubation attempt, and initiate stabilization.
Who do we have a tech or a member of a junior member of the trauma team performed that Excellent.do you have could I have a member of the trauma team apply that for me please?
Alright, I'm your primary nurse Dexter, if you can get my labs for me, Aaron is my cut off the patients clothes and hook them up to the monitor. Hi, we got a 21 year old male who's involved in a rollover accident on the Expressway.Unrestrained airbag deployed.
He's got pain on the lower left rib cage on inspiration.Backward C collar. We got an IV established 18 gauge left hand cube. No past medical history, no allergies.One person is awake, alert. What's your name, Sir?
Any changes in routine?
No, no changes in Everybody's intact.
Alright, let's get the press down.
The rest of the primary survey airway is clear.
No active bleeding, Sir.
Take some deep breaths for me
That sounds clear bilaterally.
Alright, let's get him hooked up to the monitors.
Get a heart rate and blood pressure.
The pulses bilaterally.
How's this Glasgow coma scale?
He's awake, he's alert, he's answering questions appropriately.
Eyes are open.
He's GCS 6:15 to panic.
Membranes are clear.
Secretarial podcast players.
Start with the panels.
Too high speed MVC.
Look right in the light Sir.
I have an 18 on the right forearm.
I'm drawing blood.
Pupils are three to 2mm bilaterally.
What channel pulse is 68?
Blood pressure is 132 / 74?
All right, What about our exposure?
What cutaneous manifestations of trauma are present?
It looks like we've got a bad bruise and some hematoma of the left upper quadrant.
We've got to open fracture.
Of the left thigh, the femur is exposed as well as a deep laceration 2 deep lacerations to the right foot.
All right, let's get ready to log wrong.
We have IV access established.
The labs have been drawn.
Alright, so I'm gonna need one person.
We're going to roll them towards me.
Only one person on this side to check his spine and perform a rectal exam.
Which way you're going?
We're going to roll towards me.
Yeah, we're doing the example you've been examining, or we can roll towards you.
OK, alright, alright, Channel, cross your arms and count down at the head.
Right on three 123.
OK, Sir, can you feel my fingers on the top of your spine?
Good.
I want you to answer me verbally.
Do you have tenderness?
How about here? Here, here, here.
Any tenderness?
Yes or no?
Good.
Any tenderness? No.
Rectal exam uh, normal sphincter tone.
There's no blood back down on three 123.
The other one we're checking the blood pressure.
Doctor Francis, what radiology studies would you like?
Start with a chest and a pelvis X-ray.
OK, we're going to roll towards the the patients right side here. Now let's get them rolled one more time before they filmed on three 123.
OK, maintaining any other obvious signs of integration?
There's no other signs of injury on the patients left side.
You can put them back down.3123.
About 140 if blood pressure is also low.
I remember foremost exam and his level of consciousness has declined. Sir questions anymore. Alright, So what do you want?
What do you want to do with his slaughtered mental status? And we're going to go ahead and incubate them since you keep compensating.
Pure as airway now, all right.
Let's go ahead and give them accommodate.
We'll do 20 milligrams and we'll also do rock coronium, We'll do 100 milligrams of rocuronium.
I'll be providing infrastructure for.You should be doing ceasefire.
Make sure you use three fingers wide each side of the trachea.
Thank you.
Are you?
OK, we'll push the medicine.
Go ahead.
We have a good Paul Sacks tracing.
How much you said?
Coronium and how much accommodate would you like?
Doctor 28 commodate 100 of the full sauce is attached.
We have a good tracing.
He's currently sending 100%.
Let me know when you're ready for the RSI or you can skip that.
So let's go now.
Let's say we have the suctions, we have instructions ready, instructions ready.
Is the ET 2 was ready?
Do we have a DVM ready?
We have our entitled CO2 as well.
We have our backup airway equipment there.
Let's use this size 3 blade based on this.
Gentlemen's Anatomy.
Do we have the title on the big monitor up there?
Entitle CO2, it's 3535.
Could you go to apply either a probably 100% every breather mask free oxygen again please?
I'm ready for the RSI Whenever you are, doctor.
Alright, I'll check it out.
OK.
We've been checks out.
OK.
You have your meds ready?
Yes, I do.
OK.
Not for me, please.
Alright.
I'll be holding cricoid pressure and I'll be holding these kind of stabilization.
We've got our everything set.
08:42
Silent.
Then we'll be ready.
Yeah.
Subglottic suction tube.
We do.
We have it right behind me.
Yeah.
Alright, so I can push this time and date and pushed immediately after that pushed the rock geranium.
Rock and Monium.
Thank you.
OK.
And it's in here.
OK, let's check for a loss of muscle tone.
98 OK think you're ready to go?
Could you please?
There you go.
The cards, that's wonderful.
Alright, don't like comment tiles here.
Alright I'm the cricoid pressure till lunis passed the cords that letters out to balloon is up.
Perhaps and check the end title.
Doesn't want to listen.
Entitled CO2 is 34 so check breath sounds please.
Good breath sounds on the right.
Good, breathe onto the left.
No breath sounds over the stomach.
Great, I'm going to perform a fast exam instead of chest X-ray.
The collar is on is going to put the collar back on.
All right, I'm going to get the Bible X-ray.
We're going to need a OG tube as well as blood pressure is still 110 over.
80 but the pulse has gone up to 110.
Vitals are going repeating Ivy fluids still infusing and I was playing block pressure, so give me a new blood pressure.
All right, quick chest X-ray all right, everybody with LED lights.Go away.All right, it's good.
All right.
Send those over as soon as you get them right.
Maybe a few skull films you'll need before you leave.
Blood pressure 10369, heart rate still 128.
Positive fluid in the left upper quadrant.
Alright, how about in the pelvis?
Sounds good, ET Seen above the Carina below the clavicles.
Is there any further assistance with ESPN?
You needed that right now.
Thank you.
Thank you.
Appreciate it.
Let's recycle the blood pressure in the pelvis.
Happy with his tachycardia.
We're checking the blood pressure running up to run the fluid in wide open.
Run that lead open.
He has fluid in Morrison's pouch.
Got diffuse hemoperitoneum.
Let me know what his repeat blood pressure is.
60 / 40 Alright, start that massive transfusion protocol, all the operating room, we'll let them know we have a case for them straight up to the OR we'll have the images.
This building the left femur and check for pulses and it's left.
Do we have a hair traction we can apply?
Either up in the OR after we address this hemoperitoneum, secure the tube, package them up and let's get him up to go our safety or we'll be ready in 10 minutes.
The massive transfusion protocol for initiated Mike is on his way down to the blood bank to grab the blood.
All right, so we're going to hang a couple of units on the before we take them up.
Are not too long ago.
Alright, we're good coming up in five.
OK, Also give him some antibiotics, OK, couple grams of.
It's a baseline got it couple of guns and that was only a couple of units before all this looks like this all right, the OG 2 confirmed by auscultation all right, anything else any from the team this year 11 startling.
Anything else like dance back?
I'll get the monitor for the war.
Based out instead of seven OK, we need to get them up in the OK for my camera.
Alright, alright.
Thank you.
What time are you coming home?
My parents.
Alright, so 5 minutes, everyone ready?
Yep.
Alright, let's go to the.