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Field trauma care follows a fixed sequence. Scene and rescuer safety first. Then figure out if you need more resources. Then read the mechanism with a high index of suspicion — the way the patient got hurt tells you what to look for before you find it. Then identify and manage life threats. That's airway with cervical spine control, ventilation and oxygenation, external hemorrhage control, basic shock therapy including keeping the patient's body temperature normal, and spinal motion restriction. Rapid transport to the closest appropriate facility comes next, not just the closest one. History and the secondary survey wait until the life threats are handled. And the whole sequence sits under one rule: do no further harm.
Two time concepts sit underneath that sequence. The Golden Period is the window where definitive surgical care changes outcome the most. The Platinum 10 Minutes is your target on-scene time for a critical trauma patient. So anything you can do en route, you do en route. The only reason to stay on scene longer is that you're doing something that's keeping the patient alive right now — everything else moves to the truck.
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