ICEMA; TRAUMA TRIAGE CRITERIA TEST LATEST
UPDATED
A patient must be taken to the closest Trauma Center if:
- ANSWER any one (1) physiologic criterion is fulfilled following a traumatic
event
1. Physiologic Indicators:
- ANSWER • Glasgow Coma Scale (GCS)
Adult and Peds: GCS ≤ 13
• Respiratory
Adult and Peds: ~RR < 10 or > 29
~RR < 20 for infant < 1 year old) or need for ventilatory support
• Hypotension
Adult: ~BP < 90 mm Hg ~tachycardia
Pediatric: ~shows inadequate tissue perfusion
~abnormal vital signs (depending on age)
, 2. Anatomic Indicators: - ANSWER • Penetrating trauma to head, neck, torso
and proximal extremities to knee or elbow
• Chest wall instability or deformity due to blunt chest trauma (e.g., flail chest
or ecchymosis)
• Two (2) or more fractures of the long bones that are proximal (humerus,
femur)
• Pulseless, mangled, crushed or degloved extremity
• Amputation above the wrist or ankle
• Pelvic fracture
• Open or depressed skull fracture
• Paralysis
A patient must be transported to the closest Trauma Center if:
- ANSWER one (1) of the anatomic criteria is fulfilled following a traumatic
injury.
3. Mechanism of Injury:
- ANSWER • Falls
- Adults: more than 20 feet (one story = 10 feet)
- Pediatric: more than 10 feet or two (2) to three (3) times the child's height
• High-risk auto crash
- Intrusion, roof: greater than 12 inches occupant position
- Partial or complete ejection from vehicle
- Same passenger compartment fatality
- Telemetry data from vehicle showing high-risk injury
UPDATED
A patient must be taken to the closest Trauma Center if:
- ANSWER any one (1) physiologic criterion is fulfilled following a traumatic
event
1. Physiologic Indicators:
- ANSWER • Glasgow Coma Scale (GCS)
Adult and Peds: GCS ≤ 13
• Respiratory
Adult and Peds: ~RR < 10 or > 29
~RR < 20 for infant < 1 year old) or need for ventilatory support
• Hypotension
Adult: ~BP < 90 mm Hg ~tachycardia
Pediatric: ~shows inadequate tissue perfusion
~abnormal vital signs (depending on age)
, 2. Anatomic Indicators: - ANSWER • Penetrating trauma to head, neck, torso
and proximal extremities to knee or elbow
• Chest wall instability or deformity due to blunt chest trauma (e.g., flail chest
or ecchymosis)
• Two (2) or more fractures of the long bones that are proximal (humerus,
femur)
• Pulseless, mangled, crushed or degloved extremity
• Amputation above the wrist or ankle
• Pelvic fracture
• Open or depressed skull fracture
• Paralysis
A patient must be transported to the closest Trauma Center if:
- ANSWER one (1) of the anatomic criteria is fulfilled following a traumatic
injury.
3. Mechanism of Injury:
- ANSWER • Falls
- Adults: more than 20 feet (one story = 10 feet)
- Pediatric: more than 10 feet or two (2) to three (3) times the child's height
• High-risk auto crash
- Intrusion, roof: greater than 12 inches occupant position
- Partial or complete ejection from vehicle
- Same passenger compartment fatality
- Telemetry data from vehicle showing high-risk injury
