Trauma Criteria

TRAUMA WITH THE FOLLOWING CRITERIA REQUIRES ALS ASSESSMENT

  1. crush syndrome or entrapment of > 30 minutes;
  2. adult or child systolic bp < 90;
  3. infant systolic bp <70 ;
  4. adult or child RR ≠ [10,29]; infant RR < 20;
  5. required ventilatory support;
  6. penetrating head or neck injury;
  7. blunt head injury associated with a suspected skull fracture, altered level of consciousness (Glasgow Coma Score less than or equal to 14), seizures, unequal pupils, OR focal neurological deficit;
  8. penetrating torso injury;
  9. injury to the spinal column associated with acute sensory or motor deficit;
  10. unstable chest wall (flail chest);
  11. diffuse abdominal tenderness;
  12. suspected pelvic fracture (excluding isolated hip fracture from a ground level fall);
  13. an extremity with neurological/vascular compromise or being crushed, degloved, or mangled;
  14. an amputation proximal to the wrist or ankle;
  15. fracture of two or more proximal (humerus/femur) long-bones;
  16. bleeding not controlled by direct pressure and requiring the usage of a hemorrhage control tourniquet or hemostatic agent;
  17. fall from height > 10 feet (all patients);
  18. passenger space intrusion of greater than 12 inches into an occupied passenger space;
  19. ejected from a vehicle;
  20. auto versus pedestrian/bicyclist/motorcyclist which was thrown, run over, or experienced a significant impact (greater than 20 mph);
  21. unenclosed transport crash with significant impact (greater than 20 mph);
  22. 2nd (partial thickness) or 3rd (full thickness) degree burns equal to or greater than 20% Total Body Surface Area (TBSA) if 15 years or older; or
  23. 2nd (partial thickness) or 3rd (full thickness) degree burns involving equal to or greater than 10% TBSA if 14 years or younger.