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checklist for clerking trauma patient

Ensure trauma team is activated

Gather necessary equipment (e.g., resuscitation supplies, imaging tools)

Prepare trauma bay

Conduct primary survey (Airway, Breathing, Circulation, Disability, Exposure)

Assess vital signs (blood pressure, heart rate, respiratory rate, oxygen saturation)

Obtain a brief history of the event (mechanism of injury, time of injury)

Conduct a thorough head-to-toe examination

Evaluate for signs of internal injuries (e.g., bleeding, organ damage)

Document findings

Order necessary laboratory tests (CBC, BMP, type and crossmatch)

Obtain imaging studies (X-rays, CT scans) as indicated

Review results promptly

Initiate IV access and fluid resuscitation as needed

Administer pain management and medications as indicated

Consider the need for surgical intervention

Communicate findings and treatment plan to the receiving team

Document all assessments and interventions in the patient's medical record

Ensure a clear handoff during transfer to another department or facility

Monitor vital signs and reassess regularly

Update treatment plan based on evolving clinical status

Prepare for potential admission to the intensive care unit or operating room if necessary

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