2015 Trumbull Memorial Hospital Demo

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EMR EMT AEMT Paramedic Extended
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
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
Transport to a trauma center,
preferentially the highest level of care in
the trauma system.
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
Special Considerations
 Older adults
 Children
 Anticoagulants
 Burns
 Pregnancy >20 weeks
 EMS provider judgment
Transport to any level trauma center.
Transport to a trauma center or
hospital capable of timely evaluation
and initial management of potentially
serious injuries.
No
No
No
Yes
Yes
Yes