Adult Trauma Alert Criteria

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Reference

10.05 ADULT TRAUMA ALERT CRITERIA

  • Meets color-coded triage system (see below)
  • GCS ≤ 12 Patient must be evaluated via GCS if not identified as a trauma alert after application of criterion 1.
  • Meets local criteria (specify): Likely to require surgery within one to four (1-4) hours.
  • Paramedic Judgment: Patient does not meet any of the trauma criteria listed above however, in the judgment of the Paramedic, should be transported as a trauma alert (document as required per 64J-1.014, FAC)
ADULT COMPONENT BLUE RED
AIRWAY1 RR ≥ 30 REQUIRES ACTIVE AIRWAY ASSISTANCE2
CIRCULATION SUSTAINED HR ≥ 120 BPM LACK OF RADIAL PULSE WITH SUSTAINED RAPID HEART RATE > 120 BPM OR
BP < 90 mm hg
BEST MOTOR RESPONSE BMR = 5 BMR OF ≤ 4
PRESENCE OF PARALYSIS OR
SUSPECTED SPINAL INJURY
LOSS OF SENSATION
CUTANEOUS TISSUE LOSS3 OR
GSW TO EXTREMITIES
AMPUTATION4 OR
2°/3° BURNS TO ≥ 15% TBSA OR
ANY PENETRATING INJURY TO HEAD, NECK OR TORSO5
LONGBONE FRACTURE SINGLE LONGBONE FX DUE TO MVA OR
FALL > 10’
SIGNS OR SYMPTOMS OF MULTIPLE LONGBONE FX SITES6
AGE ≥ 55
MECHANISM OF INJURY EJECTION FROM VEHICLE7 OR
DEFORMED STEERING WHEEL8


RED = any one (1) transport as a trauma alert BLUE= any two (2) transport as a trauma alert

1 Airway evaluation is designed to reflect the intervention required for effective care

2 Not just Oxygen

3 Degloving injuries, major flap avulsions (> 5 in.)

4 Amputations proximal to the wrist or ankle

5 Excluding superficial wounds in which the depth of the wound can be easily determined

6 Humerus, (radius,ulna), femur, (tibia or fibula)

7 Excluding any motorcycle, moped, all terrain vehicle, bicycle, or open body of a pickup truck

8 Only applies to driver of the vehicle