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Trauma Decision Tree
Trauma Decision Tree Maryland Medical Protocols for EMS Providers July 1, 2010
| Question | Answer |
|---|---|
| GCS less than or equal to 8 | Category A Trauma |
| Respiratory rate less than 10 or greater than 29 | Category A Trauma |
| Systolic BP less than 90 (Adult) less than 60 (Peds) | Category A Trauma |
| Flail chest | Category A Trauma |
| Pelvic fracture | Category A Trauma |
| Penetrating injuries to head, neck, or torso | Category A Trauma |
| Rapidly declining GCS | Category A Trauma |
| Paralysis (spine) | Category A Trauma |
| Open or depressed skull fracture | Category A Trauma |
| 2 or more proximal long-bone fractures | Category A Trauma |
| GCS 9 - 14 | Category B Trauma |
| Paralysis or vascular compromise of limb | Category B Trauma |
| Amputation proximal to wrist or ankle | Category B Trauma |
| Crushed, degloved, or mangled extremity | Category B Trauma |
| Penetrating injuries to extremities proximal to elbow or knee | Category B Trauma |
| Combination trauma with burns | Category B Trauma |
| PIC - Intrusion greater than 12 in. occupant site; greater than 18 in. any site | Category C Trauma |
| PIC - Ejection (partial or complete) from vehicle | Category C Trauma |
| PIC - Death in same passenger compartment | Category C Trauma |
| PIC - Vehicle telemetry data consistent with high risk of injury | Category C Trauma |
| Falls greater than 3 times patient’s height | Category C Trauma |
| Exposure to blast or explosion | Category C Trauma |
| PIC - Rollover without restraint | Category C Trauma |
| PIC - Auto v. pedestrian/bicyclist thrown, run over, or with significant (20 mph) impact | Category C Trauma |
| PIC - Motorcycle crash greater than 20 mph | Category C Trauma |
| Age less than 5 or greater than 55 | Category D Trauma |
| Patient with bleeding disorder or patient on anticoagulants | Category D Trauma |
| Dialysis patient | Category D Trauma |
| Pregnancy greater than 20 weeks | Category D Trauma |
| EMS provider judgment | Category D Trauma |
Created by:
David645
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