Patient over 16 years of age:
One or More:
- GCS and 12 due to trauma
- Active airway assistance required (more than supplemental O2 without airway adjunct)
- No radial pulse and heart rate 120
- BP < 90 systolic
- Best motor response 4
- Acute paralysis, loss of sensation or suspected spinal cord injury
- Amputation proximal to wrist or ankle
- 15% BA 2nd/3rd degree burns
- Penetrating injury to head, neck, torso excluding superficial wounds
- Pulseless injured extremity
- Two or more long bone fractures on different extremities
- Paramedic intuition, severe injury suspected
Two or More:
- Reliable loss of consciousness > 5 minutes
- Sustained respiratory rate 30
- Sustained heart rate 120 with radial pulse and BP 90 systolic
- Best Motor Response = 5
- Degloving injury or flap avulsion > 5 inches
- Single long bone fracture site due to motor vehicle crash
- Single long bone fracture site due to fall from 10 feet
- Age 55
- Ejection from vehicle, excludes open vehicles
- Driver with deformed steering wheel
- Death in the same vehicle
Patient under 16 years of age:
One or More:
- Patient not awake
- Active airway assistance required (more than supplemental O2 without airway adjunct)
- Weak carotid/femoral pulse or absent distal pulses
- Degloving injury or flap avulsion > 5 inches
- Acute paralysis, loss of sensation or suspected spinal cord injury
- Amputation proximal to wrist or ankle
- 10% TBSA 2nd/3rd degree burns
- Penetrating injury to head, neck, torso excluding superficial wounds
- Pulseless injured extremity
- Two or more closed long bone fractures sites
- Any open long bone fracture
- Paramedic intuition, severe injury suspected
Two or More:
- Reliable history of any LOC and/or Amnesia
- Weight <22 lbs or RED or Purple Broselows Ho
- Single closed long bone fracture sites
- Ejection from vehicle (excludes open vehicles)
- Death in the same vehicle