Research Article

Trauma Simulation Training Increases Confidence Levels in Prehospital Personnel Performing Life-Saving Interventions in Trauma Patients

Table 2

64J-2.004 adult trauma scorecard methodology.

Adult trauma triage criteria and methodology
The EMT or paramedic will assess the condition of those injured persons with anatomical and physiological characteristics of a person sixteen (16) years of age or older for the presence of at least one of the following four (4) criteria to determine whether to transport as a trauma alert. These four criteria are to be applied in the order listed, and once any one criterion is met that identifies the patient as a trauma alert, no further assessment is required to determine the transport destination.

() Meets color-coded triage system (see below)
() GCS ≤ 12 (patient must be evaluated via GCS if not identified as a trauma alert after application of criterion 1)
() Meets local criteria (specify)
() Patient does not meet any of the trauma criteria listed above but, in the judgment of the EMT or paramedic, should be transported as a trauma alert (document)

ComponentBlue criteria (B)Red criteria (R)

Airway1 ± sustained RR ≥ 30 ± active airway assistance2

Circulation ± sustained HR > 120 ± lack of radial pulse with sustained fast heart rate (>120) or
± BP <90

Best motor response ± BMR = 5 ± BMR of ≤4 or
± paralysis or
± suspected spinal cord injury

Cutaneous ± tissue loss3 or ± amputation4 or
± GSW to extremities ± 20/30 burns to >15% TBSA or
± any penetrating injury to head, neck, or torso5

Longbone fracture ± single FX site due to MVA or ± multiple FX sites
± fall > 10′

Age ± ≥55

Mechanism of injury ± ejection from vehicle or
± deformed steering wheel6

(i) R: any one (1)-transport as a trauma alert
(ii) B: any two (2)-transport  as a trauma alert
1Airway evaluation is designed to reflect the intervention required for effective care. 2Not just oxygen. 3Degloving injuries, major flap avulsions (>5 in). 4Amputations proximal to the wrist or ankle. 5Excluding superficial wounds in which the depth of the wound can be easily determined. 6Only applies to driver of vehicle m: JR/PATTC/6/26/97.