1. DON PPE: Pull on a fresh pair of nitrile exam gloves before making any patient contact. If rescue breathing may be required, deploy a CPR face shield from its packet and position it over the patient's face prior to administering breaths.
2. ASSESS AND EXPOSE THE INJURY: Use the 7.25" trauma shears to cut through clothing, leather, or seatbelts as needed to expose the injury site. Keep the blunted tip of the shears against the patient's skin at all times to prevent accidental laceration during cutting.
3. CONTROL LIFE-THREATENING HEMORRHAGE: For large-area or severe wounds, open a Hema-Seal Trauma Pad Pack, don the included gloves, apply the 8"x10" trauma pad with firm direct pressure, and wrap with the included 4"x4yd conforming gauze roll to secure. If the initial pad saturates, stack an additional 8"x10" standalone trauma pad on top. Do NOT remove the bottom pad.
4. APPLY PRESSURE DRESSING FOR MAJOR WOUNDS: For large-area wounds to the torso or thigh, apply the 12"x30" trauma dressing directly to the wound and secure it with roller gauze to form a sustained pressure dressing.
5. MANAGE BURN INJURIES: For large surface area burns, remove the patient from the source, cover with the sterile burn sheet to prevent contamination and mitigate shock, and apply the 8"x18" water-based gel burn dressing directly to partial-thickness areas to cool tissue and provide a sterile barrier. For isolated smaller burns on a limb or torso, deploy the Burn Care Triage Pack.
6. TREAT EYE INJURIES: For chemical splash, irrigate the affected eye thoroughly using the sterile eyewash from the Eye Wound Treatment Triage Pack. For laceration or blunt trauma, place a sterile eye pad over the affected eye. If an object is impaled in the eye, do NOT remove it, stabilize the object, and cover BOTH eyes to limit ocular movement.
7. IMMOBILIZE MUSCULOSKELETAL INJURIES: Deploy the Splint/Limb Injury Triage Pack and use elastic or triangular bandages to support, compress, and immobilize suspected sprains, strains, or closed fractures. If rigid splinting is required, improvise using available materials, as no rigid splint device is included in this kit.
8. APPLY COLD THERAPY: Activate a 6"x9" cold pack by striking or squeezing per pack instructions. Wrap the cold pack in cloth before applying it to the skin and place it over the site of a strain, sprain, or contusion to reduce swelling and pain.
9. ADDRESS MINOR WOUNDS: After active bleeding is controlled and the wound site is cleaned, apply a thin layer of triple antibiotic ointment to minor abrasions or cuts. Select the appropriate adhesive bandage configuration, plastic for standard wounds, fabric for high-mobility joint areas, or fingertip/knuckle for irregular surfaces, and apply over the treated wound.
10. MANAGE SHOCK AND HYPOTHERMIA: Unfold an emergency Mylar blanket and wrap it around any patient showing signs of shock or hypothermia to reflect body heat and prevent further heat loss. Do not delay this step, thermal management is a critical component of trauma care at the BLS level.
11. MONITOR AND BRIEF EMS: Once immediate interventions are applied, continuously monitor the patient's responsiveness, breathing, and bleeding status. Relay a clear condition report to incoming EMS personnel, including injuries identified, interventions applied, and any changes in patient status since initial contact.
