●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