文档介绍：REACT Guidelines for the Care of Trauma Patients Prehospital Phase All trauma patients should be assessed using primary and secondary survey procedures. Priorities of care are airway with cervical spine control, respirations, oxygenation, and vascular access. The use of interventions outlined in the following guidelines should be based on patient assessment, level of training, and local protocols. AROPE A: Airway with C-spine control R: Respiration 0: Oxygenation P: Perfusion E: Evacuation with Stabilization AIRWAY WITH C - SPINE CONTROL An airway should be secured for all trauma patients using the appropriate intervention 1. Open airway while maintaining C-spine control 2. Suction for d ebris, secretions, vomitus, and other debris 3. Nasopharyngeal airway* for patients with a deweased level of responsiveness but with an intact gag reflex 4. Oral airway for unresponsive patients 5. Tracheal i ntubation for patients in danger of promise, those not breathing on their own or with ineffective respirations 6. Needle cricothyroidotomy for patients who cannot be intubated due to airway/facial trauma *Contraindicated with facial trauma or suspected basilar skull fracture RESPIRATION Appropriate interventions to ensure respiration and ventilation