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