TRAUMA CPG

Question 1

Pre-Hospital Vital Signs Major Trauma Criteria

Answer 1

HR: <50 or >120  
RR: <10 or >30 
SBP: <90mmHg 
SpO2 <90% 
If >16 GCS <13 
If <15 GCS <15

Question 2

Where does a PT >65 with abnormal vital signs that is an isolated reduction in a patient who suffered a fall <1m in the metro region?

Answer 2

Transport to the nearest Metropolitan Neurosurgical Facility

Question 3

Specific Injuries meeting potential major trauma criteria (Specific Injuries)

Answer 3

• Limb amputation or limb threatening
• Suspected spinal cord injury or spinal fracture
• Burns >20% TBSA (>10% if <15 yrs) or suspected respiratory tract burns
• High voltage (>1000 volts) burn injury
• Serious crush injury
• Major compound fracture or open dislocation
• Fracture to 2 or more of femur/tibia/humerus
• Fractured pelvis

Question 4

Specific Injuries meeting potential major trauma criteria (Blunt Injuries)

Answer 4

• Serious injury to a single body region such that specialised care or intervention may be required or such that life or limb or long term quality of life may be at risk
• Significant injuries involving more then one body region

Question 5

MOI of injury High Risk criteria

Answer 5

• Motor/Cyclist impact >30km
• High Speed MVA >60kph
• Pedestrian impact
• Ejection from vehicle
• Prolonged extrication
• Fall from height >3m
• Struck on head by object falling >3m
• Explosion

Question 6

Co-morbidities with MOI

Answer 6

• Age <12 or >55
• Pregnant
• Significant underlying medical condition

Question 7

Steps of TC CPG

Answer 7

Step 1: Vital Signs: Does the trauma patient have abnormal vital signs?

Step 2: Specific Injuries: Does the patient have specific injuries to meet the emergent major trauma criteria?

Step 3: High risk for Major Trauma: Doe the patient have a high risk MOI and co-morbidity that meet the potential major trauma criteria?