Alert and Trauma Criteria

Question 1

Level II Geriatric Fall Criteria

Answer 1

• Patient > 75 YOA

  AND

- Fall with obvious head trauma 
       OR 
- GCS < 13
       OR 
- A baseline change to mental status if altered at baseline

Question 2

Level I trauma guidelines

Answer 2

• GCS < 8
• SBP < 90 mmHg
• RR < 10 or > 29
• Penetrating head, neck, or torso injury
• Flail chest
• Open or depressed skull fracture
• Paralysis
• Intubated trauma patient
• EP discretion
• Receiving blood products for HypoTN Tx

Question 3

Level II Trauma Criteria

Answer 3

• Crushed, degloved , or mangled injury proximal to wrist/ankle
• Amputation proximal to wrist/ankle
• open fracture proximal to wrist/ankle
• Pelvic instability
• multiple long bone fractures
• High risk MOA with GCS 8-13
  AND
  one of the following
  • ejection from motor vehicle
  • Intrusion of 12” on occupants side or 18” in any other portion of passenger cmpt
  * Death in passenger cmpt
  * Rollover
  * Entrapment
  * Auto v ped or bicycle
  * Motorcycle crash
  * Fall > 20’
  * ATV accident
• Burns with associated trauma
• ED physician discretion