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Trauma Decision Tree Maryland Medical Protocols for EMS Providers July 1, 2010

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

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