2015 Trumbull Memorial Hospital Demo

Trauma Triage Guidelines Trauma Triage Guidelines

Measure Vitals and LOC  GCS < 13  SBP < 90mmHg  Respiratory Rate <10 or >29  Needs ventilator support  Respiratory rate < 20 in infants

Transport to a trauma center, preferentially the highest level of care in the trauma system.

No

Yes

Assess Anatomy of Injury  Penetrating injury to head, neck, torso, extremity proximal to elbow or knee  Chest wall instability  Two or more proximal long bone fractures  Crushed, degloved, mangled, pulseless extremity  Amputation proximal to wrist or ankle  Pelvic fractures  Open or depressed skull fracture  Paralysis

No

Assess Mechanism of Injury  Falls >20ft adult, >10ft children or 2-3x height  High risk MVA with ejection, intrusion >12”, ejection, death of passenger, vehicle telemetry data reports risk  Motorcycle crash >20mph  Vehicle vs pedestrian >20mph

Yes

Transport to any level trauma center.

No

Special Considerations  Older adults  Children  Anticoagulants  Burns  Pregnancy >20 weeks  EMS provider judgment

Transport to a trauma center or hospital capable of timely evaluation and initial management of potentially serious injuries.

Yes

184

EMR

EMT

AEMT

Paramedic

Extended