Field Activation Criteria

Trauma Code I

  • Systolic blood pressure 90mmHg or lower
  • Glasgow Coma Scale 13 or lower or loss of consciousness greater than 5 minutes
  • Respiratory rate less than 10 or greater than 29; respiratory or airway compromise, intubated patients (including transfers), needle chest decompression or cricothyroidotomy in the field
  • Penetrating injury to head, neck, chest, abdomen, back, buttocks, or extremities proximal to the elbow or knee
  • Flail chest
  • Transfer from other hospitals receiving blood to maintain vital signs
  • Burns > 15% or high-voltage electrical injury
  • 2 or more long bone fractures
  • Crushed, degloved, mangled, or pulseless extremity
  • Traumatic amputation proximal to the wrist or ankle
  • Known or suspected pelvic fracture
  • Open or depressed skull fracture
  • Extremity paralysis suggestive of spinal cord injury
  • Judgment of the emergency medicine physician, trauma surgeon, or emergency department RN

Trauma Alert

  • History of loss of consciousness following a traumatic event
  • Fall > 20 feet or 2 stories
  • High-risk auto crash
  • Intrusion: > 12 in., occupant site; > 18 in., any site
  • Ejection from vehicle
  • Death in same vehicle
  • Pedestrian or bicyclist struck, thrown, or run over by a vehicle
  • Motorcycle crash > 20 mph
  • Traumatic amputation distal to the wrist or ankle
  • Open long bone fracture
  • Pregnancy greater than 20 weeks with significant mechanism of injury
  • EMS provider judgment or emergency department RN