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Table 4 An analysis of individual criteria applied for trauma team activation

From: Evaluation of a university hospital trauma team activation protocol

Criteria category Criterion Criterion applied to the patient (no. of patients) Criterion applied to a severely injured patient (ISS>15), (no. of patients) Criterion applied to a patient receiving an emergency procedure (no. of patients)
Vital functions 1. Airway obstruction, stridor 2 2 (100%) 0
  2. Tachypnoe (adults, respiratory rate>30) 11 7 (64%) 6 (55%)
  3. Respiratory rate <10 15 11 (73%) 12 (80%)
  4. Heart rate>130 (adults) 5 4 (80%) 4 (80%)
  5. Systolic BP <90 mmHg 26 23 (88%) 21 (81%)
  6. Lowered level of consciousness (GCS <13) > 5 min 114 65 (57%) 65 (57%)
  7. Convulsions 1 0 0
  8. Dilated or not responding pupils 15 12 (80%) 13 (87%)
Extent of injuries 9. Flail chest 6 3 (50%) 4 (67%)
  10. Unstable fracture of the pelvis 7 5 (71%) 5 (71%)
  11. Fracture in two or more long bones 2 1 (50%) 1 (50%)
  12. Traumatic amputation or crush injury above wrist/ankle 3 3 (100%) 3 (100%)
  13. Injury in two or more body regions (head/neck/chest/abdomen/pelvis/femur/back) 121 46 (38%) 46 (38%)
  14. Paralysis 14 10 (71%) 6 (43%)
  15. Penetrating injury of the head/neck/chest/abdomen/pelvis/groin/back) 6 3 (50%) 4 (67%)
  16. 2. or 3. degree burn injury>15% body surface (children>10%) 1 1 (100%) 1 (100%)
  17. Burn injury with inhalation injury 1 1 (100%) 1 (100%)
  18. Hypothermia (core temperature <32°C) 6 4 (67%) 5 (83%)
Mechanism of injury 19. Ejected from vehicle 9 4 (44%) 4 (44%)
  20. Co passenger dead 6 6 (100%) 5 (83%)
  21. Trapped in wreck 24 11 (46%) 11 (46%)
  22. Pedestrian or cyclist hit by motor vehicle 38 14 (37%) 14 (37%)
  23. Motorcycle accident 37 6 (16%) 7 (19%)
  24. Considerable deformation of vehicle passenger compartment 71 12 (17%) 12 (17%)
  25. Traffic accident with speed>60 km/h 137 26 (19%) 25 (18%)
  26. Fall from >5 m 28 15 (54%) 13 (46%)
  27. Avalanche accident 8 5 (63%) 3 (38%)
  1. ISS: Injury Severity Score, ISS > 15: Severely injured patient, GCS: Glasgow Coma Score
  2. Emergency procedure: endotracheal intubation, chest tube insertion, hemostatic surgery in the abdomen or pelvis, thoracotomy or fracture stabilization
  3. Individual criteria applied for trauma team activation based on prehospital information in potentially severely injured patients admitted at the University Hospital of North Norway Tromsø during 2006-7, n = 382. Each patient may have more than one criterion applied.