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What is the lethal triad? - Answer--Acidosis
- Hypothermia
- Coagulopathy
(As one of these variables worsen it will cause the other two to worsen as well, driving
the patient closer towards death.)
/.What is the threshold for each of the following vital signs that in and of itself would
trigger transport to a Trauma Center for an average adult < 55: Glasgow Coma Scale,
Systolic Blood Pressure, or Respiratory Rate? - Answer-GCS: < or = 13
SBP: < 90 mm HG
Respiratory Rate: < 10 or > 29 breaths per minute (<20 infants < 1 year) or need for
ventilatory support
/.What specific anatomical injuries go to a trauma center? - Answer-- All penetrating
injuries proximal to the knee and/or elbow.
- Chest wall instability or deformity
- Two or more proximal long bone fractures
- Crushed, degloved, mangled, or pulseless extremity
- Amputation proximal to wrist or ankle
- Pelvic Fracture
- Open or depressed skull fracture
- Paralysis
/.A fall from what height triggers transport to a trauma center for an adult? For a child? -
Answer-Adult > 20 feet or 6 meters (2 stories)
Children > 10 feet or 3 meters (2-3x height of child)
/.What criteria determines if a motor vehicle crash is "high risk" and subsequently if
those involved need transport to a trauma center? - Answer-Any of the following:
- Intrusion, including roof: 12 inches (30 cm) occupant side or > 18 inches on any side
- Ejection (partial or complete) from vehicle
- Death in the same passenger compartment
- Vehicle telemetry data consistent with high risk of injury
/.What is the average minimum speed necessary for a motor vehicle to strike a
pedestrian/bicyclist that would trigger transport to a trauma center? - Answer-> 20 mph