Golden Principles of Prehospital Trauma Care

Golden Principles of Prehospital Trauma Care

A set of foundational actions beginning with airway assessment and management, including ventilatory support, oxygen, and cervical spine immobilization.

First step in prehospital trauma care

Assess and manage the airway, provide ventilatory support and high-flow oxygen, while maintaining cervical spine immobilization.

Basic shock therapy in trauma care

Actions include controlling hemorrhages, stopping arterial bleeding, and keeping the patient warm.

Treatment for uncontrolled bleeding

If direct pressure fails, use a tourniquet.

Action after ABCs are corrected

Protect the patient's cervical spine and rapidly proceed with spinal immobilization if indicated.

Rapid extrication techniques

Consideration for patients who are entrapped.

Platinum 10 principle

For most multisystem trauma patients, on-scene time should be limited to 10 minutes or less, as definitive care often requires surgery.

Action to take during transport

Obtain a SAMPLE history and complete a secondary assessment.

Considerations for critically injured patients

ALS intercept and/or air medical transportation.

Final principle of prehospital trauma care

Ensure transportation to an appropriate facility and notify the facility as soon as possible