Trauma History and Physical - PageOut

GSW to Extremities• How many shots heard?• Handgun versus rifle?• Distance from shooter?• Ability to use extremity after being shot.• Was there "jet-like" or aggressive bleeding at the scene.• Attempt to quantify how much blood-loss at the scene/in transport (small, moderate, large)• Where was the patient standing in relation to the shooter?KSW• How may times stabbed• Motion/trajectory of knife (upper movement, straight in, slash)• Amount and character of bleeding at scene/in transport.• Length and type of instrument used (i.e., steak knife vs. stiletto).• Other types of injuries (i.e. assault with fist or kicked?).Assault• Where on the body was the patient hit?• What they were hit with and how may times?• Where they hit in head or neck, and if so was there loss of consciousness?• Nausea or Vomiting since injuries?• Were there other mechanisms involved (i.e. KSW, thrown from car)?Same Level Fall• Why did they fall? Has this happened before?• Ambulatory/non-ambulatory after fall?• Loss-of-consciousness?• Is the patient on blood thinners?• Where does the patient hurt?• What position was their body in on impact?Fall• How high were they?• Did patient hit anything on way down?• What position was the body in at time of impact?• Loss-of-consciousness?• Ambulatory/non-ambulatory after?• Was ETOH/drugs involved?* IF NOT IMMOBILIZED-- have nurse place patient on a spine board and C-collar immediately!