|
Overview :
The New Jersey
standard triage criteria can be used to identify trauma patients who should be
transferred to a trauma center.
Parameters used
for triage process:
(1)
physiologic
• Glasgow coma
score
• systolic blood
pressure
• heart rate
• respiratory rate
(2)
anatomic
• penetrating
injury
• flail chest
• long bone
fractures
• pelvic fracture
• spinal cord
injury
• major amputation
• serious burn or electrical
injury
(3)
mechanistic
• motor vehicle crash with
ejection
• extrication time from motor vehicle
crash
• motor vehicle crash with
rollover
• fall
• pedestrian or cyclist
injury
|
Parameter |
Finding |
Points |
|
Glasgow
coma score |
>
12 |
0 |
|
|
<=
12 |
1 |
|
systolic
blood pressure |
>=
90 |
0 |
|
|
<=
89 |
1 |
|
heart
rate |
<
60 |
1 |
|
|
60 –
130 |
0 |
|
|
>
130 |
1 |
|
respiratory
rate |
< 10
breaths per minute |
1 |
|
|
10 – 29
breaths per minute |
0 |
|
|
> 29
breaths per minute |
1 |
|
penetrating injury to head, neck
and/or trunk |
absent |
0 |
|
|
present |
1 |
|
flail
chest |
absent |
0 |
|
|
present |
1 |
|
long bone
fractures |
0 to
1 |
0 |
|
|
>
1 |
1 |
|
pelvic
fracture |
absent |
0 |
|
|
present |
1 |
|
spinal
cord injury |
absent |
0 |
|
|
present |
1 |
|
major
amputation |
absent |
0 |
|
|
present |
1 |
|
serious
burn |
absent |
0 |
|
|
present |
1 |
|
serious
electrical injury |
absent |
0 |
|
|
present |
1 |
|
motor
vehicle crash |
ejected |
1 |
|
|
not
ejected |
0 |
|
extraction
time from motor vehicle crash |
0 to 20
minutes |
0 |
|
|
> 20
minutes |
1 |
|
motor
vehicle crash with rollover |
restrained |
0 |
|
|
unrestrained |
1 |
|
fall |
<= 20
feet |
0 |
|
|
> 20
feet |
1 |
|
pedestrian
or cyclist injury from being thrown or run over |
absent |
0 |
|
|
present |
1 |
from Table 1,
page 657
number of items
present =
= SUM(points for
parameters)
Interpretation:
• minimum score:
0
• theoretical
maximum score: 16, but practically probably 12
• The presence
of one or more of these injuries would prompt referral to a trauma
center.
| References: | |
Lavery RF, Livingston DH, et al. The
utility of venous lactate to triage injured patients in the trauma center. J Am
Coll Surg. 2000; 190: 656-664.
|
|
|