TRAUMA
ASSESSOR
STANDARD TRAUMA CHALLENGE
2017
ASSESSOR:
TEAM:
CHALLENGE LOCATION:
TIME:
GENERAL APPROACH
Approach
Identificates hazards
1
3
5
Mitigates hazards
1
3
5
S
Role alocation
1
3
Identifies themselves
5
1
3
5
Mechanism of Injury
1
3
25
5
COMMENTS :
SURVEY
Responsiveness
Airway
1
3
5
Breathing
Ventilatory rate
Circulation
Massive haemorrhage
Disability
Consciousness Level
1
1
1
3
3
2
Airway status
1
5
3
1
1
1
2
1
2
3
1
1
5
1
5
1
1
1
3
2
5
1
1
2
1
2
5
1
1
2
1
3
3
3
3
1
2
5
1
1
2
5
3
1
2
25
5
1
3
25
5
Reasseses
3
2
1
15
3
Abdomen
3
Relevant medical
information
3
5
Reasseses
Back
3
25
Reasseses
Motor function
Upper limbs
3
5
Capillary refill
Chest
3
2
3
3
Reasseses
Oxygen
Sensory function
Lower limbs
3
3
1
Neck
3
5
Pulses
3
2
3
Airway manoeuvre
Respiratory
Effort/Depth/Rhythm
Assesses Pupils
Pelvis
Examine & Exposure
5
Skin
Head
Examine & Exposure
3
Inspects Chest
5
S
Check mouth
3
1
2
15
3
Prevent heat loss /
dignity
1
2
15
3
COMMENTS :
CASUALTY CARE
Initial Spinal / Pelvic
Care
Management position
Management and
progression
Time critical aspects
1
1
3
3
5
5
Prioritization
Treatment of injuries
1
3
5
Supervision and
Leadership
BLS / AED
Chest compressions
1
2
3
1
3
5
Treatment without delay
1
3
5
Correct choice of
equipment
Ongoing Spinal /
Pelvic Care
1
Prevents active
movement
3
5
1
3
5
Aware of injuries before
movement
1
2
3
In-line stabilization
Pelvic stabilization
1
1
3
5
3
5
Reacts to change
1
3
1
3
1
5
2
1
1
3
1
3
5
3
1
3
5
1
2
3
No daley in AED use
5
1
3
5
3
3
25
5
Reasseses
1
2
15
3
Correct and safe AED
1
3
25
5
Reasseses
1
25
5
Equipment use
Position on device
3
Ventilation
5
Care and protection of
injuries
Movement to transfer
device
1
3
Alignment of the body
Use of resources
5
Correct techniques
Minimal interruptions
1
S
25
5
COMMENTS :
COMMUNICATION
Plan of action
With Team
1
2
Advanced help
3
With Casualty
Listens, Reacts
Handover
Incident & mechanism
of injury
1
1
2
2
3
3
1
2
3
Appropriate questions
1
2
3
Informs of Casualty
Condition
Clear instructions
1
1
1
Injuries and initial status
1
2
3
2
3
Keep casualty informed
2
2
3
1
Language (avoids
jargon, etc.)
3
1
Treatment /
interventions
1
2
Maintains
2
3
Current status
3
1
2
1
Individual
Subsection
3
1
TOTAL SCORE (Max 305)
SCORE CHECKER'S INITIALS
0 = Not done, done incorrectly or an unsafe practice demonstrated;
1 = Performed out of sequence or at a basic standard;
2/3 = Performed in sequence and at an appropriate time;
3/5 = Performed in sequence, at an appropriate time and with attention to detail.
WRO - TRAUMA Scoresheet & Guidelines - STD - 2017 final
2
15
3
Other appropriate
information - AMP
DEBRIEF SUMMARY:
Marking Criteria
3
Maintains
COMMENTS :
ASSESSORS SIGNATURE:
2
15
2
3
15
General Approach
Approach
(scene
hazards /
casualty
approach)
Identificates hazards
Identifies scene hazards (inclusive amputated limbs).
Mitigates hazards
Mitigates hazards throughout.
Role alocation
Allocates and agrees with role allocations.
Identifies themselves
Identifies themselves to casualty.
Mechanism of Injury
Assesses mechanisms and predicts injuries
Casualty assessment
Checks for responsiveness Checks for responsiveness (tactile and verbal stimulation)
Airway status
Airway
assessment & Check mouth
management
Performs visual inspection of the mouth
Airway manoeuvre
Carries out appropriate airway manoeuvre
Reasseses
Maintain the airway opened and reassesses regularly
Ventilatory rate
Assesses ventilatory rate
Inspects Chest
Inspects chest (visual and palpation)
Breathing
Respiratory
assessment &
Effort/Depth/Rhythm
management
Assesses breathing characteristics (depth, regularity, effort)
Oxygen
Recognises the need for and applies supplemental oxygen
Reasseses
Reassesses regularly
Massive haemorrhage
Identifies and manages massive haemorrhage (visible and occult)
Skin
Performs skin perfusion check (condition, colour and temperature)
Circulation
assessment & Pulses
management
Checks and compares central and peripheral pulses (at the right anatomic places)
Capillary refill
Assesses capillary refill (centrally and peripherally)
Reasseses
Reassesses regularly
Consciousness Level
Assesses level of consciousness using appropriate scale
Assesses Pupils
Checks for size, symmetry and reaction to light of both pupils.
Disability
assessment & Sensory function
management
Expose and
Examine
Recognises airway status (with 'c' spine control if appropiate)
Checks sensory function (all limbs)
Motor function
Checks motor function (all limbs)
Reasseses
Reassesses regularly
Head
Examines head
Neck
Examines neck
Chest
Examines and exposes chest
Back
Examines and exposes back
Abdomen
Examines and exposes abdomen
Pelvis
Examines and exposes pelvis
Lower limbs
Examines and exposes lower limbs
Upper limbs
Examines and exposes upper limbs
Relevant medical
information
Seeks relevant medical information (allergies, medication, past medical history)
Prevent heat loss / dignity
Prevents heat loss from exposure / maintains personal dignity
WRO - TRAUMA Scoresheet & Guidelines - STD - 2017 final
Casualty Care
Management position
Considers most appropiate management position
Prevents active movement Prevents active movements of the head and neck (asking the casualty, ensuring collaboration)
Initial Spinal /
In-line stabilization
Pelvic Care
Management
and
progression
Treatment of
injuries
Pelvic stabilization
Provides appropiate pelvic stabilization
Alignment of the body
Considers appropiate alignment of the body
Time critical aspects
Identifies time critical aspects from assessment
Treatment without delay
Carries out appropiate treatment without delays
Reacts to change
Reacts to change in the status of the casualty
Use of resources
Effective use of resources (including bystanders)
Equipment use
All equipment used and positioned safely
Prioritization
Prioritises treatment
Correct choice of
equipment
Correct choice of equipment
Correct techniques
Correct techniques employed
Care and protection of
injuries
Ensures care and protection of injuries
Reasseses
Reassesses regularly and after any change
Supervision and
Leadership
Appropiate person takes control of transfer
Aware of injuries before
movement
Team member makes everyone aware of injuries before movement
Ongoing
Movement to transfer
Spinal / Pelvic
device
Care
BLS / AED
Provides appropiate in-line stabilisation of head & neck for passive movements
Correct movement to transfer device
Position on device
Casualty correctly aligned / positioned and safely secured to device
Reasseses
Casualty reassessed on the device
Chest compressions
Correct technique for chest compressions
Minimal interruptions
Minimises interruption of chest compressions
Ventilation
Effective ventilations
No daley in AED use
Minimal delay in use of AED
Correct and safe AED
Correct and safe use of AED
WRO - TRAUMA Scoresheet & Guidelines - STD - 2017 final
Communication
With Team
Plan of action
Share plan of action
Advanced help
Seeks advanced help (EMT) at the right time
Informs of Casualty
Condition
Keep each other informed of casualty condition
Clear instructions
Gives clear instructions to colleague and/or bystanders if applicable
Maintains
Maintain communication with each other throughout
Listens, Reacts
Listens & reacts to casualty
Appropriate questions
Asks appropriate questions
With Casualty Keep casualty informed
Keeps casualty informed & reassured at all times
Language (Avoids Jargon,
Avoids using medical or patronising jargon
etc.)
Handover
Maintains
Maintains communication with casualty throughout
Incident & mechanism of
injury
Describes the incident & mechanism of injury
Injuries and initial status
Describes the injuries and initial status
Treatment / interventions
Describes treatment / interventions
Current status
Describes current status
Other appropriate
information - AMP
Gives other appropriate information - AMP
Note: Various mnemonics exist to aid in handover delivery such as MIST and no particular one is used consistently between care providers.
Irrespective of which is used, the above content should be covered. The medic is allowed one minute to give handover before returning to
scenario.
WRO - TRAUMA Scoresheet & Guidelines - STD - 2017 final