Policy:

• EMS providers shall assess each adult and pediatric trauma patient using the following criteria
• upon contact.
• Once a level 1, 2, or 3 trauma alert patient is identified in the field through assessment, a crew member must contact GMH via recorded line as soon as practical and provide a report using the M.I.S.T format. The words “Trauma Alert” must be included in the report.
• All patients meeting the criteria list below (Level 1, Level 2, Level 3 Trauma alert) shall be transport to Greenville Memorial Hospital (Level 1 Trauma Center).
  • Follow 12.15 for complete criteria for Level 1, Level 2, and Level 3.
• If patient refuses transport to GMH and is deemed a “Trauma Alert” by the EMS professional, a refusal must be signed for alternate transport destination after explaining the risk of “life and limb” to the patient.
• Upon arrival in the Trauma bay EMS personnel will repeat the M.I.S.T report to the trauma team.

Purpose:

• To ensure the patient receives the appropriate care following traumatic injuries.

• • M = Mechanism of Injury:
    • Blunt
    • Penetrating
    • Burn
    • Entrapment duration (PRN)
  • I = Injuries Sustained (Airway):
    • Injuries identified or suspected
  • S = Vital Signs and GCS
    • Current VS and O2 sat
    • Lowest Bp
    • GCS
    • Pupils
  • T = Treatment (What did EMS do?)
    • IV's - location/size
    • Fluids/Blood - type and volume infused
    • Procedures (include meds)