Trauma Activations  (Geriatric)

 

Level I Criteria - Geriatrics (Age > 65)

 

  • A Level 1 (full) alert should be activated on any patient meeting one or more of the following criteria:
  1. Glasgow Coma Score (GCS) ≤ to 11
  2. Injury with associated tachycardia & poor perfusion (HR ≥ 90)
  3. Systolic BP < 110
  4. 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. Non-ground level falls > 5 feet
  8. Paralysis related to trauma
  9. Crushed, degloving, mangled, or pulseless extremity proximal to the elbow or knee
  10. Full or partial thickness burns > 20% TBSA, inhalational injury, or airway concern
  11. Electrocution with high voltage or > than household current
  12. Blood product administration related to trauma
  13. Discretion of any trauma team member

 

Level II Criteria – Geriatrics (Age > 65)

 

  1. GCS 12 or 13
  2. High speed auto or motorcycle crash (55 mph or greater) with significant vehicle damage and
  3. suspected injuries (e.g., non-ambulatory)
  4. Auto-pedestrian/auto-bicycle >10 mph 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. Discretion of any trauma team member

 

Level III Criteria – Geriatrics – (seen by the EM Faculty) (Age > 65)

 

  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. Discretion of any trauma team member