Anatomic region | Mild | Moderate | Severe |
Head | Fall <3 feet or from standing height Blow to head with no LOC and small hematoma | Blow to head with brief LOC Superficial penetrating injury to the scalp (BB gunshot wound) | Blunt head trauma with GCS ≤12 Intracranial penetrating head trauma |
Neck | Restrained passenger of MVC with <20 mph (32 kph) force | Pedestrian hit by a car Bicyclist hit by a car Fall >10 feet or 3x standing height Penetrating injury not deep to the platysma muscle | Blunt neck trauma with palpable stepoff or neurologic deficit Diving injury with neck pain and paresthesias down both arms Penetrating neck trauma deep to the platysma muscle |
Thorax | Punch to chest wall with superficial bruise and normal respirations | Pleuritic pain or significant bony tenderness after blunt trauma | Blunt trauma with hypoxemia or dyspnea Penetrating chest trauma with shock |
Abdomen | Hit in the stomach by a soccer ball kicked by a playmate | Blunt trauma with abdominal tenderness or hematuria Restrained MVC passenger with a contusion from the seat belt Penetrating wound superficial to the peritoneum | Blunt trauma with shock Penetrating trauma deep to the peritoneum |
Extremities | Fall on outstretched hand with no deformity Inverted ankle with lateral malleolar swelling but no deformity | Extremity injury with obvious deformity | Crush injury with pallor and pain Penetrating injury with vascular compromise |
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