Institutional major and minor trauma team activation and TR criteria
| Major trauma activation criteria | Minor trauma activation criteria | Trauma resource criteria |
| GCS score <13 | Ejection from/off a vehicle | EMS provider judgment |
| SBP <90 | Vehicle roll-over with unrestrained patient | Age <5 or >55 years |
| Respiratory rate <10 or >29 | Death in the same passenger compartment | Pregnancy >20 weeks |
| Respiratory compromising or in need of emergent airway | Auto vs. bicyclist/pedestrian thrown, run over, or with significant >20 mph impact | Bleeding disorders |
| Respiratory compromising or in need of emergent airway | Fall >3 times the patient’s height or >15 feet | Anticoagulant or antiplatelet agent use (exception: aspirin) |
| Intubated patients transferred from the scene | Exposure to blast or explosion | Severe cardiac and/or respiratory disease |
| Possible airway compromise | Motorcycle crash >20 mph: ED physician or MICN judgment | Loss of consciousness |
| All penetrating injuries to the head, neck, torso or extremities proximal to the elbow/knee | Amputations proximal to wrist/ankle | End-stage renal disease requiring dialysis |
| Two or more proximal long bone fractures | Suspected pelvic fractures | Extrication time >20 min |
| Combative | Limb paralysis | Intrusion into occupied passenger space >12 inch frontal |
| Transfer patients receiving blood to maintain vital signs | Crush injury, degloved or mangled extremity | Intrusion into occupied passenger space >8 inch side |
| Flail chest | Neurologic 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.