Exclusion Criteria
- Patients age less than 15 years
- Pregnant with viable fetus (greater than 20 weeks gestation)
- Limb or Digit detachment
- Burns
- Isolated Globe / Corneal Injury
Level FULL
Call for all injured patients meeting any of the following OBJECTIVE criteria – evidence of physiological instability and/or high risk injuries.
- Penetrating traumatic injuries: thorax, abdomen, head/neck
- Traumatic proximal extremity amputations above the knee or elbow
- Systolic Blood Pressure (SBP less than 90 mmHg)
- Heart rate (HR) greater than 120 beats per minute
- RR less than 10 or greater than 29 breaths per minute
- Airway instability or compromise
- Pre-hospital endotracheal/nasotracheal intubation
- Glasgow Coma Scale (GCS) 12 or less
- Any patient who is receiving blood products
- Suspected cervical, thoracic, and/or lumbar spine injury with neurologic deficit
- Pulseless extremity due to trauma
- Two or more proximal long bone fractures
- ED physician or trauma surgeon request
Level PARTIAL
Call for all injured patients NOT meeting major trauma activation criteria and having any of the following SUBJECTIVE criteria.
- Trauma transfer from outside facility
- Age greater than 60 years with a significant mechanism or known injury
- Pedestrian hit by a vehicle traveling 20 MPH or more or thrown more than 15 feet
- Death of an occupant in the same vehicle
- Ejection from a motor vehicle, horse, ATV, etc.
- Falls of more than 15 feet; pediatric falls of more than 10 feet or greater than 3 times the height of the child
- Unrestrained occupant involved in a motor vehicle crash (MVC)
- High speed MVC occurring at more than 45 MPH or significant vehicle damage
- Known head injury with GCS 13-14
- Suspected cervical, thoracic and/or lumbar spine injury without neurologic deficit
- Known or suspected coagulopathy
- Penetrating injury proximal to knee or elbow with pulse
- ED physician or trauma surgeon request