Activation

Major trauma alert activation

March 2018 | by EMauthor

The hospital trauma team should be alerted via 2222 if a patient fulfill the following triggers when triaged or pre-alerted on the 'red phone'.

Please see the 'trauma team / housekeeping' section for immediate actions and etiquette following activation of the alert pager.

Physiological triggers

•Airway compromise

•Clinical evidence of Hypovolaemia

•GCS<13

•In adults only:

•SBP <90,

•RR less than 10 or >29

•Pregant >20 weeks and torso trauma

Anatomical triggers

•Penetrating trauma (except a limb)

•Flail Chest

•More than 1 major long bone # (hum/femur/tib)

•Suspected Pelvic #

•Spinal cord injury

•Significant burn or enclosure

•Amputation proximal to wrist or ankle

Mechanism Triggers (at discretion of Senior Doctor)

•Fall >6 meters

•Significant intrusion

•Death of another occupant

•Ejection

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