A temperature of >38°c is most commonly caused by infection (e.g. sepsis) A temperature <36°c may also be caused by sepsis or cold exposure (e.g. drowning, inadequate clothing outside) Investigations and procedures Cultures/swabs. Ask the nursing staff to take relevant swabs/samples of any potential infection source (e.g. line tip culture.. Do: Jaw thrust/head tilt/chin lift (with cervical spine control in trauma) Do: Insert and oropharyngeal or nasopharyngeal airway as tolerated; If airway still compromised call arrest team; Do: Give oxygen. Maintain an oxygen saturation of 94-98% - always give oxygen initially in the acutely unwell patient

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The Guidelines for essential trauma care seek to set achievable standards for trauma treatment services which could realistically be made available to almost every injured person in the world.They then seek to define the resources that would be necessary to assure such care. These include human resources (staffing and training) and physical resources (infrastructure, equipment and supplies).. Major trauma can be defined as "an injury or combination of injuries that are life-threatening and could be life-changing because it may result in long-term disability." 1. Hence, anything causing injury or injuries that threaten life would be considered major trauma. Examples may include: