|
|
|
|
|
 |
A score of 2 or greater for ADULT (> 15 y.o.)
according to trauma scorecard methodology below: |
| |
1 point |
2 points |
| Airway |
Sustained RR > 30 |
Active assistance (not just oxygen) |
| Circulation |
Sustained HR > 120 |
Lack of radial pulse with sustained
HR >120, or
BP < 90 |
| BestMotor Response |
BMR = 5 |
BMR of < 4, or
Paralysis, or
Suspected spinal cord injury, or
Loss of sensation |
| Cutaneous |
Tissue loss (degloving injuries, major flap avulsions > 5 inches)
GSW to extremities |
Amputation proximal to the wrist or ankle, or
2nd or 3rd degree burns > 15% TBSA, or
Any high voltage electrical or lightning
injury, or
Penetrating injury to head, neck or torso (excluding superficial wounds
in which the depth of the wound can be easily determined) |
| Long Bone Fracture |
Single fracture site due to MVA, or
Single fracture site due to a fall > 10 feet |
Multiple fracture sites |
| Age |
> 55 |
|
| Mechanism of Injury |
Ejection from vehicle
(excluding any motorcycle,
moped, ATV, bicycle or
open truck bed, or
Deformed steering wheel (driver) |
|
 |
A GCS score less than or equal to 12
(excluding those whose baseline is 12 or less) [ SEE SCALE BELOW ]
|
|
 |
A neck laceration with swelling, sustained bleeding,
escape of air from wound or strid or
Any other neck laceration:
Transport to the nearest trauma center, but do not trauma alert
|
|
 |
EMS PROVIDER HIGH INDEX OF SUSPICION
GLASGOW COMA SCALE |
|
| Opens Eyes |
Spontaneously
To voice
To pain
No response |
4
3
2
1 |
|
| |
|
| Best Verbal Response |
Oriented
Confused
Inappropriate words
Incomprehensible words
No response |
5
4
3
2
1 |
|
| |
|
| Best Motor Response |
Obeys command
Localizes to pain
Withdraws to pain
Flexion (pain) [decorticate]
Extension (pain) [decerebrate]
No response |
6
5
4
3
2
1 |
|
THE FOLLOWING PATIENT INFORMATION
SHOULD BE COMMUNICATED TO THE
TRAUMA CENTER OR INITIAL RECEIVING HOSPITAL
WHEN EN ROUTE WITH A TRAUMA ALERT:
-
Approximate age
-
Sex
-
Nature and mechanism of injury
-
Body area involved
-
GCS
-
Airway and ventilation status, oxygen saturation, if known
-
Hemodynamic status (characteristics of peripheral pulses,
e.g. weak, strong, or vital signs if available)
|
HILLSBOROUGH COUNTY TRAUMA AGENCY
Telephone: 813.276.2051 • Fax: 813.272.5346
http://www.hillsboroughcounty.org/traumaagency/
Download
Printable Pocket Guide
|
|
|
 |
A score of 2 or greater for CHILD (< 15 y.o.)
according to trauma scorecard methodology below: |
| |
Normal/
0 Points |
1 point |
2 points |
| Size |
Weighs >
11 Kg (24 lbs) |
Weighs (11 Kg
(24 lbs) or length
is < 33 inches |
|
| Airway |
Normal, or O2 |
|
Assisted (includes measures
such as manual jaw thrust,
continuous suctioning,
or other adjuncts), or
Intubated |
Consciousnous
|
Awake, alert, and oriented for age |
Amnesia, or
reliable Hx of LOC |
Altered mental status, or
Coma, or
Paralysis, or
Suspected spinal cord injury
(sensory or motor findings of weakness, decreased
strength or sensation), or
Loss of sensation |
| Circulation |
Good peripheral pulses, or
SBP > 90 |
The carotid or femoral pulse is palpable but neither the radial or
pedal pulses are palpable,
or
SBP < 90 |
Weak or nonpalpable carotid or femoral pulse, or
SBP < 50 |
| Fracture |
None seen
nor suspected
|
Suspected single closed long bone fracture (proximal to the wrist
or ankle) |
Any open long bone fracture, or Multiple fx / dislocation sites (proximal
to the wrist or ankle) |
| Cutaneous |
No visible injury, or
Contusion, abrasion, minor laceration |
|
Major tissue disruption (major degloving injuries, major flap avulsions,
or major soft tissue disruption),
or
Amputation (proximal to the
wrist or ankle), or
2nd or 3rd degree burns to
>
10% TBSA, or
Any high voltage electrical
or lightning injury, or
Penetrating injury to head,
neck, or torso |
 |
A neck laceration with swelling,
sustained bleeding,
escape of air from wound or stridor
Any other neck laceration:
Transport to the nearest trauma center, but do not trauma alert
|
|
 |
EMS PROVIDER HIGH INDEX OF SUSPICION
PEDIATRIC GLASGOW COMA SCALE (< 2
yrs)
|
|
| Opens Eyes |
|
Spontaneously
To speech
To pain
No response |
4
3
2
1 |
|
| |
|
|
| Best Verbal Response |
|
Coos, babbles
Consolable
Cries to pain
Moans to pain
No response |
5
4
3
2
1 |
|
| |
|
|
| Best Motor Response |
|
Normal spontaneous
Withdraws to touch
Withdraws to pain
Abnormal flexion
Abnormal extension
No response |
6
5
4
3
2
1 |
|
THE FOLLOWING PATIENT INFORMATION
SHOULD BE COMMUNICATED TO THE
TRAUMA CENTER OR INITIAL RECEIVING HOSPITAL
WHEN EN ROUTE WITH A TRAUMA ALERT:
- Approximate age
- Sex
- Nature and mechanism of injury
- Body area involved
- GCS
- Airway and ventilation status, oxygen saturation, if known
- Hemodynamic status (characteristics of peripheral pulses, e.g. weak,
strong, or vital signs if available)
|
|
|
|
