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Worcestershire  ICU Trauma Guidelines

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WAHT TRAUMA TROLLEYS (RESUS)

It is rare for major trauma patients to be treated at WAHT, however, when they do occur it is usually because the patient is too sick to make it safely to the Major Trauma Centre, they have attended the Emergency Department without the West Midlands Ambulance Service or their initial injuries were underestimated and the patient has deteriorated.

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LOCTIONS OF TRAUMA TROLLEY:

WRH: Storeroom opposite Resus (launched April 2023)

ALEX ED: Location and launch date TBC

Slides - Trauma Equipment  Trolley

KIT LIST: TRAUMA TROLLEY

C - CATASTROPHIC HAEMORRHAGE

  • Haemostatic gauze x 2

  • Tourniquet e.g. CAT x 2

  • Blast bandage x 2

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A - AIRWAY

  • Yankaeur suction catheter x1

  • Suction tubing x 1

  • Size 6 ETT x2

  • 10 blade x2

  • Tube tie x2

  • In line ETCO2 x2

  • 20ml syringe x3

  • Gauze 5 pack x 2

  • Chloroprep x1

  • Epistat e.g. rapid rhino x 2

  • Bite blocks: Small x2; Medium x2

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B - BREATHING

  • Sterile gloves 2x each Small, Medium Large

  • Chloroprep x 2

  • 22 blade scalpel x 2

  • Spencer Wells Forceps 7inch x2

  • 1.0 silk suture x 2

  • Tegaderm dressing 6cm x7cm. x2

  • Gauze 5 pack x 2

  • Fenestrated drape (with hole in) x2

  • Sterile drape x 2

  • Russel Chest Seal x 2

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C - CIRCULATION

  • Vascath 12Fr 16cm 2 or 3 lumen x 2

  • Chloroprep x 2

  • Sterile gloves 2x each Small, Medium Large

  • 10ml saline x 3

  • 10ml syringe x 2

  • Tough cuts x2

  • 22 blade x 2

  • Spencer Wells Forceps 7inch x 2

  • Staple gun x2

  • 1.0 Silk Suture x 1

  • Pelvic binder x1

  • Blood giving set x 2

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D - DISABILITY/EXPOSURE-BURNS

  • Mannitol 20% 500ml x 1

  • Gravity giving set x 1

  • 50 ml syringe x2

  • 3 way tap x 2

  • Cling film roll (with end folded back)

  • Clear plastic bags (for hands/feet) x 4

  • C-spine collar x1

  • 10Ch Bougie x1 AND 15Ch bougie x1

  • Kendrick Traction Device (KTD) x1

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