Table 1

Institutional major and minor trauma team activation and TR criteria

Major trauma activation criteriaMinor trauma activation criteriaTrauma resource criteria
GCS score <13Ejection from/off a vehicleEMS provider judgment
SBP <90Vehicle roll-over with unrestrained patientAge <5 or >55 years
Respiratory rate <10 or >29Death in the same passenger compartmentPregnancy >20 weeks
Respiratory compromising or in need of emergent airwayAuto vs. bicyclist/pedestrian thrown, run over, or with significant >20 mph impactBleeding disorders
Respiratory compromising or in need of emergent airwayFall >3 times the patient’s height or >15 feetAnticoagulant or antiplatelet agent use (exception: aspirin)
Intubated patients transferred from the sceneExposure to blast or explosionSevere cardiac and/or respiratory disease
Possible airway compromiseMotorcycle crash >20 mph: ED physician or MICN judgmentLoss of consciousness
All penetrating injuries to the head, neck, torso or extremities proximal to the elbow/kneeAmputations proximal to wrist/ankleEnd-stage renal disease requiring dialysis
Two or more proximal long bone fracturesSuspected pelvic fracturesExtrication time >20 min
CombativeLimb paralysisIntrusion into occupied passenger space >12 inch frontal
Transfer patients receiving blood to maintain vital signsCrush injury, degloved or mangled extremityIntrusion into occupied passenger space >8 inch side
Flail chestNeurologic or vascular deficit to extremities
Combination of trauma with burns
Child abuse: known or suspected with significant injury
  • ED, emergency department; EMS, emergency medical service; GCS, Glasgow Coma Scale; SBP, systolic blood pressure; TR, trauma resource.