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  • 01 r2tmc Trauma Team Activation - Adult - Revised 17102023 2nds

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    Office of the Strategy Management
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    The document provides a decision algorithm for emergency room trauma team activation for adult patients. It lists physiological criteria like respiratory distress or low blood pressure and anatomical criteria like penetrating injuries or open fractures that would trigger activation. It also considers major mechanisms of injury like motor vehicle collisions over 65 km/h or falls over 6 meters. Special patient considerations like age over 55, pregnancy, or pre-existing conditions can also lead to activation. The algorithm guides healthcare providers through a yes/no decision tree to determine if the trauma team should be activated.

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    01 r2tmc Trauma Team Activation _adult_revised 17102023 2nds

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    The document provides a decision algorithm for emergency room trauma team activation for adult patients. It lists physiological criteria like respiratory distress or low blood pressure and anatomical criteria like penetrating injuries or open fractures that would trigger activation. It also considers major mechanisms of injury like motor vehicle collisions over 65 km/h or falls over 6 meters. Special patient considerations like age over 55, pregnancy, or pre-existing conditions can also lead to activation. The algorithm guides healthcare providers through a yes/no decision tree to determine if the trauma team should be activated.

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    5 views2 pages

    01 r2tmc Trauma Team Activation - Adult - Revised 17102023 2nds

    Uploaded by

    Office of the Strategy Management
    The document provides a decision algorithm for emergency room trauma team activation for adult patients. It lists physiological criteria like respiratory distress or low blood pressure and anatomical criteria like penetrating injuries or open fractures that would trigger activation. It also considers major mechanisms of injury like motor vehicle collisions over 65 km/h or falls over 6 meters. Special patient considerations like age over 55, pregnancy, or pre-existing conditions can also lead to activation. The algorithm guides healthcare providers through a yes/no decision tree to determine if the trauma team should be activated.

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    of 2

    R2TMC TRAUMA CARE PATHWAY

    EMERGENCY ROOM TRAUMA TEAM ACTIVATION


    DECISION ALGORITHM
    ADULT (≥ 16 YEARS OF AGE) – ANY TRAUMA MECHANISM
    Is the patient known or suspected of having one or more of the following
    (Choose from the following)

    PHYSIOLOGICAL CRITERIA ANATOMICAL CRITERIA


     All penetrating injuries to the head, neck or torso
     All penetrating injuries to the extremities proximal to the elbow/knee with
     Respiratory distress, hypoxia or a need
    significant blood loss
    for airway control/intubation
     Major burns > 20% BSA with trauma
     GCS ≥ 13
     Open or depressed skull fractures
     RR <10 OR >30
     New paralysis or neurological deficits
     SBP < 90 mmHg
     Facial injuries with potential airway compromise
     Two or more proximal long bone fractures
     Crushed, degloved, mangled or pulseless extremities proximal to the wrist or
    ankle
     Amputation proximal to the wrist or ankle
     Chest wall instability or deformity
     Unstable pelvis

    YES NO

    Was there a major mechanism of injury within 24 hours?


    (Choose from the following)
     Fall ≥ 6m (20ft)  Pedestrian, pedestrian conveyance  Penetrating injury
     Motor Vehicle Collision or bicyclist struck/collision (i.e. firearm Or
     Vehicle Speed > 65km/h  Vehicle speed >30km/ stabbing)
     Any vehicle intrusion including roof:  Fixed object with significant  Blasts and/or
    ≥ 0.3 meters on occupant side momentum explosions
    ≥ 0.5 meters any side  Thrown > 3m (10ft)  Significant assault
     Ejection (partial or complete)  Run over
     Death in same passenger compartment
     Roll over
     Motorcycle or ride-on vehicle collision:
     Vehicle Speed > 65km/h
     Ejection/separation from vehicle
    >3m (10ft)

    YES NO

    Does the patient have any special consideration?


    (Choose from the following)
     Health care provider discretion
     Minor trauma mechanism with physiological/anatomical signs
    ACTIVATE 

    Major mechanism alone
    Pregnancy > 20 weeks
    TRAUMA TEAM  >55 years with low impact mechanism
     SBP < 110mmHg >6 years
     Co-morbidities or pre-existing medical conditions
     Anticoagulation
     Auto Launch or Early Fixed Wing Launch (EFWL) from scene
     Burns >20% BSA (without trauma)

    YES NO

    Discretion or ER
    Consultant/Surgery DO NOT ACTIVATE
    Consultant/Senior
    Resident

    ACTIVATION NOTES: NON-ACTIVATION NOTES:

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