Orange County EMS System

Trauma

Trauma Transportation

Dispatch / Joint Response / Mutual Aid Procedures: Each agency has individual Standard Operating Guidelines (SOG’s) pertaining to dispatch, joint response and mutual aid. The filing of these procedures with the State is the responsibility of each agency at the time of licensure renewal.

Adult & Pediatric Trauma Alert Procedure: • Assess the trauma patient and determine the need for transportation to the State Approved Trauma Center (SATC) using the adult or pediatric trauma criteria: • A "Trauma Alert" is to be initiated immediately when an adult or pediatric trauma patient is determined to meet the adult or pediatric trauma alert criteria • Patients meeting Trauma Alert criteria will be transported to the nearest available SATC • All Trauma Alert patients < 15 years of age will be transported to the Level I Pediatric Trauma Center at Arnold Palmer Children’s Hospital Trauma • Once a Trauma Alert has been initiated, contact the receiving facility and provide initial notification that a Trauma Alert patient will be transported, or is en route: • Give agency name and unit number, paramedic/EMT number, incident location, brief description of injury and estimated time of arrival • Be specific as to the State Trauma Alert Criteria that has been met when possible • Use the term "Trauma Alert" to avoid any confusion • Per FAC 64J.2002(5), once a trauma alert is declared it may not be downgraded • When en route, the transporting crew will re-contact the SATC and provide a full radio report, as outlined in the Radio Report Format section • The transporting agency will provide a completed Patient Care Report to the hospital staff upon delivery of patient to the SATC, or other appropriate facility • All medical care will be provided in accordance with condition specific protocols or Medical Control orders • Trauma Alert patients may also be transported to the nearest emergency department (other than a State Approved Trauma Center) when the following conditions exist: • Cardiac arrest on initial patient assessment following trauma • Unmanageable airway emergencies • Logistical failures that make transport to SATC impossible

Transport Mode • The route (air or ground) that enables the patient to arrive at the trauma center in the shortest time shall be used • Traumatic cardiac arrest is a contraindication to initiating helicopter transport • An exception to this principle is when the arrest occurs during the transition of the patient to the helicopter (this may include transport in a ground unit to the landing zone)

Contact Medical Control for Additional Orders if Needed Authorization Date: 8/1/2019 71 Orange County EMS System

Trauma

Central Florida State Approved Trauma Centers Orlando Regional Medical Center Level I Orlando Arnold Palmer Children's Hospital Level I Pediatric Orlando UF/Shands Health Care Level I Gainesville Tampa General Hospital Level I Tampa Central Florida Regional Hospital Level II Sanford Osceola Regional Medical Center Level II Kissimmee Lakeland Regional Medical Center Level II Lakeland Holmes Regional Medical Center Level II Melbourne Halifax Medical Center Level II Daytona

Emergency Interfacility Transfer of Trauma Victims

Patients may occasionally require emergency interfacility transfer from an outlying hospital to a State Approved Trauma Center (SATC). The decision to initiate this level of interfacility transfer is made by the treating physician at the outlying hospital, in coordination with the accepting physician at the SATC.

Trauma When this scenario arises, adhere to the following: • Assess the patient upon arrival, but avoid unnecessary delays in transport • Transport to the facility at which a physician has accepted the patient; it is the transferring hospitals responsibility to assure the receiving center has accepted the patient • If EMS crew members have not received training on, and/or are not capable of managing, devices or medications that must be continued during transport, an adequately trained care provider from the transferring facility must accompany the patient during transport

Contact Medical Control for Additional Orders if Needed 72 Authorization Date: 8/1/2019