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CMG 1 General Care
- Primary survey
- Haemorrhage control
- Posture
- Oxygen therapy
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- Monitor & assess as required
- Vital signs
- ECG/12 - 15 lead
- Blood Glucose
- O2 Sats
- Temp
- EtCO2
- Specific obs & assessment as per patient condition
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- Treatment as required
- Cervical collar
- Bandaging
- Splinting
- Pelvic splint
- Temp control
- reassaurance
- Cannulate - IV fluids as per perfusion & hydration assessment
- Pain relief
- anti-emetic
- Notify & tx to nearest appropriate hosp Note tx is rx.
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- Identify time-critical patients
- actual - based on vital signs, pattern of injury, lack of response to treatment.
- Potential - based on hx, mechanism of injury.
The following condition warrant absolute minimum scene times and urgent transport to hospital.
Cardiac arrest following penetrating trauma (ref Agonal trauma guideline
Unrelieved upper airway obstructionhead injuries with significant deterioration in LOC
Chest injuries with respiratory deterioration
- Internal blood loss sufficient to cause significant hypotnesion
- Heatstroke
- Cardiac arrest in advanced pregnancy (>20/52)
- Prolapsed umbilical cord or complicated labour
- Continuing or worsening acute hypoxia unresponsive to treatment
- generalised seizures unresponsive to treatment
- Carbon monoxide poisoning with decreased LOC
- List is not exhuastive or exclusive
- NOTE time-critical does not just mean rapid tx