Table 2: Trauma team activation levels and criteria.
Full Trauma Team Activation (1st Level) |
Limited Trauma Team Activation (2nd Level or ACT/Transfer Alert) |
Trauma Consult |
Absent from Trauma Services |
Age 65 and any clinical finding: · SBP < 110 · Penetrating injury · GCS deteriorating ≥ 2 points · Transfer pt receiving blood to maintain hemodynamic stability · Intubated pt transferred from scene · Intubated pt with resp. compromise from outside facility · Resp. compromise/emergent airway · Acute paralysis · GCS < 14; Verbal ≤ 3; Motor ≤ 5 · GCS < 15 with suspected TBI · Chest wall instability/deformity · Abdominal tenderness · Femur fracture, ≥ 2 proximal long-bone fractures · Crushed/degloved/mangled/pulseless extremity. · Amputation proximal to wrist/ankle · Suspected pelvic fx · Open or depressed skull fx · Falls (> 20 feet) · High-risk auto crash o Passenger compartment intrusion o Ejection from automobile o Death in passenger compartment · Auto versus pedestrian/bicyclist thrown, run over, or with significant (> 20 mph) impact. · Pedestrian struck by MVA · Multiple injured body regions · Motorcycle crash > 20 mph · 20% BSA burn · Hypothermia with core temperature of ≤ 32 °C |
· GCS ≥ 13 on anticoagulation/antiplatelet agents excluding ASA/bleeding disorder with MOI of fall within 24 hours and history/evidence of striking head. · ACT ALERT will consist of the DEM provider evaluating pt within 15 mins and Surgical Resident responding to the DEM within 30 mins. · Transferred from outside facility, meet higher activation criteria |
Trauma Resident/Service will be consulted by DEM physician when trauma injuries or potential injuries are identified that require further evaluation. Response within 30 minutes of notification. |
Trauma Services are not inquired regarding the care of a patient. |
Note: SBP: Systolic Blood Pressure; GCS: Glasgow Coma Score; pt: Patient; resp: Respiratory; fx: Fracture; mph: mile per hours; MVA: Motor Vehicle Accident, BSA: Body Surface Area, ASA: Aspirin, DEM: Department of Emergency Medicine