Trauma

Fall, head, or possible spine

CCMS-MED-SOP-001 §12

Playground, stairs, pews, the elderly hip. Do not scoop-and-run a neck.

Call 911 if: loss of consciousness, amnesia, repeated vomiting, unequal pupils, anticoagulation, neck pain, numbness, fall from height, or elderly with suspected hip fracture.

1. 1

   Do not twist them. Manual stabilization if there are spinal flags. Jaw-thrust, not head-tilt, if the airway needs help.

2. 2

   Control bleeding. Keep warm. 911 for red flags.

3. 3

   Concussion without red flags: rest, no climbing back on the equipment, watch for delayed vomiting or worsening headache. Parent owns the next hours.

• Elderly fall with inability to bear weight is a hip fracture until imaged. EMS, not a ride in the family van.

This field guide does not replace 911, a medical director, or licensed clinical judgment. It does not authorize anyone to practice beyond license and current training.