Regional Trauma Guidelines

SB211

• Pulse >120 or <50 or SBP <90
• RR <10 or >29
• Intubated
• Evidence of head injury
  • GCS ≤13
  • Alteration in LOC or LOC > 5 min
  • Failure to localize pain
• Suspected spinal cord injury
• Penetrating trauma to head, chest, abdomen, neck, extremities proximal to knee or elbow
• Amputation proximal to wrist or ankle
• Fractures of 2 or more proximal long bones
• Evidence of neurovascular compromise
• tension pneumothorax that is relieved
• Head, neck, or torso visible crush injury
• Abdominal tenderness, distention or seat belt sign
• Pelvic fracture
• Flail chest
• Burn injury >10% TBSA and other traumatic injuries
• Significant mechanism of injury = high index of suspicion
• Ground <30 min transport time to Level 1 trauma center