Trauma Activation Criteria (Adult)

 

Level 1 Criteria - Adults (Ages 16-64):

 

  1. Glasgow coma score (GCS) ≤ to 11
  2. Injury with associated tachycardia & poor perfusion (HR >100)
  3. Systolic BP < 90
  4. Respiratory rate <10 or >29, respiratory distress, intubated, flail chest, or pleural decompression
  5. Penetrating injury/wound to head, neck, torso, or extremities proximal to the elbow or knee
  6. Pelvic Fracture
  7. Paralysis related to trauma
  8. Crushed, degloving, mangled, or pulseless extremity proximal to the elbow or knee
  9. Full or partial thickness burns > 20% TBSA, inhalational injury, or airway concern
  10. Electrocution with high voltage or > than household current
  11. Blood product administration related to trauma
  12. Discretion of any trauma team member

 

 Level II Criteria – Adults (Ages 16-64)

 

  1. GCS 12 or 13
  2. Falls > 15 feet
  3. High speed auto or motorcycle crash (55 mph or greater), with significant vehicle damage and suspected injuries (e.g., non-ambulatory)
  4. Auto-pedestrian/auto-bicycle > 10mph with significant impact & injuries
  5. Active bleeding requiring a tourniquet, wound packing, or uncontrolled hemorrhage
  6. Fractures ≥ 2 open and/or long bone, excluding hands and feet
  7. Full or partial thickness burns between 10% to 20% TBSA or Burns to Face
  8. Pregnancy > 20 weeks with Abdominal pain/vaginal bleeding/seatbelt sign and/or active labor (with OB activation)
  9. Discretion of any trauma team member

 

Level III Criteria – Adults – (seen by the EM Faculty) (Ages 18-64)

 

  1. Ejection from automobile without L1 or L2 criteria
  2. Moped/bicycle > 25 mph without L1 or L2 criteria
  3. Death of a person in the same passenger compartment
  4. A trauma patient with any of the following should be considered
    • Pregnancy – >20 weeks not meeting L1 or L2 criteria

    5. Discretion of any trauma team member