Thanks to visit codestin.com
Credit goes to www.scribd.com

Scribd
Upload
135 views1 page

Trauma Algorithm Vfinal Revise

This document provides guidelines for field triage of injured patients based on injury patterns and severity. It defines Red and Yellow criteria. Red criteria indicate highest risk for serious injury and require transport to the highest level trauma center. Red criteria include penetrating injuries to vital organs, suspected fractures of the skull or spine, chest wall instability, and amputations. Yellow criteria indicate moderate risk and preferential transport to a trauma center, including high-risk auto crashes, falls over 10 feet, and bicycle/pedestrian impacts. Patients meeting Yellow but not Red criteria need not be taken to the highest level trauma center.

Uploaded by

mia miftah
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
135 views1 page

Trauma Algorithm Vfinal Revise

This document provides guidelines for field triage of injured patients based on injury patterns and severity. It defines Red and Yellow criteria. Red criteria indicate highest risk for serious injury and require transport to the highest level trauma center. Red criteria include penetrating injuries to vital organs, suspected fractures of the skull or spine, chest wall instability, and amputations. Yellow criteria indicate moderate risk and preferential transport to a trauma center, including high-risk auto crashes, falls over 10 feet, and bicycle/pedestrian impacts. Patients meeting Yellow but not Red criteria need not be taken to the highest level trauma center.

Uploaded by

mia miftah
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

National Guideline for the Field Triage of Injured Patients

RED CRITERIA
High Risk for Serious Injury
Injury Patterns Mental Status & Vital Signs

• Penetrating injuries to head, neck, torso, All Patients


and proximal extremities • Unable to follow commands (motor GCS < 6)
• RR < 10 or > 29 breaths/min
• Skull deformity, suspected skull fracture • Respiratory distress or need for respiratory support
• Suspected spinal injury with new motor or sensory loss • Room-air pulse oximetry < 90%

• Chest wall instability, deformity, or suspected flail chest Age 0–9 years
• Suspected pelvic fracture • SBP < 70mm Hg + (2 x age in years)

• Suspected fracture of two or more proximal long bones Age 10–64 years
• SBP < 90 mmHg or
• Crushed, degloved, mangled, or pulseless extremity
• HR > SBP
• Amputation proximal to wrist or ankle
Age ≥ 65 years
• Active bleeding requiring a tourniquet or wound packing • SBP < 110 mmHg or
with continuous pressure • HR > SBP

Patients meeting any one of the above RED criteria should be transported to the highest-level trauma center available
within the geographic constraints of the regional trauma system

YELLOW CRITERIA
Moderate Risk for Serious Injury
Mechanism of Injury EMS Judgment

• High-Risk Auto Crash Consider risk factors, including:


– Partial or complete ejection
• Low-level falls in young children (age ≤ 5 years) or older
– Significant intrusion (including roof)
adults (age ≥ 65 years) with significant head impact
• >12 inches occupant site OR
• >18 inches any site OR • Anticoagulant use
• Need for extrication for entrapped patient • Suspicion of child abuse
– Death in passenger compartment
– Child (age 0–9 years) unrestrained or in unsecured • Special, high-resource healthcare needs
child safety seat • Pregnancy > 20 weeks
– Vehicle telemetry data consistent with severe injury
• Rider separated from transport vehicle with significant • Burns in conjunction with trauma
impact (eg, motorcycle, ATV, horse, etc.) • Children should be triaged preferentially to pediatric
• Pedestrian/bicycle rider thrown, run over, or with capable centers
significant impact
• Fall from height > 10 feet (all ages) If concerned, take to a trauma center

Patients meeting any one of the YELLOW CRITERIA WHO DO NOT MEET RED CRITERIA should be preferentially
transported to a trauma center, as available within the geographic constraints of the regional trauma system
(need not be the highest-level trauma center)

You might also like