Prehospital Trauma Triage Decision Guidelines. "The following trauma triage guidelines are provided to assist in determining the disposition of adult trauma patients. These guidelines are intended to be utilized in conjunction with clinical judgment. It is understood that these are guidelines only and are to be used whenever possible in communication with a base station physician." Reference: New Jersey Department of Health & Senior Services. Trauma triage & transport. Trenton: New Jersey Department of Health & Senior Services; 1992. See also:

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Copyright Holder:
State of New Jersey, Department of Health
Uploaded on:

May 28, 2018

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Creative Commons BY-NC 3.0
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29891_New Jersey Standard Adult Trauma Triage Guidelines

New Jersey Standard Adult Trauma Triage Guidelines

Step 1: Physiology
Glasgow Coma Score ≤12 or AVPU = P or U
Systolic Blood Pressure < 90
Pulse < 60/min or > 130/min
Respiration < 10/min or > 29/min
Step II: Anatomy
Penetrating injuries (ex., gunshot/stab wounds) to head, neck, torso, extremities (above the elbow and knee)
Flail chest
Fractures - more than one involving humerus and/or femur
Pelvic fractures
Paralysis or evidence of spinal cord injury
Amputation above wrist or ankle
Burns when combined with other major injuries
High voltage electrical injury
Step III: Mechanism of injury
Ejection from motor vehicle
Extrication time > 20 minutes with an injury
Falls > 20 feet
Unrestrained passenger in vehicle roll over
Pedestrian, motorcyclist, or pedalcyclist thrown or run over

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