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Discretionary Hillsborough County Non-Trauma Alert Elder Gray-Area Criteria

 

Purpose: To identify "at-risk" older/geriatric trauma patients who might benefit from a trauma center

First check to see if your older trauma patient already meets trauma alert criteria and call an alert as appropriate.

If not a trauma alert, but patient is 65 years or older, consider transporting that individual to a trauma center if one or more of the following conditions are satisfied:


Mechanism of injury:
Burns

Motor vehicle collision associated with:

  • Rapid deceleration of automobile (> 35 mph)
  • Pedestrian
  • Bicycle
  • Golf cart
  • Motorcycle
  • Unrestrained vehicle occupant
  • Significant passenger space invasion
  • Prolonged extrication greater than 20 minutes
  • Significant vehicular damage
  • Rollover
  • Fatality (other occupant)

Injuries associated with an above mechanism:

  • Evidence of chest or pelvic trauma

Other events associated w/high-energy dissipation:

  • Fall (> ground level)
  • Blast

Traumatic injury and currently taking:

  • Anticoagulants and blood thinners
  • Cardiac medications such as beta blockers and antiarrhythmics
  • Diabetic medications

Traumatic injury and medical history of:

  • Cardiac
  • CHF
  • COPD
  • Paralysis
  • Dementia
  • Recent surgery
  • Organ transplant
  • Diabetes

 

HILLSBOROUGH COUNTY TRAUMA AGENCY

Telephone: 813.276.2051 • Fax: 813.272.5346
http://www.hillsboroughcounty.org/traumaagency/

 

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