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.
Criteria
() 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)
Component	Blue criteria (B)	Red criteria (R)
Airway^1	± sustained RR ≥ 30	± active airway assistance^2
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 loss^3 or	± amputation^4 or
	± GSW to extremities	± 2^0/3^0 burns to >15% TBSA or
		± any penetrating injury to head, neck, or torso^5
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 wheel^6

(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.