| Significant blunt trauma | ||
| Vital threat | Airway | Airway obstruction |
| Breathing | Insufficient breathing | |
| Cyanotic | ||
| Circulation | Pulse >140 bpm | |
| Blood pressure <90 mm Hg | ||
| Absent refill | ||
| External blood loss >500 cc | ||
| Disability | GCS ⩽12 | |
| Dilated/fixed pupil | ||
| General | RTS ⩽12 | |
| PTS ⩽9 | ||
| Specific injury | Fracture of more than two long bones | Clinical flail chest |
| Unstable pelvic fracture | Femur fracture | |
| Open fracture of long bone | Spinal cord lesion | |
| Fall | >3 m height | |
| Traffic | (Motor)-bike | >30 km/h |
| Car | >30 km/h without restraints/>50 km/h | |
| Rollover | ||
| Ejection from car | ||
| Deceased/severely injured passenger in same car | ||
| Car deformation | ||
| Motor/wheel in passenger compartment | ||
| Frontal axis displacement | ||
| Steering column displacement | ||
| Impact damage windshield | ||
| Blood/hair on rear-view mirror | ||
| Pedestrian vs car | >30 km/h | |
| Bike | >30 km/h | |
ATLS, advanced trauma life support; GCS, Glasgow coma scale score; PTS, paediatric trauma score; RTS, revised trauma score.