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It emphasizes minimizing scene time, performing scene size-up, and conducting a rapid primary survey to identify and treat life-threatening problems. The protocol details airway and C-spine precautions, oxygenation targets, circulation and immediate bleeding control, and decision-making based on mechanism of injury and “Load & Go” criteria. It also includes secondary head-to-toe evaluation for injuries missed initially.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/trauma-protocols-section-16/363395/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/trauma-protocols-section-16/363395.png","ImageObject",300,407,{"name":92,"@type":93},"noah","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-02","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is the purpose of the primary survey in this trauma protocol?","Question",{"text":113,"@type":114},"To rapidly identify and manage life-threatening conditions in the prehospital setting, including airway, breathing, and circulation issues.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How should oxygen be managed during the initial assessment?",{"text":118,"@type":114},"Provide oxygen based on respiratory distress: 15 LPM via NRM or 6 LPM via nasal cannula, and maintain SPO2 greater than 94%.",{"name":120,"@type":111,"acceptedAnswer":121},"What does the secondary survey cover?",{"text":122,"@type":114},"A head-to-toe evaluation to find injuries or problems not identified during the primary survey, including examination of the head, neck, chest, abdomen, pelvis, back, and extremities.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},363395,1790331879,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":41,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},1099529839121,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","TRAUMA PROTOCOLS  \nRoutine Trauma Care Protocol   16.A. 1 Trauma Shock Protocol   16.B. 1 Traumatic Head Injury Protocol .................................................................................................................. 16.C.1 Spinal Trauma Protocol ............................................................................................................................... 16.D.1 Spinal Motion Restriction ............................................................................................................................. 16.E.1 SMR Decision Scheme   16.F. 1 Bites and Envenomation Protocol   16.G.1 Traumatic Arrest Protocol   16.H. 1 Field Triage Scheme ................................................................................................................................ ...... 16.I.1 Extremity Injury Protocol ............................................................................................................................. 16.J.1 Needle Thoracentesis (Needle Chest Decompression) Procedure............................................................... 16.K.1 Flail Chest Treatment Protocol   16.L. 1 Unstable Pelvic Fracture Protocol   16.M. 1 Bleeding Control Protocol ........................................................................................................................... 16.N.1 Tranexamic Acid/ TXA Protocol   16.O.1  \nCrush Injury Protocol................................................................................................................................ .... 16.P.1  \nRoutine Trauma Care Protocol  \nAssessment and management of patients with injury or suspected injury shall be conducted in accordance with ITLS/ PHTLS guidelines. Time from injury to definitive trauma center care is a critical factor in the morbidity and mortality of the injured patient. Scene times should be kept to a minimum and the patient should be promptly transported to the trauma center.  \nEMR, EMT, TEMS, A-EMT/ EMT-I, Paramedic Care  \n1. Scene Assessment (Scene Size-Up)  \n• Ensure scene safety – identify any hazards ([e.g.](e.g. fire)[ fire](e.g. fire), downed power lines, unstable vehicle, leaking fuel, weapons) .  \n• Determine the number of patients.  \n• Identify the mechanism of injury (gunshot wound, vehicle rollover, high speed crash, ejection from the vehicle) .  \n• Identify special extrication needs, if any.  \n• Call for additional resources if needed. If a Paramedic intercept is needed, start them early.  \n2. Primary Survey (Initial Assessment)  \nThe purpose of the primary assessment is for the prehospital provider to rapidly identify and manage lifethreatening conditions:  \n• Obtain a general impression of the patient’s condition.  \n• Assess, secure and maintain a patent airway while simultaneously using C-spine precautions.  \n• Assess breathing and respiratory effort:  \no Approximate respiratory rate.  \no Assess quality of respiratory effort (depth of ventilation and movement of air) .  \n• Oxygen: If respiratory distress noted, 15 LPM via NRM or 6 LPM via nasal cannula.  \no Maintain SPO2 > 94%  \no Chest Seal: if open chest wound identified apply occlusive dressing.  \no Needle Chest Decompression (TEMS and Paramedic only): if the patient is in severe respiratory distress or cardiac arrest with s/s oftension pneumothorax.  \n• Assess circulation:  \no Evaluate carotid and radial pulses.  \no Evaluate skin color, temperature and condition.  \no Immediately control major external bleeding. Treat based on Bleeding Control Protocol if needed.  \n• Critical Decision (based on mechanism of injury & initial exam):  \no Limit scene time to 10 minutes or less if the patient has a significant mechanism of injury or meets “Load & Go” criteria.  \nRoutine Trauma Care Protocol  \nEMR, EMT, TEMS, A-EMT/ EMT-I, Paramedic Care  \nPrimary Survey (Initial Assessment) (continued)  \n• Expose the patient:  \no Cut the patient’s clothing away quickly to adequately assess for the presence (or absence) of inj","cbCaiiKHYOBiK5EG","https://ap.wps.com/l/cbCaiiKHYOBiK5EG","pdf",571827,"English","# Routine Trauma Care Protocol\n## Scene Assessment (Scene Size-Up)\n## Primary Survey (Initial Assessment)\n## Secondary Survey (Focused History & Physical Exam)","[{\"question\":\"What is the purpose of the primary survey in this trauma protocol?\",\"answer\":\"To rapidly identify and manage life-threatening conditions in the prehospital setting, including airway, breathing, and circulation issues.\"},{\"question\":\"How should oxygen be managed during the initial assessment?\",\"answer\":\"Provide oxygen based on respiratory distress: 15 LPM via NRM or 6 LPM via nasal cannula, and maintain SPO2 greater than 94%.\"},{\"question\":\"What does the secondary survey cover?\",\"answer\":\"A head-to-toe evaluation to find injuries or problems not identified during the primary survey, including examination of the head, neck, chest, abdomen, pelvis, back, and extremities.\"}]","Trauma Protocols - Section 16 | PDF",1790151061,76]