When should nonlifesaving interventions be performed for multisystem trauma patients?

• A. During the primary assessment
• B. Immediately after the injuries are discovered
• C. En route to the hospital
• D. Prior to transport

Answer: (C)

In multisystem trauma, you first manage life-threatening problems during the primary survey, then do nonlifesaving care as you transport. The reason en route is the best time for nonlifesaving interventions is that it minimizes on-scene time and gets the patient to definitive care faster. While you’re moving, you can continue stabilization, perform necessary splinting or wound care, apply monitors, and reassess without delaying the critical step of getting to the hospital. Performing these tasks on the way allows ongoing care to occur without holding up transport, which improves the patient’s chances for a timely definitive treatment.