Trauma Entry Criteria

Front 1

patient entry

Back 1

The paramedic is required to report the reason for patient entry to the trauma communications center (TCC).

Front 2

types of patient entry (2)

Back 2

Mandatory.
Discretionary.

Front 3

types of mandatory criteria (3)

Back 3

Physiological criteria.
Anatomical criteria.
Mechanism of injury.

Front 4

physiological criteria (3)

Back 4

Systolic BP <90 mmHg.
Respiratory rate <10 or >29, or airway management is required.
GCS less than or equal to 12.

Front 5

anatomical criteria (5)

Back 5

Flail chest.
Two or more obvious fractures of femur or humerus.
Penetrating injury of the head, neck, torso or groin associated with energy transfer.
Amputation above wrist or ankle.
Spinal cord injury WITH limb paralysis.

Front 6

mechanism of injury (3)

Back 6

Heavy extrication >20 minutes.
Death of same car occupant.
Patient ejected from enclosed vehicle.

Front 7

types of discretionary criteria (2)

Back 7

High-energy transfer situation.
Comorbid factors.

Front 8

high-energy transfer situations (5)

Back 8

Significant falls.
Auto vs. pedestrian collisions.
Rollover.
Motorcycle, ATV, or bicycle crash.
Impact/significant intrusion.

Front 9

Comorbid factors (6)

Back 9

Age (<12 or >60 years).
Presence of intoxicants.
Hostile environment (hot/cold).
Pregnancy (especially third trimester).
Significant medical history (e.g., anticoagulant therapy).
Morbid obesity.

Front 10

types of medical direction (2)

Back 10

Off-line medical direction for trauma patients is controlled by the treatment protocols.
OLMC is provided by the Medical Resource Hospital (MRH). OLMC may override off-line medical direction. Any instances where this occurs will be reported to the EMS Office.