ADULT TRAUMA ALERT ACTIVATION CHECKLIST	(click HERE for printable version)

I.	Request by pre-hospital personnel in transit
	A.   All Inter-Facility "Trauma Transfers"
	B.   All Helicopters with "Trauma Mechanism"

II.	Patients with the following vital signs:

	A.   Glasgow Coma Score 			<13 or	
	B.   Systolic Blood Pressure 			<90 or	
	C.   Respiratory Rate 			<10 or >29  or	
	D.   Revised Trauma Score			 <11	
	E.   Pediatric Trauma Score			 <9	

III.	Anatomy of injury:				
	A.   All penetrating injuries to the head, neck, torso, or 				
	      extremities proximal to the elbow or knee	
	B.   Flail Chest
	C.   Burns >20% total body surface area (TBSA)
	D.   Combination trauma with burn >10% TBSA
	E.   Inhalation Injury	
	F.   Limb paralysis

IV.	Mechanism of Injury:
	A.   Ejection from the vehicle  
	B.   Explosions	
	C.   High tension electrical injury/lightening
	D.   Jumping from a bridge

V.	MercyTACC/Physician Request:
	If MercyTACC staff feel that a trauma alert is needed,
	but does not meet the above criteria, they should 
	consult with the medical command physician and 
	do as they decide.

ADULT INTERNAL ALERT CHECKLIST

VI.	Mechanism of injury:				
	A.   Death in same passenger compartment				
	B.   Extrication time >20 minutes				
	C.   Roll-over				
	D.   High speed crash				
	        1) Initial speed > 40mph				
	        2) Velocity change >20 mph				
	        3) Auto deformity >20"				
	        4) Intrusion into passenger compartment >12"				
	E.   Motorcycle crash >20mph with separation				
	F.   All sled, bicycle, ATV, and snowmobile accidents				
		(w/hx of altered mental status or unstable vital signs)				
	G.   Falls >20 feet				
	H.   Hypothermia				
	I.    Trauma patient <5 or >55 years old				
		(w/hx of altered mental status or unstable vital signs)				
	J.   Trauma patients w/ cardiac or resp. hx 				
	       and complaint of chest pain or S.O.B.				
	K.   Trauma patients with bleeding disorder or currently 				
		taking coumadin or aspirin			
	L.   Transport by helicopter (MEDICAL PATIENTS)				
	M.   Drowning/Near Drowning  				
					
	VII.   Cardiac Arrest				
						
	VIII.  Hemodynamic Instability 				
		Adults:12 y/o BP <90 and Pulse > 120			

	IX.  Airway Compromise				
		Patients who are intubated, or respiring > 35/min or 				
		<10/min, or cyanotic, or pulse ox <88, or 				
		assisted ventilation.				

	      * The Adult Trauma Alert criteria will be used*					
            for patients 12 years of age and older.

				4/21/2001