Trauma Activations  (Pediatrics)

Level I Criteria - Pediatrics (Ages 0-15)

 

  1. Glasgow coma score (GCS) ≤ to 11
  2. Injury with associated tachycardia & poor perfusion
  3. Systolic BP ≤ 70 + 2x (age in years) up to 10 years
    1. 11 – 17 years - systolic B/P ≤ 90
  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. 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 – Pediatrics (Ages 0-15)

 

  1. GCS 12 or 13
  2. Falls > 5 feet (consider height of object)
  3. High speed auto or motorcycle crash (55 mph or greater), with significant vehicle damage
  4. MCC, ATV, Moped, Golf Cart, Go-cart, Auto-pedestrian/auto-bicycle with significant impact
  5. Active bleeding required 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. Significant neurological deficit
  9. Discretion of any trauma team member

 

Level III Criteria – Pediatrics – (seen by the EM Faculty) (Ages 0-17)

 

  1. Ejection from automobile without L1 or L2 criteria
  2. Seatbelt sign or potential handlebar injury
  3. Rollover or Death of a person in the same passenger compartment
  4. Discretion of any trauma team member