Trauma Catagories

Question 1

Category Alpha

Answer 1

• Motor GCS less than 6
  -SBP: 65+ less than 110 mmHg
  10-64 less than 90 mmHg
  10-, less than 70+(2x age)
  -SpO2 less than 90%
  -HR >/= SBP if older than 10
  -RR less than 10 or greater than 29

Question 2

Category Bravo

Answer 2

-Pelvic Fractures
-Suspected spinal injury with new motor or sensory loss
-Penetrating injuries to head, neck, torso,
or extremities proximal to elbow or knee
- Chest wall instability or deformity
- Crushed, degloved, mangled, or
pulseless extremity
- Amputations proximal to wrist or ankles
- 2 or more proximal long bone fractures
- Open or depressed skull fracture
-Active bleeding requiring control with TQ / wound packing with continuous pressure.

Question 3

Category Charlie

Answer 3

-Exposure to explosion
- Adult fall greater then 10 feet (all ages)
-High risk crash
- intrusion into cabin greater than 12
inches, greater than 18 inches
anywhere else
- Need for extrication
-Ejection
-Death in same passenger
compartment
-Vehicle telemetry data indicating high
risk of injury
-Rollover without restraint
-Auto vs. Pedestrian, greater than 20
mph
-Motorcycle (etc.) crash where passenger was separated from
vehicle w/ significant impact

Question 4

Category Delta

Answer 4

• Older adults
  -Older than 55
  
  • Low impact mechanisms may qual.
• Children w/ low level falls and symptomatic head impact
• Burns
  -Traumatic mechanism takes priority
  for ER considerations
  -Pregnancy greater than 20 weeks
  -Clinician Judgement
• Anticoagulants or bleeding disorders

Question 5

Hs & Ts

Answer 5

Hypovolemia
Hypoxia
Hydogen ion
Hypokalemia
Hypothermia
Tamponade
Toxins
Tension Pneumothorax
Thrombosis (cardiac and pulmonary)