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Urgent trauma team activation | Nonurgent trauma team activation |
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Need for airway management (with significant mechanism or difficult airway) | Traumatic intracranial bleed or basilar skull fracture |
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Systolic BP < 90 in the ED | GCS < 10 in the ED (excluding MVC mechanism) |
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Penetrating injury to the head, neck, or trunk | Evidence of spinal cord injury |
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Mangled extremity or amputation above wrist or ankle | Unstable spinal cord injury |
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Need for blood transfusion in the resuscitation bay | Wide mediastinum with a significant mechanism of injury |
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Paralysis | Blunt abdominal trauma with tenderness |
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Burn >20% body surface area | Significant injury to a single system: |
(i) Solid organ injury on CT scan |
(ii) Flail chest or multiple rib fractures |
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Trauma transfer accepted by TTL (at their discretion) | Injuries to two or more body regions |
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ED physician may activate the trauma team at their discretion | Pelvic fractures |
(i) Based on their initial assessment |
(ii) If they are unable to attend to the trauma patient due to increased workload in the resuscitation bay |
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| Femoral fractures (except isolated hip fractures) |
| Proximal extremity gunshot wounds |
| Pregnant trauma patient at >20 weeks’ gestational age |
| Thoracoabdominal injury with an expected need for admission |
| ED physician may also consult the trauma team at their discretion |
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