Hi John

Below is the criteria for warning hospitals in Sussex which was last
ammended in Jan 96. Hope this helps in some way.


Sussex - Warn Hospital if indicated
Communications are vital. Advise the receiving AEU by emergency radio
telephone if you are transporting a seriously injured patient. This will
give them time to summon a Trauma Team and prepare.
Tell them:
1. Age
2. Sex
3. History (including mechanism of injury eg fall, RTA etc)
4. Injuries (obvious and then suspected)
5. Condition (GCS, Respirations, BP & T/S)
6. ETA
If the patietn is trapped then give the estimated time of entrapment. If
anyone is expected to be trapped for more than one hour, inform the hospital
ASAP. A doctor may attend the scene to assess further requirements.

Criteria for warning hospital:
Any patient for whom BOTH A and B are true.
A. Trauma score of less than 12
B. ANY of the following cases of any roups:
1.     Age less than one year
        or over 65 years
2. Mechanism of injury
Falls of 20 feets or more (inclusive of patient height)
Ejection of patient from vehicle
Rollover of vehicle
Death of same car occupant
Prolonged extrication (more than 30 minutes)
Rearward displacement of front axle
30 degree deformity of car
Impact greater than 20mph without restraint or 30 mph with restraint
Passenger compartment intrusion 18 inches on patient side or 24 inches on
opposite side
Pedestrian hit at 20 mph or more
Immersion
Victim in close proximity to blast

3. Type of injury
Penetrating injury to chest, abdomen, head, neck or groin
Two or more proximal long bone fractures
Burns with risk of inhalation
Flail chest
Amputation
Spinal cord or head injury with numbness, tinglingm changes in mental status
or unequa pupils.

These are the minimum criteria. If there is any other case which gives cause
for concern - inform the hospital.

Mike Bjarkoy
Paramedic
Sussex



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