ACH EMERGENCY RESIDENT TRAUMA ORIENTATION
Code 77 is the Trauma Team activation for ACH. o The Trauma Activation Guidelines are posted above the patch phone at the front of the ED. The RN answering the patch phone will be responsible for activating the Code 77. o The Trauma Team Composition is also posted above the patch. Please note that the only other physicians, besides the ED MD, on the team are General Surgery Resident / Staff and PICU Resident / Staff. The ED MD acts as the Trauma Team Leader (TTL) until such time as he / she deem it appropriate to hand the patient over to one of the other MD’s (most likely the admitting service MD). o As the ED Resident your role will most likely be the bedside physician. If this is the case, follow the TTL’s direction. As an extension of this role, the TTL may want you to accompany the patient to the CT scanner. The attending MD clears spinal immobilization on trauma patients. Once this is done, there is a yellow Spinal Clearance Sheet that must be filled out and sent with the patient throughout their hospital stay. This is for communication purposes to the admission units. There is a separate record to fill out for trauma patients that are being admitted: “Pediatric Trauma Team Leader History and Physical Assessment”. These are kept in the trauma room. This is used instead of the front emergency MD form. Admitting Trauma Patients: o Multiple injured patients are admitted to Trauma Surgery (08001700) or General Surgery (1700-0800). o Isolated head injuries > 1 yr old are admitted to Neurosurgery. There is an SCM orderset to be used if they are not in house. o Isolated extremity and pelvis fractures are admitted to Orthopedics. o Non-accidental trauma, Head injuries < 1 yr old, and Burns are admitted to Pediatrics. o Unit 4 is the ACH Trauma Unit. Code 88 is a code that will activate the Intensivist and OR team, including Anesthesiology. Poster of criteria is posted above the patch phones. The Pediatric Massive Transfusion Protocol (MTP) can be activated for certain criteria. There are posters in the trauma room. This is a general overview of trauma at ACH. Please contact Sherry MacGillivray, Trauma Coordinator at ACH if you have any questions. (955-7872 or pager 04957).