Pediatric Trauma Alert Criteria

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Reference

10.06 PEDIATRIC TRAUMA ALERT CRITERIA

  • Meets color-coded triage system (see below)
  • Patient does not meet any of the trauma criteria listed above but, in the judgment of the EMT or paramedic, should be transported as a trauma alert (document a required per 64J-1.014, FAC)
COMPONENT BLUE RED
AIRWAY1 REQUIRES ACTIVE AIRWAY ASSISTANCE2
CONSCIOUSNESS SYMPTOMS OF AMNESIA
LOSS OF CONSCIOUSNESS
ALTERED MENTAL STATUS3
PRESENCE OF PARALYSIS OR
LOSS OF SENSATION
SUSPECTED SPINAL INJURY
CIRCULATION LOSS OF RADIAL OR PEDAL PULSES4 OR
SYSTOLIC B/P < 90 mm hg
FAINT / NONPALPABLE CAROTID PULSE OR
FAINT / NONPALPABLE FEMORAL PULSE OR
BP < 50 mm hg
FRACTURE SIGNS OR SYMPTOMS OF A CLOSED LONG BONE FRACTURE (DOES NOT INCLUDE ISOLATED WRIST OR ANKLE FXs) OPEN LONG BONE FX.5 OR
MULTIPLE FX SITES OR
MULTIPLE DISLOCATIONS (EXCEPT FOR ISOLATED WRIST OR ANKLE FX OR DISLOCATIONS)
CUTANEOUS MAJOR SOFT TISSUE DISRUPTION6 OR
2°/3° BURNS TO ≥ 10% TBSA OR
AMPUTATION7, OR
PENETRATING INJURIES TO HEAD, NECK OR TORSO8
SIZE ≤ 11 KILOGRAMS9 (Kg)

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 Patient requiring intubation, manual jaw thrust, continuous suctioning or use of airway adjuncts to assist ventilatory efforts

3 Including drowsiness, lethargy, inability to follow commands, unresponsive to voice, totally unresponsive or coma

4 Carotid and femoral pulses are palpable but, radial or pedal pulses are not palpable

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

6 Major degloving injuries or major flap avulsions

7 Amputations proximal to the wrist or ankle

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

9 Or body length is equivalent to this weight on the Broselow tape (the equivalent of 33 inches in measurement or less)