Protocol 05 Trauma Alert Criteria 07/31/2020
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Questions and Answers

Which anticoagulant medication is NOT included in the list provided?

  • Xarelto
  • Aspirin (correct)
  • Pradaxa
  • Coumadin (Warfarin)
  • What is the minimum systolic blood pressure that indicates a patient should be transported to a Trauma Center under the Red Criteria?

  • 80 mmHg
  • 60 mmHg
  • < 50 mmHg (correct)
  • 90 mmHg
  • Under the Blue Criteria, which of the following indicates that a patient should be transported to a Trauma Center?

  • A single, closed long bone fracture (correct)
  • Ejection from a motor vehicle
  • Altered mental status
  • Major tissue disruption
  • Which scenario would allow for Paramedic Judgment to be used in deciding to transport a patient to a Trauma Center?

    <p>Prolonged extrication from a motor vehicle collision</p> Signup and view all the answers

    According to the Pediatric Trauma Alert Criteria, which of the following injuries does NOT qualify for the Red Criteria?

    <p>Single, closed long bone fracture</p> Signup and view all the answers

    What characteristic is considered when assessing a patient for the Blue Criteria involving loss of consciousness?

    <p>Reliable history of loss of consciousness observed by a first responder</p> Signup and view all the answers

    Which condition is specifically listed under the Red Criteria for trauma transport?

    <p>Second or third-degree burns to &gt; 10% body surface area</p> Signup and view all the answers

    What should happen once a Trauma Alert is declared?

    <p>No one is to downgrade the Trauma Alert once declared</p> Signup and view all the answers

    What criterion regarding airway assistance indicates a need for transport to a Trauma Center?

    <p>Active airway assistance beyond supplemental O2 is required.</p> Signup and view all the answers

    Which combination of signs and symptoms meets the Red Criteria for a Trauma Alert?

    <p>Systolic blood pressure of 88 mmHg and two long bone fractures.</p> Signup and view all the answers

    What condition would still necessitate Trauma Center transport regardless of the patient's age?

    <p>Sustained heart rate &gt; 120 bpm with loss of radial pulse.</p> Signup and view all the answers

    Which combination of factors constitutes the Blue Criteria for Trauma Center transport?

    <p>Age over 55 and respiratory rate over 30.</p> Signup and view all the answers

    What injury is classified under the Red Criteria for immediate transport?

    <p>2nd or 3rd degree burns to &gt; 15% total body surface area.</p> Signup and view all the answers

    Which factor is NOT included in the criteria for patients with a GCS < 12?

    <p>Initial GCS within normal limits at the scene.</p> Signup and view all the answers

    Which of the following represents a major injury that mandates Trauma Center evaluation?

    <p>A major flap avulsion greater than 5 inches.</p> Signup and view all the answers

    Which of the following scenarios does NOT require transport to a Trauma Center?

    <p>A patient with a 1st degree burn with 10% TBSA.</p> Signup and view all the answers

    Study Notes

    Adult Trauma Alert Criteria

    • Criteria apply to individuals aged 16 years and older.
    • Trauma Alert patients are transported to the nearest appropriate Trauma Center.

    Red Criteria (any one criteria met requires transport)

    • Active airway assistance required beyond supplemental oxygen.
    • Best Motor Response (BMR) ≤ 4, Glasgow Coma Score (GCS) < 12, paralysis, or loss of sensation.
    • Absence of radial pulse with sustained heart rate > 120 bpm or systolic blood pressure < 90 mmHg.
    • Two or more long bone fractures (e.g., humerus, femur, etc.).
    • 2nd or 3rd degree burns covering > 15% of total body surface area (TBSA), or amputations, or penetrating injuries to vital areas.
    • Patients on anticoagulants experiencing head trauma with GCS < 15.

    Blue Criteria (two or more criteria met require transport)

    • Patients aged > 55 years.
    • Respiratory rate > 30 breaths per minute.
    • BMR ≤ 5.
    • Sustained heart rate > 120 bpm.
    • Long bone fractures from motor vehicle collisions (MVC) or falls > 10 feet.
    • Major degloving injuries, avulsions > 5 inches, or gunshot wounds to extremities.
    • Ejection from motor vehicle or related severe impacts.

    Pediatric Trauma Alert Criteria

    • Criteria apply to individuals under 16 years of age.
    • Trauma Alert patients are transported to the nearest appropriate Trauma Center.

    Red Criteria (any one criteria met requires transport)

    • Assisted or intubated trauma patients.
    • Altered mental status.
    • Paralysis or suspected spinal injuries.
    • Non-palpable radial or femoral pulse and/or systolic blood pressure < 50 mmHg.
    • Open long bone fractures, multiple fractures, or pelvic fractures.
    • Major tissue disruption or amputations.
    • 2nd or 3rd degree burns covering > 10% TBSA.
    • Penetrating injuries to the head, neck, or torso.

    Blue Criteria (two or more criteria met require transport)

    • Patients weighing < 11 kg (24 lbs) with distress indicated by weight-based tape.
    • Amnesia or known loss of consciousness.
    • Palpable carotid or femoral pulses with absent radial pulse, indicating systolic blood pressure between 50-90 mmHg.
    • A single, closed long bone fracture.
    • Ejection from a motor vehicle or death of an occupant in the same vehicle.

    Paramedic Judgment

    • Paramedic discretion may override established criteria for transport.
    • Situations involving prolonged extrication, penetrating wounds without distal pulses, or unknown exit paths on gunshot wounds qualify for Trauma Center transport.
    • Once declared, a Trauma Alert cannot be downgraded by any personnel.

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    Description

    Test your knowledge on the Adult Trauma Alert Criteria as outlined in Appendix 3. This quiz focuses on the criteria necessary for transporting patients aged 16 and older to a Trauma Center. Understand the requirements for handling trauma patients effectively.

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