Northern Ireland Major Trauma Network

Draft 4 / 15/5/17/ D Redmill

Major Trauma Triage Tool

The Adult (>=14 years) Step 1  Glasgow Coma Score ≤12 Major Trauma Centre in  Systolic blood pressure <90 YES to any Northern Ireland is at Assess vital signs  Respiratory rate <10 >29 Convey to major the Royal Victoria and level of  OR abnormal paediatric value, see JRCALC trauma centre Hospital. consciousness pocket book 

 Severe Chest injury with altered physiology (eg

as soon as You can contact the Flail chest, open pneumothorax) RVH ED consultant in Step 2  Traumatic amputation proximal to wrist/ankle charge at 02890634990  Penetrating trauma to neck, chest, abdomen, back YES to any Assess anatomy or groin Convey to major  Suspected open and/or depressed skull fracture trauma centre of injury  Suspected pelvic fracture centre If you can reach the Spinal trauma with abnormal neurology  MTC within 60 mins it is  Trauma along with facial and/or circumferential expected that will be burns / Burns >20% your destination. If your travel time is greater than 60 mins to the MTC practicable Step 3  Traumatic death in same passenger compartment then it is expected you YES to any  Falls > x2 body height should travel to the Consider transfer to Evaluate  Person trapped under vehicle nearest Trauma mechanism of major trauma centre  Bullseye window and/or damage to the ‘A’ post of Receiving hospital. injury hospital Receiving Trauma vehicle

In the event of airway compromise or Patients who have sustained trauma but do not fit catastrophic Step 4 any of the criteria above.

haemorrhage consider YES to any the Contact If there are concerns regarding special diverting patient to Assess special Consider transfer to circumstances contact ED Consultant RVH nearest level 1 ED. patient or system- major trauma centre consideration 02890634990