From: Temperature measurements in trauma patients: is the ear the key to the core?
Physiologic and anatomic criteria (PA) |
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• Airway obstruction • Respiratory rate > 29 or < 10 • Systolic blood pressure < 90 mmHg • Glasgow Coma Scale < 14 and one criteria of mechanism of injury (MOI) • Severe injury to two or more organ systems • Severe haemorrhage • Flail-chest • Dislocated pelvic injury • Fracture to two or more long bones • Penetrating injury proximal to knee/elbow • Traumatic neurological injury • Crush-injury/amputation proximal to wrist/ankle • Burns BSA > 15% in adults and > 10 % in children • Increased airway obstruction • Increased abnormal respiration • Increased cyanosis |
Mechanisms of injury (MOI) |
• Ejection from vehicle • Injury caused by electricity • Pedestrian run over or thrown over vehicle at impact • Children hit by vehicle > 30 km/h • Fall > 5 meters, adults • Fall > 3 meters, children • Fatality in same vehicle • Entrapment • Roll-over • Vehicle speed > 60 km/h • Vehicle compartment compressed > 30 cm or substantial deformation • Entrapment in avalanche • Hypothermia |
Hospital transfer |
• Transfer from other hospitals within < 24 hours of injury |