Pediatric Trauma Protocol

Question 1

Size of child 1 point

Answer 1

weighs less than 24 pounds (11 Kg) or measures 33 inches or less.

Question 2

Airway 2 points

Answer 2

Assisted airway with suctioning, adjuncts or Intubation

Question 3

Consciousness 1 point

Answer 3

Amnesia, or a reliable Loss of consciousness

Question 4

Consciousness 2 points

Answer 4

Altered mental status, or coma, Paralysis, or suspected Spinal Cord injury (decreased strength or sensation), Any loss of sensation.

Question 5

Circulation 1 point

Answer 5

The carotid or femoral is palpable but neither the radial or pedal pulses are palpable. SBP <90 mm Hg.

Question 6

Circulation 2 points

Answer 6

Weak or nonpalpable carotid or femoral pulses OR SBP < 50 mm Hg

Question 7

Fracture 1 point

Answer 7

Suspected single CLOSED long bone fracture

Question 8

Fracture 2 point

Answer 8

Any open long bone fracture, OR multiple fracture/dislocation sites (proximal to wrist or ankle).

Question 9

Cutaneous 2 points

Answer 9

Major flap avulsions, soft tissue disruption, degloving injuries, etc. Amputation proximal to wrist or ankle; 2nd or 3rd degree burn to 10% or more BSA OR any high voltage electrical injury/lightning strike; OR penetrating injuries to head, neck or torso.