Trauma Triage

Question 1

If a patient meets MT criteria, they should be Tx to highest level of trauma care within ___mins.

Answer 1

60

Question 2

What are the two Immediate Life Threats under this guideline, and where should they be transported to?

Answer 2

Airway compromise or threat that cannot be corrected.

Severe external bleeding that cannot be adequately controlled.

Tx to closest trauma service, notify ARV if not MTS.

Question 3

List the vital signs parameters that meet major trauma criteria.

Answer 3

HR <60 or >120
BP <90
RR <10 or >30
SPO2 <90
GCS <13

Question 4

Where should patients meeting vital signs of major trauma be transported?

Answer 4

Highest level of trauma care within 60mins, consider HEMS if >60mins travel time.

Question 5

List the 9 Specific Injuries meeting major trauma criteria.

Answer 5

1. Limb amputation/limb threatening injury
2. Suspected SCI or #
3. Burns >20% TBSA for adults or >10% for paeds
4. Suspected airway burns
5. High voltage burns >1000v
6. Serious crush injury
7. Major compound # or open dislocation
8. Fracture to >1 of femur/tibia/humerus
9. Fractured pelvis

Question 6

List the 8 MOI under the Trauma Triage guideline.

(must also meet Vulnerability to be major trauma)

Answer 6

1. Motor cyclist/cyclist impact >30kph
2. High speed MCA >60km/hr
3. Pedestrian impact
4. Ejection from vehicle
5. Prolonged extrication
6. Fall from height >3m
7. Struck on head by object falling >3m
8. Explosion

Question 7

Under the MOI + Vulnerabilities criteria, what are the 3 vulnerabilities?

Answer 7

1. Age >55 or <16
2. Pregnant
3. Significant underlying medical condition

Question 8

Where should patients meeting the MOI + Vulnerability criteria be transported to?

Answer 8

Closest trauma service.
For Western suburbs:
RCH <16
RMH 16-18
Footscray if >18