›Cardiac monitor if unstable or concerning mechanism
›SpO2 monitoring
›IV access criteria
›Two large bore IV if hypotension or major trauma concern
›IO access if unable to obtain IV in shock
›Oxygen criteria
›SpO2 less than 92 percent
›Respiratory distress
›Immediate hemorrhage control
›Direct pressure
›Tourniquet for life threatening extremity bleeding per local protocol dependent
›Early airway planning for neck compression red flags
Diagnostic sequencing
›Diagnostic sequencing
›Head and neck imaging based on decision tools and red flags
›FAST or eFAST in unstable patient
›Serial exams for abdominal injury concern
›Pregnancy testing before teratogenic medications or radiation when feasible
Therapeutics and procedures
›Therapeutics and procedures
›Analgesia
›Acetaminophen PO 1000 mg once
›Ibuprofen PO 400 mg once
›Avoid NSAIDs if active bleeding or high bleeding risk
›Wound care
›Irrigation volume adequate for contamination
›Closure decision based on contamination and
Evidence & Review
Reviewed by SymptomDx Medical Team·Last reviewed
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.