EM Trauma team
Concerning mechanism of injury with normal physiology and no concerning injuries.
| Mechanism | |
|---|---|
| Fall | >3m (or 2x patient's Ht) - Off ladder >1m |
| Large animal | - Collision, fall, trampled |
| RTC | - Death in same vehicle - Ejection /Explosion - Significant intrusion - Damage to "A" post - Extrication >30 min - Motorcyclist >30kph - Cyclist > 30KPH - Pedestrian vs. vehicle - Bullseye windscreen - RTC >60kph - Vehicle roll-over |
| Electrocution | - High voltage |
| Other | - Rapid deceleration - Hx high risk of injury - Focal trauma to head/torso |
| Physiology (EMTT) |
|
|---|---|
| SpO2 | > 90% |
| RR | 10 - 29 |
| HR | 50 - 120 |
| SBP | >90mmHg |
| GCSD | >13 |
| EM Trauma Team |
|---|
|
| HTT (Hosp. Trauma Team) |
SHO in the EDTT will alert the HTT
in the resuscitation room in person. |
Hospital Trauma team
| Injuries (HTT activation) | |
|---|---|
| Airway | - Potential airway injury - Intubated patient - Hoarseness or stridor |
| Chest | - Resp. compromise and ≥1 of following: - Crepitus - subcutaneous emphysema - Suspicion of multiple rib fractures - Severe Pain - Seatbelt abrasion/contusion - Evidence of blunt impact - Significant chest wall trauma |
| Haemorrhage | - Suspected severe haemorrhage - Arterial bleeding requiring tourniquet control |
| Head | - Abnormal physiology with ≥ of the following: - Signs of base of skull fracture - >2 episodes of vomiting - head injury on anticoagulants - head injury with focal neurological deficit - seizure following head injury - suspected open/depressed skull # |
| Spine | - Spinal trauma suggested by new abnormal neurology (incl. priapism) - Visible deformity |
| Limbs | - # to 2 or more of femur,tibia or humerus - Major compound fracture/open dislocation - Crushed, degloved, mangled,pulseless limbs - Amputation above wrist or ankle |
| Penetrating | - All penetrating injuries except isolated superficial limb injuries - Gunshot wounds |
| Abdomen | - Abnormal physiology with severe pain or rigidity - Abnormal physiology and Seatbelt abrasion etc - Evisceration |
| Pelvis | - Suspected major pelvic fracture |
| Burns | - >20 % BSA - Suspected respiratory tract burns |
| Other | - ≥3 patients expected - Drowning |
| CUH HHT Physiology |
|
|---|---|
| SpO2 | <90% |
| RR | <10 or >29 |
| HR | >120 post analgesia |
| SBP | <90 mmHg (any stage) |
| GCS | <13 / falling |
| CUH HTT numbers |
|
|---|---|
| ICU Registrar | 62251 |
| Surgical Reg/SHO | 67639/62362 |
| Ortho Reg/SHO | 0860201619 |
| Blood bank | 22537/199 (blp post 20:00) |
| Radiol Reg | 20479/34571 |
| Anaesth Reg | 62251 |
| Bed Mx | 62129/62130 |
Links
- Print copy CUH EM Trauma Team Activation criteria
- Print copy CUH Hospital Trauma Team Activation criteria
- Print copy CUH TT sign in sheet
- Trauma Team Leader (TTL) checklist