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List of Triggers for Ordering the "Standard Trauma Imaging Protocol"

  • MVA: speeds >50km/h
  • Falls: heights >10 feet
  • Assaults: GCS <13
  • Stabbings: through the peritoneum
  • Pedestrian struck: thrown >10 feet
Trauma activations
  • Shock with BP <90 systolic
  • Intubated patient
  • Airway distress
  • Respiratory distress with rate <10 or >25
  • GCS ≤8
  • Penetrating trauma to head, neck, torso
  • Major pediatric trauma
  • Amputations proximal to hand or foot
  • Evidence of spinal cord injury
Trauma consults:
  • All patients requiring admission from trauma that have a significant mechanism (i.e. falls >3 feet in height, major deceleration injuries, pedestrian struck, explosions, etc.)
  • This includes:
    • All traumatic head injuries requiring admission
    • All traumatic spinal injuries requiring admission
    • All orthopedic fractures requiring admission that are caused by a significant mechanism (i.e. not falls from standing like a fractured hip, not isolated sports injuries like a fractured wrist or femur)
    • All patients with multiple rib fractures requiring admission, especially if there is a hemothorax or pneumothorax
    • All patients with fractured mandible requiring admission
    • All patients with suspected or known intra-abdominal injury from trauma i.e. hemoperitoneum, solid organ injury, bladder injury, etc.
    • Hangings
    • Drownings
    • Burns >20% surface area or significant electrical burns
    • All penetrating extremity trauma with possible vascular or neurologic injury
SOURCE: List of Triggers for Ordering the "Standard Trauma Imaging Protocol" ( )
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