Anatomical Trauma Assessment
Status: Evaluated
Clinical Triage & Surgical Telemetry
Infection Risk
91%
High-risk polymicrobial
Golden Hour Status
Within safe window (35 min)
Transport ≤ 60 min
Surgical Priority
STAT (Level 1)
OR Alert Dispatched
Recommended Emergency Protocols
Broad-spectrum IV prophylaxis + Rabies/Tetanus protocol (Ampicillin-sulbactam or Piperacillin-tazobactam for polymicrobial oral flora: Pasteurella multocida, Capnocytophaga, anaerobes).
Wound Debridement & Lavage: Copious high-pressure pulsatile saline debridement (>2000 mL); avoid primary closure on puncture/crush lacerations.
Rabies Immunoglobulin (RIG): Infiltrate full calculated dose (20 IU/kg) into and around wound margins; administer rabies vaccine series (Days 0, 3, 7, 14).
Surgical Exploration: Vascular and neuro muscular integrity check to rule out compartment syndrome in extremity avulsions.
Handover report compiling...