515 TRAUMA/HYPOVOLEMIC SHOCK

1. Begin Basic Life Support Shock procedures.

2. If tension pneumothorax is suspected, perform Needle Decompression. (See Appendix O.)

3. Transportation decision.

4. Begin rapid IV infusion of Ringer's Lactate (RL) via one to two large bore (1416 gauge) catheters, up to 3.0 liters.

5. Begin Cardiac Monitoring.

6. If transportation of the patient is delayed and/or the above measures fail to maintain or improve hemodynamic status, contact Medical Control for implementation of one or more of the following options:

MEDICAL CONTROL OPTIONS

OPTION A:

Continue rapid IV infusion of Ringer's Lactate (RL), up to an additional 3.0 Liters.

OPTION B:

Administer IV infusion of Plasma Protein 5% solution, or salt poor Albumin, if available. Repeat infusions of Plasma Protein 5% solution, or salt poor Albumin, may be given as necessary.

OPTION C:

Transportation decision.

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