CRITERIA | 1. PHYSIOLOGY |
---|---|
1.1 | In need of ventilation support (bag-mask, intubated/attempted intubation) |
1.2 | Respiration Rate < 10/min |
1.3 | Respiration Rate > 29/min (adults) |
1.4 | Saturation (SpO2) < 90% without supplemental oxygena |
1.5 | Pulse Rate > 130/min (in combination with other physiological/anatomical variables)a |
1.6 | Systolic blood pressure < 90 mmHg |
1.7 | GCS ≤ 13 (if significant head injury consider directly to MTC) |
1.8 | Severe hypothermia (< 30 ° C)(when in cardiac arrest consider direct transport to MTC)a |
2. ANATOMICAL INJURY | |
2.1 | Facial injury with potential airway compromisea |
2.2 | Unstable chest wall (flail chest/multiple rib fractures) |
2.3 | Severe external bleedinga |
2.4 | Amputation proximal to ankle/wrist (consider conference with Oslo University Hospital) |
2.5 | Penetrating injury proximal to knee/elbow |
2.6 | Severe crush injury |
2.7 | Bilateral femur fracture |
2.8 | Severe pelvic paina |
2.9 | Suspected spinal cord injury (neurological deficit) |
3. MECHANISM OF INJURY | |
3.1 | Car crash > 70 km/h with seatbelt or triggered airbaga or Car crash > 50 km/ without seatbelt or no triggered airbaga |
3.2 | Vehicle rollovera |
3.3 | Entrapment with compartment intrusiona |
3.4 | Ejection from vehicle |
3.5 | Falls from > 5 m (adults) or > 3 m (children) |
3.6 | Motorcycle crash > 30 km/h |
3.7 | Pedestrian/bicyclist struck by vehicle |
3.8 | Death in same passenger compartment |
4. SPECIAL CAUSES | |
4.1 | Age > 60 yearsa |
4.2 | Age < 5 yearsa |
4.3 | Severe co-morbiditya |
4.4 | Pregnant /gestational age > 20 weeks |
4.5 | Knowledge of active use of anticoagulants or known bleeding disorder |