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 Release 22.0, Sept. 2008
 
The Medical Algorithms Project
Chapter : ch29. Trauma & Emergency Medicine Section : Triage of the Trauma Patient
  Specific Injuries Identified During Field Categorization Warranting Transfer to a Trauma Center

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Overview :

Transfer to a trauma center should be considered for significant isolated injuries or if certain combinations of injuries occur. Injuries of more than one organ system can be associated with significant mortality, even if the separate injuries are only of moderate severity.

 

Single Injuries That May Warrant Transfer

 

System

Injury

neurological

open head injuries

 

loss of consciousness with Glasgow Coma score <= 6 or deteriorating

 

lateralizing signs

 

paralysis of any limb

 

neck injuries with potential for cord injury

chest

unstable chest injuries

 

gunshot wound to chest

 

knife wounds between nipples

abdomen

penetrating abdominal injury

 

suspected blunt injury to abdomen

fractures

multiple or severely compound fractures

 

pelvic injuries

 

severe maxillofacial fractures

soft tissue

widespread crush injuries

 

avulsion type injuries

 

amputations

 

degloving type injuries

 

Multiple injuries that may warrant transfer:

(1) chest and abdomen

(2) chest and pelvic

(3) chest and CNS

(4) CNS and abdomen

(5) CNS and pelvic

 

  References:

American College of Surgeons Committee on Trauma. Field categorization of trauma patients and hospital trauma index. Bulletin of the American College of Surgeons. 1980 (February): 65: 28-33.

 

 
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