CODE TRAUMA

YATHARTH WELLNESS HOSPITAL AND TRAUMA CENTRE

GREATER NOIDA

CODE TRAU MA is being initiated at our hospital. Protocol has

been prepared after discussion
and concurrence of faculty members of various disciplines and
blood bank. This is issued with
approval of the competent authority.

CODE TRAUMAACTIVATED IN ER

Trigger (as deemed by the Trauma Surgeon/ Emergency Medic

ine team):
1. Non responder (SBP<90) post resuscitation with 1LIV fluids.
2. Exsanguinating patient in extremis, needing life or limb saving
surgery.

INTIMATION WILL BE SENT FROM ER

TO BLOOD BANK, RADIOLOGY AND OT
By Code Trauma Activation with overhead announcement
(Telephonically for Blood Bank)

Role Of OT team Roie of Radiology Role of Blood Bank

1. One OT is to be made 1. A dedicated bedside USG MHP (MAJOR HAEMORRHAGE

readily available for the
traum a patien t.
2. Anesthesia team on call
should be ready in OT
before the patien t
arrives.
machine and portab le X-
ray machine will be sent
immed iately to ER with
technician.
2. Radiologist should be
readily available.
PROTOCOL) will be initiate d in
Blood Bank.
1. U ncrossmatched blood will be
released immed iately in the
ratio of 1:1:l(PRBC:
Platelets:FFP).

3. CT machine should be on 2. Type of blood (uncrossmatched)

3. Nursing staff should be standby till trauma code is to be released: In order of
scrubbed and ready with halted. preference: Oneg >Opos > any
instrum ent trolley . neg group > any available.

3. Blood cross matching should be

started whene ver sample is
received.
 MHP AS A PART OF CODE TRAUMA BLOOD BANK

2:2:2
IMMEDIATELY TO BE SENT TO ER*

f
4:4:4
AFTER 5 MINS OF RELEASE OF 1sr BATCH /WHEN REQUESTED BY ER TEAM
(WHICHEVER IS EARLIER)

f
4:4:4
AFTER 20 MINS OF RELEASE OF 1sr BATCH /WHEN REQUESTED BY ER TEAM
(WHICHEVER IS EARLIER)

f
FURTHER RELEASE AS AND WHEN
REQUESTED BY ER/ OT TEAM

*If thawed FFPs are not available at the time ofrelease ofl s' batch, send 6FFPs together
in the 2'uJ batch.

• A formal intimation will be sent to the blood bank by the treating doctor when MHP is to
be halted.

Role of ER Team:

I. Activation of Code Trauma.

2. Prompt and adequate resuscitation of the patient.
3. Ensuring all blood samples are sent to the lab in an expedited fashion.
4. Coordination with lab for quick generation of reports.
5. Ensuring filling of code trauma form.
6. Documentation should be maintained simultaneously. However, in want of
documentation, patient management should not get delayed.

• Pathology lab is required to process the reports of concerned patient on priority.

• MODs are required to expedite and smoothen the process of admission, clearance for OT
and financial counselling in the ER itself.
 Copy to:

l. ER
2. OT c01np lex
3. Blood Bank
4. Pathology Lab
5. Radiology

Dr Farha Imam Dr Shaphali Chandra Dr Sunil Baliyan

HOD Emergency Dept Consultant Trauma Surgery A~P. I

Yatharth Hospital, GN Yatharth Hospital, GN Ya~tjgJ ~li\\tf,,ospita t,I GN

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