Field Trauma Triage Standard

GET UP SOLDIER WE ARE LEAVING - cpt Price MW1

When to Transport to LTH

• If nearest LTH is < 30mins

• Penetrating Trauma to head/neck/torso

• Vital signs are not absent yet

• Not subject to TOR

Assess the patient if they meet one or more from each criteria

• Physiological

• Anatomical

• Special Criteria

• MOI

Physiological Criteria

• Pt does not obey Commands

• SBP < 90

• RR < 10 or = or > 30

• Need ventilation support

• RR < 20 in infant < 1 year

Anatomical Criteria

• Any penetrating injuries to head/neck/torso

• Penetrating injuries proximal to elbow and knee

• Chest wall instability or deformity

• 2 or more proximal long bone fractures

• Amputation proximal to wrist and ankle

• Pelvic fractures

• Open/depressed skull fracture

• Paralysis

Special Criteria

• Age; risk of death (+) after age 55 + SBP <110 may represent shock after age 55

• Anticoagulation and bleeding disorders

• Burns with trauma mechanism

• Pregnancy = or > 20 weeks

MOI Falls

• Adults: = or > 6m

• Children (<15): = or > 3m or 2-3x height of child

MOI Auto Crash

• Intrusion = or > 0.3m occupant site + = or > 0.5m any site

• Ejection (complete or partial) from vehichle

• Death in the same passenger compartment

• Vehicle telemetry (damage) consistent with high risk injury

MOI Pedestrian/Cyclist Struck

• Thrown, run over, or struck with significant impact (= or > 30km/hr)

MOI Motorcycle Crash

Motorcycle crash = or > 30km/hr