Do: Get venous access (x2 large bore) and send bloods if time allows FBC, U&E, LFT, coagulation, group and screen, troponin if appropriate; Do: Get VBG with the bloods and/or ABG if sats under 95%; Do: Give fluids. If low blood pressure or high pulse give a fluid challenge now (500ml saline stat) unless the patient is in overt heart failure. It Occurs at Home. Developmental Trauma is a term used in the literature to describe childhood trauma such as chronic abuse, neglect or other harsh adversity in their own homes. When a child is exposed to overwhelming stress and their caregiver does not help reduce this stress, or is the cause of the stress, the child experiences developmental.

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ISS = sum of squares for the highest AIS grades in the three most severely injured ISS body regions. ISS = A2 + B2 + C2. where A, B, C are the AIS scores of the three most severely injured ISS body regions. scores range from 1 to 75. single score of 6 on any AIS region results in automatic score of 75. Interpretation.. HHS. USA.gov. This guideline provides guidance on the assessment and management of major trauma, including resuscitation following major blood loss associated with trauma. For the purposes of this guideline, major trauma is defined as an injury or a combination of injuries that are life-threatening and could be life changing because it may.