Protocol 05 Trauma Alert Criteria 07/31/2020
16 Questions
1 Views

Protocol 05 Trauma Alert Criteria 07/31/2020

Created by
@AuthoritativeProse

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.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    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.

    More Quizzes Like This

    Trauma-Informed Care Concepts
    41 questions
    Trauma and Injuries Overview
    23 questions

    Trauma and Injuries Overview

    BenevolentDramaticIrony avatar
    BenevolentDramaticIrony
    Understanding Trauma and Its Impact
    18 questions
    Use Quizgecko on...
    Browser
    Browser