The Golden Hour of Trauma Care
The purpose of this is to give an overview of the resuscitative phase of trauma care and is not intended to provide step-by-step directions for accomplishing the associated tasks.
Incoming EMS calls are received on the radio or on a telephone line. Calls are answered by an ER physician. ER physician or Nurse activates the trauma code.
Reporting of any abnormal vital signs, not just reporting the last set. Any changes in level of consciousness to be reported.
Should take 30-60 seconds. Patient remains on EMS stretcher, and the room is silent. Report is given in MIST format. Any questions are answered. Patient then transferred to hospital stretcher and the primary assessment is conducted.
M = mechanism of injury
I = injuries present
S = signs and symptoms. Including pupils, GCS, and full set of vital signs.
T = treatment in route.