1
Q
Trauma time critical guidelines
(Adult)
Vitals
Specific injuries
Mechanism
A
Vitals HR <60 or >120 RR <10 or >30 SBP <90 Spo2 <90% GCS- if >16 years GCS <13 If <15 years GCS <15
NO- assess for specific injuries
YES- if isolated reduction in GCS >65 YO fall <1 metre —-> YES tx to neurosurgical hospital
___> NO Tx to trauma centre within 45 mins
Injuries that meet time critical
- All penetrating
- Blunt injuries- serious injures needing specialist intervention
- significant injuries involving more than one body region
- limb amputation/threatening injury
- ?spinal injuries/#
- burns >20% TBSA (10% if <15yr) OR suspected respiratory tract burns.
