Adult Trauma Alert Criteria
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