Patient assessment on admission to ED |
1 Physiological |
(a) Pulse <60 or >100 per minute |
(b) Respiratory rate <10 or >29 per minute |
(c) Systolic blood pressure <90 mm Hg |
(d) Glasgow Coma Score <14 |
2 Anatomical |
(a) Penetrating injury to head, neck, torso, or extremities proximal to elbow or knee |
(b) Flail chest |
(c) Two or more proximal bone fractures |
(d) Pelvic fractures |
(e) Extremity amputation |
3 Mechanism of injury |
1 Ejection from automobile |
2 Death of victim in the same passenger compartment |
3 Fall >20 feet |
4 High speed vehicle crash |
5 Auto versus pedestrian >5 miles per hour |
6 Motorcycle crash >20 miles per hour or separation of rider from bike |