5301 Trauma Triage Indicators and Destination

Question 1

Physiologic Criteria for Trauma Center Transport

Answer 1

GCS less than or equal to 13

SBP<90

Resp. rate<10 or >29, or need for ventilatory support

Geriatric SBP<100

Infant resp. rate<20

Question 2

Anatomic Criteria for Trauma Center Transport

Answer 2

Open or depressed skull fracture

Penetration of head/neck/torso/extremities proximal to elbow/knee

Chest wall instability/deformity

Abdominal tenderness

Suspected pelvic fracture

New onset paralysis

Two or more proximal long bone fractures

Crushed/degloved/mangled/pulseless extremity

Trauma with Burns

Amputation proximal to wrist or ankle

Question 3

Mechanism Criteria for Trauma Center Transport

Answer 3

Fall, adult 15 feet or greater

Fall, peds greater than 10 feet or 3 times height

Auto vs. ped or bicycle greater than 20 mph

Motorcycle crash greater than 20 mph

Ejection from vehicle

Death in same vehicle

Intrusion including roof greater than 12” at occupant site

Intrusion including roof greater that 18” at any site

Question 4

Criteria for TBH contact

Answer 4

Geriatric> 65 Y/O

Pediatric

Anti-coagulant/anit-platelet therapy

Pregnancy greater than 20 weeks

MVC greater than 40mph

Loss of consciousness reported

EMS provider judgement

Question 5

Desitnation Decision

Answer 5

Adult pt identified as critical trauma to closest trauma center

Peds pt identified as critical truama to closest peds trauma center if<30mins if not closest trauma

If transport is>30mins consider helicopter

Question 6

Critical Trauma Criteria

Answer 6

If airway is compromised and cannot be managed, transport to closest

Traumatic full-arrest

Burns