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TRAUMA TRIAGE GUIDELINES STEP #3 Falls MECHANISM OF INJURY Adults >20 feet; children >10 feet or 2–3x their height High-risk motor vehicle collision Intrusion >12 inches into occupant site or >18 inches anywhere Ejection from vehicle Death in the same passenger compartment Telemetry data consistent with high risk of injury Auto vs. pedestrian/bicycle Motorcycle collision STEP #4 Age Hematologic criteria Burns Renal disease Pregnancy EMS provider judgment Time Patient was thrown, run over, or hit while vehicle traveling >20 mph >20 mph SPECIAL CONSIDERATIONS Greater than 55 y/o increases risk of injury or death Children should be transported to pediatric-capable trauma centers Patients who are anticoagulated or have bleeding disorders With trauma, go to trauma center Without trauma, go to burn center End-stage renal disease requiring dialysis >20 weeks Time-sensitive extremity injury (such as amputation) extremity” has been added to the list of serious injuries under anatomic criteria in Step #2. • Under the mechanism of injury category in Step #3, vehicle telemetry data consistent with a high-speed auto crash was added. This may be important in the upcoming years as more and more vehicles are being installed with elec- tronics that can output this data quickly and reliably. • Falls has been edited to include falls of children >10 ft or 2–3 times their height. • “High-risk” auto crash was changed from “high-speed” and now includes: intrusion >12 inches at occu- pant site, >18 inches at any site, partial or complete ejection or death of another passenger in same compartment. • Auto-pedestrian/auto-bicyclist injury was changed from 5 miles an hour to >20 miles an hour, thrown or run over. Motorcycle crashes were revised to only >20 mph. ™ DISASTER RESPONSE SOLUTIONS, INC. Made by EMTs and Paramedics for EMTs and Paramedics™ Complete MCI Trailers Starting At $14,250. Y Featuring The Bantam™ t "MVNJOVN #PEZ t -&% -JHIUT t 0WFSBMM -FOHUI PG t 8JEUI w w 'FOEFS UP 'FOEFS t 1VMM *U 8JUI B 4NBMM 467 PS 4FEBO Custom Built MCI Trailers - 8’ to 32’ Visit Our Web Site At www.mcitrailers.com t 4QFDJöD 5SBJMFS *OGPSNBUJPO t .PEVMF $POUFOUT BOE 0QUJPOT t /FX %FMJWFSJFT t (SBQIJDT *OGPSNBUJPO t )FMQGVM %FTJHO 5JQT t *$4 BOE .BTT $BTVBMUZ 4VQQMJFT Disaster Response Solutions, Inc. 513-831-4691 sales@mcitrailers.com www.mcitrailers.com For More Information Circle 52 on Reader Service Card EMSWORLD.com | JULY 2011 57 NEW www.rehabtrailers.com Call or e-mail for details. Rehab Trailers! Light in size, but with a Heavy Punch.