This document provides an overview and instructions for completing the prehospital sections of Alaska's Trauma Registry. It describes the features for linking to EMS run sheet data, reviewing the linked elements, and completing any missing information. Key fields in the prehospital Scene/Transport, Treatment, and Notes tabs are outlined, including vital signs, procedures, transport details, and mass casualty classifications. The document emphasizes properly coding fields like trauma alert called by EMS and checking for complete EMS reports.

1. Alaska Trauma
Registry Training
TRAUMA PROGRAM
RURAL AND COMMUNITY HEALTH SYSTEMS
STATE OF ALASKA, DIVISION OF PUBLIC HEALTH

2. Prehospital

3. Three tabs under
Prehospital:
Scene/Transport
Treatment
Notes

4. Let’s look at the registry

5. Prehospital: Scene/Transport
• EMS Linkage
• Feature allows the receiving facility to copy data from the EMS run sheet to
the prehospital tabs within the Alaska Trauma Registry
• Linkage criteria:
• Destination Facility ID
• Facility Arrival Date/Time required
• Destination Arrival Date/Time within 72 hours of Facility Arrival Date/Time
• Not all EMS agencies records are available

6. Prehospital: Scene/Transport
• EMS Linkage
• Not all elements are completed – review all & complete
• Problem Element: Trauma Alert Called by EMS Date/Time
• Applies to Prehospital Unstable and Prehospital Potentially Unstable only
• Check these fields as may need to be edit with NA
• Covered in depth in Prehospital Section of Data Dictionary

7. Prehospital: Scene/Transport
• POV/WI
• Yes – skips prehospital section except
• Prehospital Cardiac Arrest
• No – opens prehospital screens for data entry

8. Prehospital: Scene/Transport
• Extrication
• Not just for motor vehicle crashes
• Any action that disentangles or frees the victim from the entrapment or
delays in transport

9. Prehospital: Scene/Transport
• Trauma Alert Called by EMS
• Date & time EMS radios ED of incoming trauma alert/activation
• Prehospital Unstable
• Potentially Unstable
• Important data

10. Prehospital: Scene/Transport
• Mode
• First and subsequent ambulance unit on scene
• List in order of arrival or contact with patient
• Types
• Ground Ambulance
• Rotor Ambulance
• Law Enforcement
• Fixed Wing Ambulance
• Helicopter Without Medical Attendant
• Helicopter With Medical Attendants
• Commercial Air Without Medical Attendant (fixed wing)
• Commercial Air With Medical Attendant (fixed wring)
• Water Ambulance

11. Prehospital: Scene/Transport
• Mode
• Prehospital fields are skipped when mode
• Law Enforcement
• Helicopter Without Medical Attendant
• Commercial Air Without Medical Attendant
• Rotor ambulance and fixed wing ambulance
• Only use is the transport of sick/injured
• Helicopter/Commercial Air With Medical Attendant
• Local EMS man a non-ambulance helicopter

12. Prehospital: Scene/Transport
• Agency
• Prehospital agency providing care
• Each agency is assigned a service number
• Ground Ambulance 2XXXX
• Rotor Ambulance 8XXXX
• Fixed Wing Ambulance 7XXXX
• Ground, Rotor and/or Fixed Wing Ambulances 5XXXX

13. Prehospital: Scene/Transport
• Agency
• Unknown which agency provided care
• Ground Ambulance 20000
• Rotor Ambulance 80000
• Fixed Wing Ambulance 70000
• Remaining elements will be skipped

14. Prehospital: Scene/Transport
• Role
• Transport from Scene to Facility
• Transport from Rendezvous to Facility
• Non-Transport
• Transport from Scene to Rendezvous
• Transport to Other: Do Not Use
• Transport from Non-Scene Location
• Rendezvous Site
• Location where EMS agencies meet to exchange a patient.

15. Prehospital: Scene/Transport
• Report Available
• Was the EMS report present in the hospital chart at the time of abstraction?
• Complete
• Incomplete
• Missing
• Unreadable
• Linkage does not populate

16. Prehospital: Scene/Transport
• Fields Completed by EMS Linkage Only
• Destination Determination
• PCR #
• Incident #
• Trauma Center Criteria
• Defined in depth in Alaska Data Dictionary

17. Prehospital: Scene/Transport
• Mass Casualty
• Mass casualty incident (MCI) is any number of casualties that exceed the
resources normally available from local resources
• Overwhelms existing resources in the community
• Multiple is any number of casualties that exceed the responding ambulance
• Casualty Type
• Not Multiple/Mass
• Multiple
• Mass
• NA

18. Prehospital: Scene/Transport
• Mass Casualty
• Triage Classification
• Red – Immediate
• Yellow – Delayed
• Green – Minimal (Minor)
• Gray – Expectant
• Black - Deceased

19. Three tabs under
Prehospital:
Scene/Transport
Treatment
Notes

20. Prehospital: Treatment
• Assessment Type
• Patient’s location when prehospital vitals are taken
• NOT the order in which they were taken; this is WHERE they were taken.
• Initial
• Scene
• Subsequent
• After Initial
• During Transport
• Location other than injury scene
• Patient went home & ambulance called

21. Prehospital: Vital Signs
• Oxygen Saturation
• Reading BEFORE oxygen administer

22. Prehospital: Treatment
• Procedures
• Lifesaving procedures and operations performed on the patient during
prehospital transit
• Quick Pick Screen
• Select

25. Three tabs under
Prehospital:
Scene/Transport
Treatment
Notes
Linked EMS Record:
Narrative from EMS Run
sheet entered on Note tab.

26. Thank You