Office of Emergency Medical Services
Trauma Triage Protocol
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STATEMENT OF INTENT:
The following trauma triage guidelines are provided to assist in determining the disposition of adult trauma patients. These guidelines are intended to be utilized in conjunction with clinical judgment. It is understood that these are guidelines only and are to be used whenever possible in communication with a base station physician.

STEP 1: PHYSIOLOGY

  • Glasgow Coma Scale +/-12 or AVPU = P or U
  • Systolic BP < 90
  • Pulse < 60/min or > 130/min
  • Respiration < 10/min or > 29/min
To TRAUMA CENTER
with ALS
if available


STEP II: ANATOMY
  • Penetrating Injuries (ex., Gunshot Wounds,
    Stab Wounds) to Head, Neck, Torso, Extremities
    (above the elbow and knee)
  • Flail Chest
  • Fractures - More Than One Fracture Involving
    Humerus and/or Femur
  • Pelvic Fractures
  • Paralysis or Evidence of a Spinal Cord Injury
  • Amputation Above Wrist or Ankle
  • Burns When Combined with Other Major Injuries
  • High Voltage Electrical Injury
TRAUMA CENTER
with ALS
if available


STEP III : MECHANISM OF INJURY (Required Consult with Medical Command, when Available)

  • Ejection from Motor Vehicle
  • Extrication > 20 min with an injury
  • Falls > 20 feet
  • Unrestrained Passenger in Vehicle Roll Over
  • Pedestrian, Motorcyclist or Pedalcyclist
    Thrown or Run Over
To TRAUMA CENTER
with ALS
if available


TO LOCAL HOSPITAL
 

Last Updated:

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