دستورات اولیه بیمار Multiple Trauma

1. NPO
2. CVS q30min for 3 hrs, then q3h if stable
3. IV line * 2 (large bore)
4. cardiac monitoring & pulse oximerty & ICU admission if very ill
5. serum NS 1000cc IV free   à repeat another 1 liter if unstable
6. supplemental O2 4-5 lit/min
7. reserve 6 units PC
8. CBC serial q6h
9. Check Na, K, BUN, Cr, BS, PT, PTT, INR, UA
10. Foley catheter fixed
11. Chart I/O
12. NG tube fixed (contraindicated in skull base fx)
13. ECG
14. ABG
15. CXR
16. Pelvic X-ray (AP)
17. Neck view (AP&Lat) including C7-T1
18. abdominopelvic sonograpgy
19. Amp Ranitidin 50 mg / IV / bd
20. Tetanous prophylaxis (if applicable)
21. Orthopedic X-rays (if applicable)
22. Brain CT scan (if GCS<15, head trauma, vomiting, amnesia)
23. Orthopedic consult (if applicable)
24. Neurosurgery consult (if applicable)