Here is a simple guideline that we have used here.
Mark P
Admission to Resuscitation Room
Trauma cases
All injured patients who meet any of the following criteria must be
admitted to the resuscitation area.
* Unconscious or significant history of unconsciousness
* RTS less than 12
* GCS less than 13
* Pedestrian hit by car
* Motorcyclist or cyclist (unless accident was stationary or very
low speed)
* Death of anyone in the same compartment
* Fall from a height greater than 10 feet
* Burns of 10% or more
* Inhalation burns
* Fractured shaft femur, or
* More than one long bone fracture
* Possible neck fracture
* More than one body compartment involved
* Penetrating injury to head, chest or abdomen
* Entrapment for more than 20 minutes
* Amputation of a limb
Trauma Team Call
The Trauma Team will be called for the following cases:
Post-traumatic hypoxia (O2 saturation < 92% on air)
Facial injury with airway compromise
Post-traumatic hypotension
Multiple injuries
Head Injury with GCS < 13 in the Emergency Department
Large burns (>15%) - particularly with airway compromise
Bilateral femoral fractures
Significant mechanism of injury (also consider for prolonged entrapment
- but be sensible)
Ambulance service request for Trauma Team
Medical cases
Cardio-respiratory arrest
Airway obstruction
Hypoxia with O2 saturation < 90%
Unconscious
Fitting on arrival
Hypotension
Myocardial Infarction shown on pre-hospital ECG
Paediatric cases
Major Trauma (see above)
Unconscious
Airway obstruction
Fitting on arrival
Severe sepsis (pyrexia, rash, drowsy, meningism)
Subject: Use of the resus room and consultant call in criteria
Does anyone have a simple set of guidelines they use for;
1) which patients should be in resus.
2) When the trauma team should be activated
3) When the consultant should be "called"
One would think common sense would be enough in most cases but we need
to
have something written down for our trust escalation policy.
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