Message text written by Accident and Emergency Academic List
I've seen the e-mails and am making adjustments. The one thing I feel about
this particular strand of e-mails is that we are doing exactly what the
group is here for. This really is joining all our expertise together to
develop something new. So can all those who just watch and don't contribute
please feel free to comment. Lets use this group as an International Think
Tank.
>Vehicle.
5. All glass & SRS intact ( therefore no intrusion and Delta V less than
15mph in deployment vector) xxxxx Good point Jonathon)
4. Glass broken &/or SRS deployed but doors open
3. Doors cannot be opened without equipment (Delta V probably in excess of
45 mph)
2. 30cm or more intrusion into the passenger compartment
1. Opening of the passenger compartment by shearing of metal components
Person.
Simon, I'm unsure about this. I recognise that TRTS is a more reproducible
scoring system, and its very calculation gives a lot of valuable detail for
audit purposes ( and by God we need some valid audit of pre-hospital care),
but I would envisage the SES being used as a short way of explaining a
scene to Ambulance Control so that resources can be appropriately deployed.
The criteria I suggested could be gleaned from a first-aider on a mobile
phone, and certainly can be done by a Police Officer or Fire-fighter. TRTS
needs a GCS and a BP. By the time the information has been gathered the
casualty will have had Danger, Responsiveness, Ac, B&O2, and C done,
resources will be arriving and the nature of the scene will have been
communicated to Controls by Police & Fire etc. Is there a role for system
like the APGAR scale where an analysis at 1 and 5 minutes is made? This
would reveal the accident that looks bad, and on closer investigation turns
out to be non-serious as well as the one that looks innocuous but turns out
to be difficult.
4. TRTS = 15 4. Appears stable and no other casualty in vehicle
has a serious injury
3. TRTS = 14 3. Mechanism of accident or signs suggest
potentially unstable
2. TRTS = 5-13 2. Has injuries that classify as URGENT in either
sieve or sort
1. TRTS = 1-4 1. Has life threatening time critical injuries
Ancillary factors.
4. Uncomplicated extrication
3. Extrication complicated by environmental factors
2. Extrication will require specialist equipment ( cranes, thermal lances
etc)
1. Extrication estimated will be in excess of two hours
<
<
Awaiting comments with interest
Vic Calland
|