Appendix 03 Adult Trauma Alert Criteria 04/16/2018
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Questions and Answers

What is the minimum age criterion for a trauma patient to be considered for transport to a State Approved Trauma Center?

  • 45 years old
  • 55 years old (correct)
  • 60 years old
  • 50 years old
  • Which of the following combinations would allow a patient to be categorized under Category 2 for trauma alert status?

  • Radial pulse present and GCS of 12
  • GCS of 14 and a heart rate of 130 bpm (correct)
  • No radial pulse and SBP of 90 mmHg
  • Respiratory rate of 25 and a BMR of 5
  • Which mechanism of injury would classify a patient as a trauma alert under Category 1?

  • Ejection from a motorcycle
  • Death of an occupant in the same passenger compartment (correct)
  • Fall from a height of 5 feet
  • Steering wheel deformity
  • Which vital sign combination indicates immediate trauma alert status according to the Red Criteria?

    <p>No radial pulse with heart rate of 125 bpm</p> Signup and view all the answers

    What is considered an exclusion criterion for trauma patients regarding their Glasgow Coma Scale (GCS)?

    <p>Baseline GCS is 12</p> Signup and view all the answers

    Study Notes

    Trauma Alert Criteria

    • Trauma alert patients must meet specified criteria for transportation to a State Approved Trauma Center (SATC).

    Category 1 (Red Criteria)

    • Meeting any one criterion qualifies as trauma alert.
    • Age: Patients aged 55 years or older are automatically flagged.
    • Airway: Any need for active airway assistance that goes beyond supplemental oxygen indicates a severe condition.
    • Consciousness: A Glasgow Coma Scale (GCS) score of ≤ 12 qualifies, or a GCS < 15 in patients with head trauma on anticoagulants.
    • Motor Response: A Best Motor Response (BMR) of ≤ 4, signs of paralysis, suspected spinal cord injury, or loss of sensation indicates a critical status.
    • Circulation: Absence of radial pulse combined with a heart rate exceeding 120 bpm or a significantly low systolic blood pressure (SBP) poses severe risks.
    • Mechanism of Injury: Ejection from a vehicle, steering wheel deformity, or a death in the passenger compartment signals high-level trauma.

    Category 2 (Blue Criteria)

    • Meeting any two criteria qualifies as trauma alert.
    • Age is not specifically listed in this category.
    • Airway and Circulation parameters involve severe conditions but require only two combined factors for alert status.

    Additional Considerations

    • Mechanism of injury exclusions include motorcycles, mopeds, or bicycles; primarily focused on serious vehicle accidents.
    • Gunshot wounds near joints with undetermined harm path qualify as trauma, but superficial wounds are excluded.
    • EMT or paramedic judgment is crucial for evaluating trauma outside of listed criteria.
    • Exclusions for GCS and BMR are applicable based on the patient’s preexisting medical conditions.

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    Description

    This quiz focuses on the identification of trauma alert patients based on specific criteria. Participants will evaluate the parameters listed in the Red and Blue Categories to determine appropriate transport protocols to State Approved Trauma Centers. It is essential for medical professionals to be familiar with these guidelines for optimal patient care.

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