Exclusion Criteria

  1. Patients age less than 15 years
  2. Pregnant with viable fetus (greater than 20 weeks gestation)
  3. Limb or Digit detachment
  4. Burns
  5. 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.

  1. Penetrating traumatic injuries: thorax, abdomen, head/neck
  2. Traumatic proximal extremity amputations above the knee or elbow
  3. Systolic Blood Pressure (SBP less than 90 mmHg)
  4. Heart rate (HR) greater than 120 beats per minute
  5. RR less than 10 or greater than 29 breaths per minute
  6. Airway instability or compromise
  7. Pre-hospital endotracheal/nasotracheal intubation
  8. Glasgow Coma Scale (GCS) 12 or less
  9. Any patient who is receiving blood products
  10. Suspected cervical, thoracic, and/or lumbar spine injury with neurologic deficit
  11. Pulseless extremity due to trauma
  12. Two or more proximal long bone fractures
  13. 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.

  1. Trauma transfer from outside facility
  2. Age greater than 60 years with a significant mechanism or known injury
  3. Pedestrian hit by a vehicle traveling 20 MPH or more or thrown more than 15 feet
  4. Death of an occupant in the same vehicle
  5. Ejection from a motor vehicle, horse, ATV, etc.
  6. Falls of more than 15 feet; pediatric falls of more than 10 feet or greater than 3 times the height of the child
  7. Unrestrained occupant involved in a motor vehicle crash (MVC)
  8. High speed MVC occurring at more than 45 MPH or significant vehicle damage
  9. Known head injury with GCS 13-14
  10. Suspected cervical, thoracic and/or lumbar spine injury without neurologic deficit
  11. Known or suspected coagulopathy
  12. Penetrating injury proximal to knee or elbow with pulse
  13. ED physician or trauma surgeon request