Transfer to a trauma center should be considered for significant isolated injuries or if certain combinations of injuries occur. Injuries of more than one organ system can be associated with significant mortality, even if the separate injuries are only of moderate severity.
Single Injuries That May Warrant Transfer
System |
Injury |
neurological |
open head injuries |
|
loss of consciousness with Glasgow Coma score <= 6 or deteriorating |
|
lateralizing signs |
|
paralysis of any limb |
|
neck injuries with potential for cord injury |
chest |
unstable chest injuries |
|
gunshot wound to chest |
|
knife wounds between nipples |
abdomen |
penetrating abdominal injury |
|
suspected blunt injury to abdomen |
fractures |
multiple or severely compound fractures |
|
pelvic injuries |
|
severe maxillofacial fractures |
soft tissue |
widespread crush injuries |
|
avulsion type injuries |
|
amputations |
|
degloving type injuries |
Multiple injuries that may warrant transfer:
(1) chest and abdomen
(2) chest and pelvic
(3) chest and CNS
(4) CNS and abdomen
(5) CNS and pelvic
Specialty: Surgery, orthopedic, Emergency Medicine, Critical Care, Surgery, general
ICD-10: ,