Trauma Criteria

Question 1

Adult Red Criteria

Answer 1

• Airway - Active airway assistance
• Circulation - No radial pulse with sustained HR >= 120 or BP < 90 sustolic
• Fractures - Multiple long bone FX sites
• Cutaneous - 2* or 3* burns > 15% BSA, electrical burns (high voltage/ direct lightning) regardless of surface area, amputation proximal to wrist or ankle, penetrating injury to head neck or torso
• BMR - <= 4, or exhibits presence or paralysis, suspicion of spinal cord injury, or loss of sensation
• Misc - Paramedic Judgment, GCS <= 12

Question 2

Pediatric Red Criteria

Answer 2

• Airway - Assisted or intubated
• Consciousness - Altered mental status, paralysis, suspected spinal cord injury, or loss of sensation
• Circulation - Faint or non-palpable carotid or femoral pulses, SBP < 50
• Fracture - Any open long bone FX or multiple FX sites or multiple dislocations
• Cutaneous - Major soft tissue disruption, amputation proximal to wrist or ankle, 2* or 3* burns to 10% BSA, electrical burns (high voltage/direct lightning) regardless of surface area, penetrating injury to head, neck, or torso
• Paramedic Judgment

Question 3

Adult Blue Criteria

Answer 3

• Airway - Sustained respiratory rate >= 30
• Circulation - Sustained HR >= 120
• Fractures - Single long bone FX sites due to MVA or single long bone FX site due to fall >= 10 feet
• Cutaneous - Major degloving, flap avulsion > 5 inches, or GSW to extremites
• BMR - = 5
• MOI - Ejection from vehicle (excluding open vehicles) or deformed steering wheel
• Age - Anticoagulated Older Adult > 55
• Misc- Blunt ABD injury

Question 4

Blue Criteria Pediatric

Answer 4

• Consciousness - Amnesia or reliable HX or LOC
• Circulation - Carotid or femoral pulses palpable, no pedal pulses or SBP < 90
• Fracture - Single closed long bone FX site
• Misc - Blunt ABD injury
• Size - Red, Purple , 11kg (< 24 lbs)

Question 5

Level 2 Criteria

Answer 5

• Falls - > 12ft Adult - > 6ft Pediatric
• MVA - Extrication - time > 15 min, Rollover, Death of occupant in same passenger compartment, Major intrusion into passenger compartment,
• Pedestrian - Separation from Bicycle, struck by vehicle (adults >15mph, Ped > 5mph),
• Age - fall adult > 55
• Burns - Involving the face, eyes, ears, hands, feet, or perineum that may result in impairment
• Paramedic Judgement

Question 6

Antiplatelet Medications

Answer 6

• Plavix (Clopidogrel)
• Brilinta (Ticagrelor)
• Effient (Prasugrel)

Question 7

Anticoagulation Medications

Answer 7

• Coumadin (Warfarin)
• Pradaxa (Dabigatran)
• Xarelto (Rivaroxaban)
• Eliquis (Apixaban)
• Lovenox (Enoxaparin)

Question 8

What is Grey Trauma Criteria

Answer 8

Patients who do not meet “Trauma Alert” criteria, but meet one (1) or more of the
following criteria may be at risk of serious injury and special consideration should
be given to them, including bypass of a local hospital and transport to the
nearest Trauma Center