Pediatric Trauma Alert Criteria
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)