/sebin/v/s/HealthLibrary.jpg
bookmark icon Bookmarkprinter iconPrinte-mail icon

Residents Corner

Faculty Corner

Make a Gift

Make a Gift




/sebin/u/t/blankblue.gif

Department of Pediatrics : Academic Divisions : Emergency Medicine : Resident Manual : Trauma : Guidelines for Activitating Pediatric Trauma Team

Activation Criteria:

The 1-West attending and charge nurse will determine the need to activate a pediatric trauma alert (per Trauma 1 or 2 activation criteria listed below). The Trauma 1 patients will be managed in the 1-West trauma bay with the surgical team, Peds ED attending and resident. Trauma 2 patients will be managed in the Peds ED.

Trauma 1 Criteria:

Pediatric Trauma STAT to 1-West should be called for pediatric patients aged 0-16 (less than 17years) with the following history:

  1. Unstable vital signs, including:

    • Respiratory Rate

      • < 10 all ages
      • > 60 infant
      • > 40 child (1-12 yrs)
      • > 30 adolescent
    • Systolic Blood Pressure

      • < 70 infant
      • > 70 + (2 X age) children
      • > 90 adolescent
    • Glasgow Coma Scale < 10
  2. Anatomic

    • Unstable Airway
    • Flail chest/suspected pneumothorax or hemothorax
    • Suspected spinal cord injury
    • >= 2 long bone fractures
    • Traumatic amputation
    • Penetrating injury to head, torso, groin, or proximal to elbows/knees
    • Major vascular injury
    • Burns > 30%
    • Inhalation injury with respiratory distress

Trauma 2 Criteria:

Pediatric Trauma STAT to Peds ED should be called for pediatric patients 0-17 years (< 18) with the following history:

  • Helicopter scene call
  • Occupant in motor vehicle accident if
    • vehicle rollover
    • passenger ejection from vehicle
  • Pedestrian hit by car/motorcycle > five mph
  • Falls > 10 feet

Urgent Pediatric Trauma Consultation is mandatory if Trauma Alert is not called and these criteria apply:

  1. Physiologic
    • GCS < 12
  2. Anatomic
    • Abdominal pain following blunt trauma
    • Seat belt ecchymosis
    • Open long-bone fracture
  3. Historical
    • MVA occupant in vehicle in which another passenger died
    • MVA occupant in vehicle with significant deformity on passenger side
    • Gunshot wound
       

Back | Next