TRAUMA TEAM ACTIVATION
A two tiered trauma team call out system is used:
- If any of the absolute criteria are met the trauma team should be activated.
- If none of the absolute criteria are present and any historical criteria are
present, the patient should undergo a primary survey on arrival.
- If any Absolute Criteria are detected on primary survey, the Trauma Team
should be notified and Triaged Category 1.
If none of the listed examination findings are present, the
trauma team should not be activated and the patient triaged to whichever category is
considered to be appropriate.
Trauma Team Call-out maybe initiated by:
- the Ambulance Service
- the Triage Nurse
- the examining doctor in the Emergency Department
A trauma team call out is activated by ringing Switchboard on
1 Respiratory Distress
- respiratory rate < 9 or > 30
- difficulty breathing
- SpO2 < 90 on air
- pale, cool or clammy skin
- HR < 50 or > 120 per minute (adults)
- BP < 100mmHg systolic (adults)
3. Neurological Abnormality
- altered level of consciousness
- spinal injury with neurological symptoms
4. Other Major Injuries apparent
- severe maxillo-facial injury
- major burns including face/smoke inhalation
- non trivial injuries to 2 or more body regions
- penetrating injury to head, neck or trunk
- unstable pelvic fracture
- any other potentially life or limb-threatening injury
5. Pregnancy >24 weeks
6. 3 or more trauma patients with non trivial injuries
Some centres omit historic call-out criteria.
All patients with any of these historical criteria should
undergo immediate primary survey on arrival and the trauma team activated if any of the
absolute criteria are present.
- MVA at a speed over 60kph
- MBA at a speed over 30kph
- Pedestrian or cyclist hit by a vehicle travelling at a speed greater than 30kph
- MVA in which anyone died or was ejected from the vehicle
- MVA with severe vehicle damage
- Fall further than 5 metres