Vital signs and level of consciousness |
GCS <14 |
Shock (compensated or uncompensated)* |
RR lower or higher than normal for age¶ |
Anatomy of injury |
Airway trauma with respiratory distress, anterior neck tenderness, or deformity |
Chest trauma with persistent tachycardia, chest tenderness, or deformity with respiratory distress |
Abdominal tenderness or distension with persistent tachycardia |
Pelvic fracture |
Two or more proximal long-bone fractures |
Amputation proximal to wrist or ankle |
Crushed, mangled, or degloved extremity |
Open or depressed skull fracture |
Paralysis |
Penetrating trauma to head, neck, chest, abdomen, or proximal extremities |
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