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Adult Trauma Alert Criteria |
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Written by Administrator
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Friday, 31 July 2009 13:57 |
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Each trauma patient is "leveled" according to their injuries, mechanism and physiologic status. This determination is made from information received from the delivering prehospital personnel. The sickest patients are leveled or categorized as "Level 1" and receive a "Trauma Alert" response. The decision on each patient's "level" or designation falls upon Vanderbilt staff; not the incoming EMS unit or air medical helicopter; this allows for continuity within the system. Adult Trauma Alert Criteria Airway/Breathing- Unstable or unsecure airway
- Patients with severe maxillofacial injury
- Facial burns or suspected inhalation injury
- Moderate to severe respiratory distress
- Sub-q emphysema to face, neck or thorax
Cardiovascular- Systolic BP <90 mmHg
- HR >120/min
- Traumatic arrest
- Uncontrolled external bleeding
Neurological- Glasgow Coma Scale <8
- Suspected head injury with accompanying loss of consciousness or altered sensorium
- Actual or potential spinal cord injury with deficits
Thorax- Abdominal, chest or pelvic injury with shock
- Chest wall injury (sucking chest wound/flail chest)
Extremity- Long bone fractures with shock
- Amputation of proximal extremity (not digits)
- Pulseless extremity with evidence of trauma
Mechanism of Injury- Penetrating trauma to head, neck or thorax (anterior or posterior-including buttocks, back and flank)
- Ejection or thrown from vehicle-with accompanying anatomic/physiologic Level I criteria
- Fall from height >10 feet- with accompanying anatomic/physiologic Level I criteria
- High voltage electrical injury
- Massive crush injury
- Burns >20 TBSA
- Smoke Inhalation and altered mental status with/without accompanying burn
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Last Updated ( Friday, 29 January 2010 09:07 )
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