TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER f: EMERGENCY SERVICES AND HIGHWAY SAFETY
PART 515 EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE
SECTION 515.APPENDIX C MINIMUM TRAUMA FIELD TRIAGE CRITERIA


 

Section 515.APPENDIX C Minimum Trauma Field Triage Criteria

 

●SUSTAINED HYPOTENSION BP ≤ 90 SYSTOLIC (PEDS ≤ 80 SYSTOLIC) ON TWO CONSECUTIVE MEASUREMENTS FIVE MINUTES APART

 

 

 

 

 

YES

MANDATORY NOTIFICATION OF THE TRAUMA SURGEON FROM THE FIELD

 

 

 

 

 

 

 

NO

 

 

 

 

 

 

 

 

 

 

Category I

 

 

 

Blunt or Penetrating Trauma With Unstable Vital Signs And/Or:

 

 

 

 

Hemodynamic Compromise As Evidenced By:

 

 

 

 

-

BP ≤ 90 systolic

 

 

 

 

-

(Peds BP ≤ 80 systolic

 

 

 

Respiratory Compromise as Evidenced By:

 

YES

 

Initiate Field Trauma Treatment Protocols

 

-

Respiratory rate < 10 or > 29

 

Rapid Transport To Trauma Center (I)

 

Altered Mentation as Evidenced By:

 

 

 

-

Glasgow Coma Scale ≤ 10

 

 

 

 

 

 

 

 

Anatomical Injury

 

 

 

 

Penetrating injury of head, neck, torso, groin

 

 

 

 

Two or more body regions with potential life or limb threat

 

 

 

 

Combination trauma with ≥ 20% TBSA Burn

 

 

 

 

Amputation above wrist or ankle

 

 

 

 

Limb paralysis and/or sensory deficit above the wrist and ankle

 

 

 

 

Flail chest

 

 

 

 

 

 

 

 

 

NO

 

 

 

 

 

 

 

 

 

 

Category II

 

 

 

Mechanism of Injury

 

YES

 

 

 

 

Ejection from motor vehicle

 

 

 

Death in same passenger compartment

 

 

 

Falls > 20 feet

 

 

 

● Initiate Field Trauma Treatment Protocols And Transport to Closest Hospital

 

 

NO

 

 

(1) > 25 minutes from Trauma Center, transport to nearest participating trauma hospital.

> 30 minutes from Trauma Center or participating trauma hospital, transport to nearest hospital.

> 45 minutes from Trauma Center or participating trauma hospital in a rural area where there is no comprehensive emergency department available, transport to the nearest hospital.

 

(Source: Amended at 24 Ill. Reg. 9006, effective June 15, 2000)