Trauma Alert Criteria

Question 1

Trauma Alert (1 Criteria)

Airway

Answer 1

Patient receives active airway assistance beyond the administration of O2.

Question 2

Trauma Alert (1 Criteria)

Circulation

Answer 2

Patient lacks a radial pulse with sustained HR greater than 120 bpm.

Systolic BP less than 90 mmHg

Question 3

Trauma Alert (1 Criteria)

BMR

Answer 3

Patient exhibits a score of four or less on the motor assessment of the GCS.

Question 4

Trauma Alert (1 Criteria)

Spinal

Answer 4

There is presence of paralysis, or loss of sensation, or there is a suspicion of spinal cord injury.

Question 5

Adult Trauma Alert (1 Criteria)

Cutaneous

Answer 5

Patient has 2nd or 3rd degree burns to 15% or more of total body surface area.

Amputation proximal to wrist or ankle

Penetrating injury to head, neck and/or torso

Question 6

Trauma Alert (1 Criteria)

Long Bone Fx

Answer 6

Patient reveals signs or symptoms of two or more long bone fracture sites

Question 7

Trauma Alert (2 Criteria)

Airway

Answer 7

Patient has a RR of 30 or greater

Question 8

Trauma Alert (2 Criteria)

Circulation

Answer 8

Patient has a sustained HR or 120 BPM or greater

Question 9

Trauma Alert (2 Criteria)

Circulation

Answer 9

Patient has sustained HR of 120 BPM or greater

Question 10

Trauma Alert (2 Criteria)

BMR

Answer 10

Patient has a BMR of 5 on the motor component of the GCS

Question 11

Trauma Alert (2 Criteria)

Cutaneous

Answer 11

Patient has soft tissue loss from either a major devolving injury or major flap avulsion greater than 5 inches

Sustained GSW to extremity

Question 12

Trauma Alert (2 Criteria)

Long Bone Fx

Answer 12

Patient has single long bone Fx

Fall from 10 feet or greater

Question 13

Trauma Alert (2 Criteria)

Age

Answer 13

Patient is 55 year of age or older

Question 14

Trauma Alert (2 Criteria)

Mechanism of Injury

Answer 14

Ejection from Motor vehicle

Driver impacted steering wheel causing deformity

Question 15

If the Patient’s GCS score is ______ or less, the Patient shall be considered a trauma alert patient.

Answer 15

12

Question 16

Pediatric Trauma Alert (1 Criteria)

Airway

Answer 16

Patient receives active airway assistance

Question 17

Pediatric Trauma Alert (1 Criteria)

Circulation

Answer 17

Patient has fait or non-palpable carotid or femoral pulse.

Patient has SBP of less than 50 mmHg

Question 18

Pediatric Trauma Alert (1 Criteria)

Consciousness

Answer 18

Patient exhibits an altered mental status that includes drowsiness, lethargy, inability to follow commands, unresponsiveness to voice, or coma

Question 19

Pediatric Trauma Alert (1 Criteria)

Spinal

Answer 19

Presence of paralysis, loss of sensation, suspicion of spinal cord injury.

Question 20

Pediatric Trauma Alert (1 Criteria)

Fracture

Answer 20

Evidence of open long bone fracture, or multiple fracture sites or multiple dislocations

Question 21

Pediatric Trauma Alert (1 Criteria)

Cutaneous

Answer 21

Major soft tissue disruption including major devolving injury or major flap avulsion

2nd or 3rd Degree burs to 10% total BSA

Amputation proximal to wrist or ankle

Penetrating injury to head, neck or torso

Question 22

Pediatric Trauma Alert (2 Criteria)

Consciousness

Answer 22

Patient exhibits signs/symptoms of amnesia or loss of consciousness

Question 23

Pediatric Trauma Alert (2 Criteria)

Circulation

Answer 23

Carotid or femoral pulse is palpable, but radial or pedal pulses is not palpable.

SBP less than 90 mmHg

Question 24

Pediatric Trauma Alert (2 Criteria)

Fracture

Answer 24

Signs/Symptoms of single closed long bone fracture

Question 25

Pediatric Trauma Alert (2 Criteria)

Size

Answer 25

Trauma Patient weighing 11 Kg or less, or body length is equivalent to this length of Broselow.

Question 26

The _________________ of the EMS provider issuing the trauma alert or the _____________ at the receiving trauma center or hospital, are the only people authorized to change the trauma alert status.

Answer 26

Medical Director

physician