|
| Urgent trauma team activation | Nonurgent trauma team activation |
|
| Need for airway management (with significant mechanism or difficult airway) | Traumatic intracranial bleed or basilar skull fracture |
|
| Systolic BP < 90 in the ED | GCS < 10 in the ED (excluding MVC mechanism) |
|
| Penetrating injury to the head, neck, or trunk | Evidence of spinal cord injury |
|
| Mangled extremity or amputation above wrist or ankle | Unstable spinal cord injury |
|
| Need for blood transfusion in the resuscitation bay | Wide mediastinum with a significant mechanism of injury |
|
| Paralysis | Blunt abdominal trauma with tenderness |
|
| Burn >20% body surface area | Significant injury to a single system: |
| (i) Solid organ injury on CT scan |
| (ii) Flail chest or multiple rib fractures |
|
| Trauma transfer accepted by TTL (at their discretion) | Injuries to two or more body regions |
|
| ED physician may activate the trauma team at their discretion | Pelvic fractures |
| (i) Based on their initial assessment |
| (ii) If they are unable to attend to the trauma patient due to increased workload in the resuscitation bay |
|
| | Femoral fractures (except isolated hip fractures) |
| | Proximal extremity gunshot wounds |
| | Pregnant trauma patient at >20 weeks’ gestational age |
| | Thoracoabdominal injury with an expected need for admission |
| | ED physician may also consult the trauma team at their discretion |
|
