- Category of patient
Patients with immediate life-threat should be transported Priority 1 to the nearest ED
-
Adult
- Abnormal vital signs:
– Heart rate: < 50 or > 120
Does the patient have any abnormal vital signs?
– Respiratory rate: < 10 or > 29
– Systolic Blood Pressure: < 90mmHg
– SpO2 (RA): < 94%
– GCS: < Baseline
-
Yes, the patient has abnormal vital signs
- Is the patient within 45mins of transport time from a Major Trauma Centre?
-
Yes, the patient is within 45mins from a Major Trauma Centre
-
Transport the patient to a Major Trauma Centre
-
-
No, the patient is not within 45mins from a Major Trauma Centre
- Is the patient within 45mins of a metropolitan trauma hospital (QE2, FSH)?
-
Yes, the patient is within 45mins of a metropolitan trauma hospital (QE2, FSH)
-
Refer to Hospital Matrix & transport as appropriate
-
-
No, the patient is not within 45mins of a metropolitan trauma hospital (QE2, FSH)
- Make contact with CSPSOC and transport to appropriate hospital
-
No, the patient does not have any abnormal vital signs
- Injury Criteria:
– Suspicion of multiple rib #’s, severe pain, restraint abrasion/contusion, evidence of blunt impact
Does the patient have any specific injuries meeting potential Major Trauma Criteria?
– Significant injuries involving more than one body region
– Two or more proximal long bone fractures
– Amputation / crush Injury proximal to hand and foot
– Crushed, de-gloved or mangled limb or extreme open fracture
– Suspected spinal fracture and/or spinal cord injury
– Suspected open and/or depressed skull fracture
– Suspected fractured pelvis (excluding isolated # NOF)
– Penetrating Injuries to the head, neck, chest, abdomen, pelvis, axilla, or groin -
Yes, the patient has injuries that meet potential Major Trauma Criteria
- Is the patient within 45mins of transport time from a Major Trauma Centre?
-
Yes, the patient is within 45mins of a Major Trauma Centre
-
Transport the patient to a Major Trauma Centre
-
-
No, the patient is not within 45mins of a Major Trauma Centre
- Is the patient within 45mins of a metropolitan trauma hospital (QE2, FSH)?
-
Yes, the patient is within 45mins of a metropolitan trauma hospital (QE2, FSH)
-
Refer to Hospital Matrix & transport as appropriate
-
-
No, patient is not within 45mins of a metropolitan trauma hospital (QE2, FSH)
- Make contact with CSPSOC and transport to appropriate hospital
-
No, the patient does not have injuries that meet potential Major Trauma Criteria
- High Risk Criteria:
– Fatality on scene whereby the patient was in the same vehicle
Are there any high risk criteria (mechanism & personal)?
– MBA > 30 km/h with injuries
– MVA > 60 km/h with injuries
– Partial or complete ejection
– Fall > 3 meters
– Pedestrian or cyclist with speed impact > 25km/h
– Patient entrapment with compression
– Cabin intrusion (> 30 cm occupants side or >45 cm any side)
– Explosion -
Yes, there is high risk criteria present
- Is the patient within 45mins of transport time from a Major Trauma Centre?
-
Yes, the patient is within 45mins of a Major Trauma Centre
-
Transport the patient to a Major Trauma Centre
-
-
No, the patient is not within 45mins of a Major Trauma Centre
- Is the patient within 45mins of a metropolitan trauma hospital (QE2, FSH)?
-
Yes, the patient is within 45mins of a metropolitan trauma hospital (QE2, FSH)
-
Refer to Hospital Matrix & transport as appropriate
-
-
No, patient is not within 45mins of a metropolitan trauma hospital (QE2, FSH)
- Make contact with CSPSOC and transport to appropriate hospital
-
No, there is no high risk criteria present
- Refer to Hospital Matrix & transport as appropriate
- High Risk Criteria:
- Injury Criteria:
- Abnormal vital signs:
-
Child
-
Abnormal vital signs:
Does the patient have any abnormal vital signs?
0 – 3 months
– Heart rate: < 110 or > 160
– Respiratory rate: < 30 or > 60
– Systolic Blood Pressure: < 70mmHg
3 – 12 months
– Heart rate: < 110 or > 160
– Respiratory rate: < 25 or > 55
– Systolic Blood Pressure: < 75mmHg
1 – 4 years
– Heart rate: < 90 or > 140
– Respiratory rate: < 20 or > 40
– Systolic Blood Pressure: < 80mmHg
5 – 11 years
– Heart rate: < 80 or > 140
– Respiratory rate: < 15 or > 35
– Systolic Blood Pressure: < 80mmHg
12 – 16 years
– Heart rate: < 60 or > 120
– Respiratory rate: < 15 or > 30
– Systolic Blood Pressure: < 90mmHg
All ages
– SpO2 (RA): < 92%
– GCS: < Baseline
-
Yes, the patient has abnormal vital signs
- Is the patient within 45mins of transport time from a Major Trauma Centre?
-
Yes, the patient is within 45mins from a Major Trauma Centre
-
Transport the patient to a Major Trauma Centre
-
-
No, the patient is not within 45mins from a Major Trauma Centre
- Is the patient within 45mins of a metropolitan paediatric centre?
-
Yes, the patient is within 45mins of a metropolitan paediatric centre
-
Refer to Hospital Matrix & transport as appropriate
-
-
No, the patient is not within 45mins of a metropolitan paediatric centre
- Make contact with CSPSOC and transport to appropriate hospital
-
No, the patient does not have any abnormal vital signs
- Injury Criteria:
– Suspicion of multiple rib #’s, severe pain, restraint abrasion/contusion, evidence of blunt impact
Does the patient have any specific injuries meeting potential Major Trauma Criteria?
– Significant injuries involving more than one body region
– Two or more proximal long bone fractures
– Amputation / crush Injury proximal to hand and foot
– Crushed, de-gloved or mangled limb or extreme open fracture
– Suspected spinal fracture and/or spinal cord injury
– Suspected open and/or depressed skull fracture
– Suspected fractured pelvis (excluding isolated # NOF)
– Penetrating Injuries to the head, neck, chest, abdomen, pelvis, axilla, or groin -
Yes, the patient has injuries that meet potential Major Trauma Criteria
- Is the patient within 45mins of transport time from a Major Trauma Centre?
-
Yes, the patient is within 45mins of a Major Trauma Centre
-
Transport the patient to a Major Trauma Centre
-
-
No, the patient is not within 45mins of a Major Trauma Centre
- Is the patient within 45mins of a metropolitan paediatric centre?
-
Yes, the patient is within 45mins of a metropolitan paediatric centre
-
Refer to Hospital Matrix & transport as appropriate
-
-
No, patient is not within 45mins of a metropolitan paediatric centre
- Make contact with CSPSOC and transport to appropriate hospital
-
No, the patient does not have injuries that meet potential Major Trauma Criteria
- High Risk Criteria:
– Suspicion of multiple rib #’s, severe pain, restraint abrasion/contusion, evidence of blunt impact
Are there any high risk criteria (mechanism & personal)?
– Significant injuries involving more than one body region
– Two or more proximal long bone fractures
– Amputation / crush Injury proximal to hand and foot
– Crushed, de-gloved or mangled limb or extreme open fracture
– Suspected spinal fracture and/or spinal cord injury
– Suspected open and/or depressed skull fracture
– Suspected fractured pelvis (excluding isolated # NOF)
– Penetrating Injuries to the head, neck, chest, abdomen, pelvis, axilla, or groin -
Yes, there is high risk criteria present
- Is the patient within 45mins of transport time from a Major Trauma Centre?
-
Yes, the patient is within 45mins of a Major Trauma Centre
-
Transport the patient to a Major Trauma Centre
-
-
No, the patient is not within 45mins of a Major Trauma Centre
- Is the patient within 45mins of a metropolitan paediatric centre?
-
Yes, the patient is within 45mins of a metropolitan paediatric centre
-
Refer to Hospital Matrix & transport as appropriate
-
-
No, patient is not within 45mins of a metropolitan paediatric centre
- Make contact with CSPSOC and transport to appropriate hospital
-
No, there is no high risk criteria present
- Refer to Hospital Matrix & transport as appropriate
- High Risk Criteria:
- Injury Criteria:
-
Abnormal vital signs:
-
Older Adult >65
- Abnormal vital signs:
– Heart rate: < 50 or > 120
Is there an older vital sign abnormality (including a reduction of GCS with falls from standing)?
– Respiratory rate: < 10 or > 29
– Systolic Blood Pressure: < 120mmHg
– SpO2 (RA): < 94%
– GCS: < 14 (or one point below baseline)
-
Yes, there is an older vital sign abnormality .
- Is the patient within 45mins of transport time from a Major Trauma Centre?
-
Yes, the patient is within 45mins of a Major Trauma Centre
-
Transport the patient to a Major Trauma Centre
-
-
No, the patient is not within 45mins of a Major Trauma Centre
- Is the patient within 45mins of a metropolitan trauma hospital (QE2, FSH)?
-
Yes, the patient is within 45mins of a metropolitan trauma hospital (QE2, FSH)
-
Refer to Hospital Matrix & transport as appropriate
-
-
No, the patient is not within 45mins of a metropolitan trauma hospital (QE2, FSH)
- Make contact with CSPSOC and transport to appropriate hospital
-
No, there is no older vital sign abnormality .
- Injury Criteria:
– Suspicion of multiple rib #’s, severe pain, restraint abrasion/contusion, evidence of blunt impact
Does the patient have any specific injuries meeting potential Major Trauma Criteria?
– Significant injuries involving more than one body region
– Two or more proximal long bone fractures
– Amputation / crush Injury proximal to hand and foot
– Crushed, de-gloved or mangled limb or extreme open fracture
– Suspected spinal fracture and/or spinal cord injury
– Suspected open and/or depressed skull fracture
– Suspected fractured pelvis (excluding isolated # NOF)
– Penetrating Injuries to the head, neck, chest, abdomen, pelvis, axilla, or groin -
Yes, the patient has injuries that meet potential Major Trauma Criteria
- Is the patient within 45mins of transport time from a Major Trauma Centre?
-
Yes, the patient is within 45mins of a Major Trauma Centre
-
Transport the patient to a Major Trauma Centre
-
-
No, the patient is not within 45mins of a Major Trauma Centre
- Is the patient within 45mins of a metropolitan trauma hospital (QE2, FSH)?
-
Yes, the patient is within 45mins of a metropolitan trauma hospital (QE2, FSH)
-
Refer to Hospital Matrix & transport as appropriate
-
-
No, patient is not within 45mins of a metropolitan trauma hospital (QE2, FSH)
- Make contact with CSPSOC and transport to appropriate hospital
-
No, the patient does not have injuries that meet potential Major Trauma Criteria
- High Risk Criteria:
– Fatality on scene whereby the patient was in the same vehicle
Are there any high risk criteria (mechanism & personal)?
– MBA > 30 km/h with injuries
– MVA > 60 km/h with injuries
– Partial or complete ejection
– Fall > 3 meters
– Pedestrian or cyclist with speed impact > 25km/h
– Patient entrapment with compression
– Cabin intrusion (> 30 cm occupants side or >45 cm any side)
– Explosion
– Heightened clinical consideration for significant mechanism, in presence of multiple comorbidities or anticoagulation therapy -
Yes, there is high risk criteria present.
- Is the patient within 45mins of transport time from a Major Trauma Centre?
-
Yes, the patient is within 45mins of a Major Trauma Centre
-
Transport the patient to a Major Trauma Centre
-
-
No, the patient is not within 45mins of a Major Trauma Centre
- Is the patient within 45mins of a metropolitan trauma hospital (QE2, FSH)?
-
Yes, the patient is within 45mins of a metropolitan trauma hospital (QE2, FSH)
-
Refer to Hospital Matrix & transport as appropriate
-
-
No, patient is not within 45mins of a metropolitan trauma hospital (QE2, FSH)
- Make contact with CSPSOC and transport to appropriate hospital
-
No, there is no high risk criteria present
- Head Injury Criteria:
History of head strike, and any of the following:
Is there any Head Injury criteria present?
– Unequal pupils
– Blurred vision
– Severe or persistent headache
– Nausea or vomiting
– Change in neurological status
– On anticoagulant therapy -
Yes, there is Head Injury Criteria present
-
Older adults can have a blunted response to trauma even if no other criteria are met; advocate to transport to an ED.
-
-
No, there is no Head Injury Criteria present
- Refer to Hospital Matrix & transport as appropriate
- Head Injury Criteria:
- High Risk Criteria:
- Injury Criteria:
- Abnormal vital signs:
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