Triage & Transport
Patient ≤ 16 years old?
- Follow Adult Trauma Triage and Transport Guidelines!
- Inability to manage or secure airway/oxygenation/ventilation?
- Unmanageable signs/symptoms of shock?
- Uncontrolled bleeding?
- Transport to GMMC. (Pediatric Trauma Center)
- Pediatric Glasgow Coma Scale PGCS ≤ 13
- Decreased Level of Responsiveness (See AVPU Scale)
- Penetrating trauma to head, neck, torso, or extremities proximal to knee or elbow
- Proximal Long Bone Fractures - crushed, mangled, or degloved extremity - Amputation proximal to the wrist or ankle - Pelvic Fractures
- Open or depressed skull fractures
- Indications of significant closed head injury
- Ejection of patient
- Indications of significant chest or abdominal trauma
- Auto vs. Pedestrian > 20 mph
- Transport to GMMC if within 60 minutes by ground
- ( if greater than 60 minutes)
- Transport to Closest Trauma Center
- Fall > 10 feet or 2-3 times the height of a child
- MVA with Intrusion > 12 inches roof, 18 inches of the passenger compartment (as outlined in 2011 CDC guideline)
- Ejection from the vehicle (other occupant)
- Death in the same vehicle
- Mechanism consistent with high risk of injury
- Inadequately restrained
- Another occupant of the same vehicle is transported to a high level trauma center
- Auto vs. Pedestrian < 20 mph
- Motorcycle or motorized recreational vehicle.
- Transport to GMMC, if within 30 minutes by ground
- if not within 30 minutes by ground then Transport to the closet Trauma Center
- Pregnancy > 20 Weeks
- Without other trauma mechanism: triage to appropriate facility
- With trauma mechanism: triage to trauma center
Any injury not mentioned above shall be triaged and transported based on the EMS provider judgment - preferably with online medical direction - and according to local Protocols.