Trauma Criteria

 

Major Trauma Alert Criteria

 

Physiologic

 

    Systolic BP < 90 mm Hg or vital signs outside of physiologic ranges for pediatrics
    Glasgow Coma Scale (GCS) ≤ 13
    Respiratory rate < 10 or > 29
    Patient receiving blood to maintain vital signs
    Airway or respiratory compromise as defined by:

      BVM, Intubation, adjunct airway, or cricothyroidotomy in the field
      Needle chest decompression

 

Anatomic

 

    Penetrating trauma to the head, neck, chest, abdomen, or extremities proximal to the knees and elbows
    Traumatic amputation proximal to the wrist or ankle
    Burns > 15% or high voltage (>1000 volts) electrical injury
    Any crushed, degloved, pulseless, or mangled extremity
    Pelvic fracture
    Two or more long bone fractures
    Flail chest
    Extremity paralysis suggestive of spinal cord injury
    Open or depressed skull fracture
    Victim of hanging who meet above criteria

 

Trauma Alert Criteria

 

Mechanism of Injury
    Ejection from vehicle
    Vehicle roll-over
    Prolonged extrication from vehicle
    Pedestrian struck by vehicle at speed > 20 MPH
    Falls > 20 feet (adults) or > 3x the child’s height

 

Healthcare provider discretion