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Trauma mechanism:

  • A fall >3 meters
  • Road traffic accident: net speed >30 km/h
  • Thrown from or trapped in a vehicle
  • Pedestrian or cyclist hit by a car
  • Unrestrained occupant of a vehicle
  • Injury from high or low velocity weapon

Physical findings:

  • Airway or respiratory distress
  • Blood pressure <100 mmHg
  • Glasgow Coma Scale <13/15
  • Penetrating injury
  • More than 1 area injured

Make a full primary and secondary survey of any patient who is injured, especially if major trauma

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