Regional Trauma Plan
Contract #14501
Contract Year 2007
Deliverable Due Date: 07/31/2007
Trauma Care System
Prepared by:
Robert Ramerez
SERTAC Coordinator
Map of SERTAC
Regional Trauma Plan
Table of Contents
1. List of Executive Council Members page 4
2. Regional Mission Statement page 5
3. SERTAC Transport Guidelines
page 6
4. SERTAC Guidelines for Trauma Definition
page 7-8
5. List of identified
6. List of Hospitals and Designations page 31-38
7. List of
populations not attending meetings.
page 39-40
a) Action plan of how to connect with
missing services 1-2 sentences
8. List two concerns
or issues to be addressed next fiscal year page 41
(ems
needs assessment)
a) Under action plan, write 1-2 paragraphs-
what are issues and how will they be
addressed?
9. Dates of RTAC
meetings. page
42
10.
11. Persons
responsible for input into plan.
Page 44-46
1.
SERTAC Chair: Steve Andrews M.D. sandrews@mcw.edu
SERTAC Vice
Chair: Suzanne
Martens M.D. smartensmd@aol.com
SERTAC Coordinator: Robert
Ramerez roramere@fmlh.edu
SERTAC Treasurer: Betsy Rambo rambob@agnesian.com
SERTAC Sub-committee Chairs:
Education Todd Van Langen vanlangt@ci.west-bend.wi.us
Medical Oversight Andrea Winthrop M.D. awinthrop@chw.org
Performance Improvement/
Annette Bertelson
abertels@fmlh.edu
Registry
Trauma Coordinators Cinda Werner cwerner@chw.org
2. SERTAC
“The Southeast Regional Trauma Advisory Council shall
constantly promote optimal trauma care across local, regional, and state
boundaries through healthcare professionals who strive to provide quality
patient care. We shall provide healthcare professional education, confidential
performance improvement analysis and injury prevention to maintain and improve
our regional trauma care plan.”
3. South East Regional Trauma
Advisory Council
Transport Guidelines
Major
Trauma Patient ® ® ® NO ® ® ®
Manage Per
Established Protocols
¯
YES
¯
OR Helicopter Intercept OR ALS Intercept
Transport to Closest Facility
Adequate (protected)
Airway ® ® NO ® ® ® ransport to Closest Facility
¯
(GCS
< 9, resp. distress, OR
combative
req. sedation,
Helicopter Intercept
¯ airway compromise) OR
YES
¯
¯
OR Helicopter Intercept ALS Intercept
Transport to Closest Facility
OR
Prolonged Extrication ® ® ® YES ® ® ®
¯ OR
¯
NO
ALS Intercept
OR Helicopter Intercept OR ALS Intercept and Transport To Closest Facility or
Definitive Care Facility If Patient Condition Permits.
¯
Transport to Closest Facility
¯
Level I or Level II
> 30 minutes away ® ® YES ® ®
¯
NO
¯
Transfer
to
4. SERTAC
GUIDELINES FOR TRAUMA DEFINITION
DEFINITION OF MAJOR TRAUMA
Activate Local Trauma Plan
1. Unresponsive to voice commands (GCS < 14).
2. Clinical
signs of shock: pale, cold, weak pulses, prolonged capillary refill.
3. Unstable Blood Pressure:
a.
Adult: Systolic
Blood Pressure: < 90 mmHg
b. Pediatric:
Infant < 6 months: SBP <
60 mmHg
Child 6 months – 5 yrs: SBP <
70 mmHg
Child 6 – 12 years: SBP < 80 mmHg
4. Respiratory Rate:
a. Adult: < 10 or > 30 breaths / min.
b. Pediatric:
Infant
< 6 months: < 20 breaths
/ min.
Child 6
months – 12 yrs: < 16 breaths / min.
All pediatric
ages: > 60 breaths / min.
c. Ineffective breathing, grunting or stridor in a child.
5. Penetrating injury to head, neck, torso or proximal extremity.
6. Flail chest.
7. Trauma with concurrent burns greater than 15% Body Surface Area.
8. Distended, rigid abdomen.
9. Two or more proximal long bone fractures.
10. Depressed or open skull fracture.
11. Unstable pelvic fracture.
12. New onset paralysis.
13. Amputation proximal to wrist or ankle.
4. SERTAC
GUIDELINES FOR TRAUMA DEFINITION (Cont)
Indicators of
Possible Major Trauma
Have high suspicion. Consider trauma plan activation.
1. Ejection from automobile during crash.
2. Death of another occupant of same vehicle in a crash.
3. Extrication time in excess of 20 minutes.
4. Falls from higher than 20 feet adult. Use 10 feet for a child.
5. Victim of a rollover motor vehicle crash.
6. Victim of a high speed vehicle crash: > 40 mph adult; > 20 mph child.
7. Major auto deformity, intrusion of damage into passenger compartment.
8. Auto vs. pedestrian or bicycle.
9. Pedestrian thrown or run over.
10. Any motorcycle crash.
11. Trauma patient with extremes of age: < 5 or > 55.
12. Injured patient with underlying lung or cardiac disease.
13. Injured patient who is pregnant.
14. Injured patient who is immunosupressed.
15. Injured patient with bleeding disorder or who is on anticoagulation medication.
WHEN IN DOUBT: CONTACT MEDICAL CONTROL,
CONSIDER TRANSFER
TO
DESTINATION
PROTOCOL ON BACK OF CARD
5. SERTAC Identified
1-Fond
du Lac County
2-Kenosha
County
3-Milwaukee
County
5-Racine
County
6-Sheboygan
County
8-Washington
County
9-Waukesha
County
Brooks Ambulance Inc
(920)324-3199
License Level: EMT-Intermediate Technician
Campbellsport
Volunteer FD
(920)533-5266
License Level: EMT-Basic
City of
(920)929-3235
License Level: EMT-Paramedic
Mount
(920)753-6086
License Level: EMT-Basic
North Fond Du
Lac
(920)929-3765
License Level: EMT-Intermediate
Ripon Guardian
Ambulance Service
(920)748-4904
License Level: EMT-Intermediate Technician
Kenosha County
(262)857-2711
License Level: EMT-Intermediate
(262)653-4100
License Level: EMT-Paramedic
LJH Ambulance Inc
(262)658-4448
License Level: EMT-Paramedic
Website: www.ljhambulance.com/
Medix Ambulance Services Inc-
(262)763-8349
License Level: EMT-Paramedic
Town of
(262)859-3009
License Level: EMT-Intermediate Technician
Pleasant Prairie Fire and Rescue
Pleasant
(262)694-8027
License Level: EMT-Paramedic
Town of
9814
(262)843-2313
License Level: EMT-Paramedic
Scout Leaders Rescue
Squad
(262)358-1475
License Level: EMT-Intermediate Technician
Silver Lake Rescue
Squad Inc
209 E
(262)889-8093
License Level: EMT-Intermediate Technician
Website: www.silverlakerescue.com/
Somers Rescue Squad
(262)859-2277
License Level: EMT-Intermediate
236 E
(262)877-2373
Licens