Pre%transort!Vitals:! Temp:____!

University of Toronto Trauma Transport Checklist ! Pre%transort!Vitals:! Temp:____!BP:!___/___!!HR:____!RR:____!Pupils!R:___L:___! ! Abdo!Girth:____!!Blood!Glucose:____! ! !Transport!Checklist!

Last!Name! ! ! DOB!YYYY%MM%DD! ! Address!

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(First)!!

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Sex! (Patient!ID!Sticker)!

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Airway! !

Self%maintained!or!protected.!Difficulty!of!intubation.!Tube!size,!depth.!Cuff!filled! with!air.!Tube!secured.!Verified!location!on!chest!radiograph.!!

Breathing!! !

Sats.!Evaluation!for!pneumothorax!done.!Finger!thoracostomy!vs!chest!tube.!Vent! settings!and!recent!changes.!ETCO2!correlated!with!ABG!!

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Circulation! !

Recent!heart!rate!and!blood!pressure.!Any!massive!hemorrhage,!obvious!or! suspected!occult.!Timing!of!tourniquets.!Volume/type!of!blood!products,!need!for! additional.!Pelvic!binder!if!suspect!pelvic!injury.!!

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Disability! !

Initial/current!GCS,!pupils.!Neurological!examination!before!paralysis.!Time!of!last! paralytic.!!

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Exposure! !

Other!injuries!found!or!suspected.!Splint!fractures.!Dress!oozing!wounds.!Keep! patient!covered,!warm,!dry.!!

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Fluids! !

Crystalloid!volume!given.!Foley!placed.!Urine!output.!Empty!urine!bag,!chest!drains.! If!no!catheter,!patient!should!urinate!before!team!arrival.!!

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Gut/Girth! !

Last!oral!intake.!Nasogastric!tube!placed!and!confirmed.!Accurate!weight!and!width! of!patient!at!widest!point.!!

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Heme! ! Infusions! !

Hgb!trend,!international!normalized!ratio.!Tranexamic!acid!considered/given.!!

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Ongoing!infusions!for!sedation!and!analgesia.!Extra!medications!drawn!up!for! transport!team.!Discontinue!nonessential!infusions.!!

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JVP! ! Kelvin! !

Signs!of!tension!pneumothorax,!tamponade.!Evaluated!with!ultrasound.!!

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Lines! !

Current!access!and!lines.!Two!lines!larger!than!18G!for!transfer!(if!possible).!Central! or!arterial!line!if!indicated.!All!lines!secured!and!functioning.!

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Micro! ! Next!of! Kin/Notes!

Antibiotics!and!tetanus!(if!required).!!

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Documentation!copied!and!in!an!envelope.!Extra!stickers.!Imaging!on!disks!or! electronic.!Next!of!kin!aware!of!plan,!contact!information!available.!Any! issues/concerns!raised!by!team!before!transfer.!

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Initial!and!current!temperature.!Continued!need!for!active!warming.!Foley!or! esophageal!temperature!probe.!!

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Abbreviations: ABG, arterial blood gas; GCS, Glasgow Coma Scale; PCC, prothrombin complex concentrate. Adapted from MedSTAR Emergency Medical Retrieval Service, South Australia; with permission (2018).

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