Oregon Trauma Activation Systems

Front 1

Physiologic factor:

LOC and Vitals activation criteria

Back 1

GCS Under or equal to 13

Systolic under 90

Adult <10 or >29 breaths per minute

<20 breaths per minute in infant under 1 year old

Front 2

Mandatory for a patient to be entered in to trauma system when?

Back 2

Pt has been in trauma incident and meets any ONE of the following criteria in steps 1-3

Front 3

Anatomical Criteria (8)

Back 3

-Penetrating injuries to head neck torso extremity above knee or elbow

Front 4

-Chest wall instability or deformity (flail)

Back 4

-2 or more long bone fractures

Front 5

-Crushed, degloved, or mangled extremity

Back 5

-Amputation proximal to wrist or ankles

Front 6

-Suspected pelvic fracture

Back 6

-Open or depressed skull fracture

Front 7

-Motor or sensory deficit

Back 7

-Penetrating injuries to head neck torso extremity above knee or elbow

-Chest wall instability or deformity (flail)
-2 or more long bone fractures

-Crushed, degloved, or mangled extremity

-Amputation proximal to wrist or ankles

-Suspected pelvic fracture

-Open or depressed skull fracture

-Motor or sensory deficit

Front 8

Mechanism of Injury Criteria split into what catagories?

Back 8

Falls

High speed auto crashes

Auto vs pedestrian/bicycle/motorcycle/run over

Front 9

MOI Criteria for falls

Back 9

Adult: Fall Over 20 feet

PEDS: Over 10 feet, Or, 2-3 times the height

Front 10

MOI criteria for High speed auto crashes

Back 10

-Intrusion into passenger compartment over 12"

-Intrusion anywhere on vehicle over 18"

-Partial or Complete Ejection

-Death in same passenger compartment

-Vehicle telemetry data consistent w/ high risk of injury

Front 11

Auto vs pedestrians and small cycles

Back 11

Over 20 MPH

Front 12

Comorbid factors:

Back 12

Age

Anticoagulation or bleeding disorders

Burns

Pregnancy over 20 weeks

EMS provider judgment

Front 13

Age comorbid factor includes

Back 13

Older age:

-risk of injury or death inc. over 55 yrs

-SBP under 110 may be sign of shock over 65 yrs

-Low impact falls may result in sever injury (ground level falls)

Children:

-Should be triaged to ped trauma centers

Front 14

Anticoagulation or bleeding disorders:

Back 14

Pt with head injury along with anticoagulation or bleeding disorders are at high risk

Front 15

Burns comorbid factors:

Back 15

Without other trauma mechanism; triage to burn facility

or

With trauma mechanism; triage to trauma center

Front 16

Pregnancy comorbid factors after how many weeks?

Back 16

20