Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
Life threats and stabilization
Airway compromise
If refractory hypoxemia or inability to protect airway, intubation
Breathing threats
If tension pneumothorax physiology, immediate decompression
Circulatory collapse
If SBP <90 mm Hg with suspected intraabdominal hemorrhage, resuscitation bay escalation
Hemorrhagic shock recognition
Persistent tachycardia despite analgesia
Narrow pulse pressure
Cool clammy skin
Altered mental status without head injury explanation
Early hemorrhage control pathway
If unstable with positive FAST, immediate operative management pathway
If unstable with negative FAST, alternate bleeding sources pathway
Hemodynamic goals and monitoring
Monitoring and targets
Continuous ECG and pulse oximetry
Frequent reassessment for evolving shock
Two large bore IV or IO access
If difficult access, rapid IO placement
Blood pressure strategy
If active hemorrhage suspected, permissive hypotension until hemostasis when no TBI
If traumatic brain injury suspected, maintain adequate cerebral perfusion and avoid hypotension
Temperature control
Active warming to prevent coagulopathy
Urine output monitoring
Foley catheter if no urethral injury concern
Early imaging and decision points
Rapid diagnostics
eFAST
Free intraperitoneal fluid
Pericardial effusion
Pleural fluid and pneumothorax
CT abdomen and pelvis with IV contrast
If hemodynamically stable or stabilized
If ongoing transfusion requirement but stable enough for scanner, trauma team decision
Pelvic imaging
If hemodynamic instability with mechanism suggesting pelvic hemorrhage
Consultation and activation triggers
Team activation
Trauma surgery early involvement for suspected solid organ injury
If unstable, immediate bedside evaluation
Interventional radiology early notification
If CT contrast blush or high grade injury with stability
Massive transfusion protocol activation
If ongoing hypotension or rapid blood loss suspicion
Transfer triggers
If no trauma surgery or IR capability and suspected high grade injury
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.