La. Admin. Code tit. 48 § I-19113
Call LERN Communications Center for: |
* Unmanageable Airway |
* Tension Pneumothorax |
* Traumatic cardiac arrest |
* Burn Patient without patent airway |
* Burn patient >40 percent BSA without IV |
Physiologic |
* GCS <14 |
* SBP <90 (adults and >9 y/o) |
<70 + 2 [age (yrs)] (age 1 to 8 y/o) |
<70 (age 1 to 12 months) |
<60 (term neonate) |
* RR <10 or >29 (adults & >=9 y/o) |
<15 or >30 (age 1 to 8 y/o) |
<25 or >50 (<12 m/o) |
Anatomic |
* Open or depressed skull fractures |
* Open head injury with or without CSF leak |
* Lateralizing signs or paralysis (i.e., one-sided weakness, motor, or sensory deficit) |
* All penetrating injuries to head, neck, torso, and extremities proximal to elbow and knee |
* Flail Chest |
* 2 or more proximal long-bone fractures |
* Crush, degloved or mangled extremity |
* Amputation proximal to wrist and ankle |
* Pelvic Fractures |
* Hip Fractures (hip tenderness, deformity, lateral deviation of foot) excluding isolated hip fractures from same level falls |
* Major joint dislocations (hip, knee, ankle, elbow) |
* Open Fractures |
* Fractures with neurovascular compromise (decreased peripheral |
Call LERN Communications Center for: |
Mechanism |
* Falls >20 ft. adults |
>10 ft. (child) or 2 to 3 times height |
* Auto vs. pedestrian/bicyclist thrown, run over or significant |
(>20 MPH) impact |
* Motorcycle crash >20 MPH |
* High-risk auto crash |
* Intrusion >12 in, occupant site |
>18 in. any site |
* Ejection, partial or complete from automobile |
* Death in same passenger compartment |
Other |
* Pregnancy >20 weeks |
* Burns (follow ABA guidelines) |
* Age >=55 y/o or <8 y/o |
* Anticoagulation and bleeding disorders |
* End stage renal disease |
* Transplant patients |
Multi/Mass Casualty Incident (MCI) |
LERN Destination Protocol: Trauma | ||
* Unmanageable Airway | YES [RIGHTWARDS ARROW] | Closest ED |
* Tension Pneumothorax | ||
* Traumatic cardiac arrest | ||
* Burn patient without patent airway | ||
* Burn patient >40 percent BSA without IV | ||
Physiologic | ||
* GCS < 14 | YES [RIGHTWARDS ARROW] | LERN Level I, II, or III |
* SBP <90 (adults and >9 y/o) | ||
<70 + 2 [age (yrs)] (age 1 to 8) | ||
<70 (age 1 to 12 months) | ||
<60 (term neonate) | ||
* RR <10 or >29 (adults and >9 y/o) | ||
<15 or >30 (age 1 to 8) | ||
<25 or >50 (<12 m/o) | ||
Anatomic | ||
* Open or depressed skull fractures | YES [RIGHTWARDS ARROW] | LERN Level I, II, or III |
* Open head injury with or without CSF leak | ||
* Lateralizing signs or paralysis (i.e., one-sided weakness, motor, or sensory deficit) | ||
* All penetrating injuries to neck, torso and extremities proximal to elbow and knee | ||
* Flail Chest | ||
* 2 or more proximal long-bone fractures | ||
* Crush, degloved or mangled extremity | ||
* Amputation proximal to wrist and ankle | ||
* Pelvic Fracture | ||
* Hip fractures (hip tenderness, deformity, lateral deviation of foot) excluding isolated hip fractures from same level falls | ||
* Major joint dislocations (hip, knee, ankle, elbow) | ||
* Open Fractures | ||
* Fractures with neurovascular compromise (decreased peripheral pulses or prolonged capillary refill, motor or sensory deficits distal to fracture | ||
LERN Destination Protocol: Trauma | ||
Mechanism | ||
[] Falls >20 ft. (adults) | YES [RIGHTWARDS ARROW] | LERN Level II, or III |
>10 ft. (child) or 2 to 3 times height | ||
[] High -risk auto crash | ||
Intrusion >12 in. occupant site: | ||
>18 in. any site | ||
[] Ejection, partial or complete from automobile | ||
[] Death in same passenger compartment | ||
[] Auto vs. pedestrian/bicyclist thrown, run over or significant (>20 MPH) impact | ||
[] Motorcycle crash >20 MPH | ||
Other | ||
* Pregnancy >20 weeks | YES [RIGHTWARDS ARROW] | LERN Level II, |
* Burns (follow ABA guidelines) | ||
* Age >55 y/o or <8 y/o * Anticoagulation and bleeding disorders | ||
* End stage renal disease | ||
* Transplant patients | ||
MULTI/MASS CASUALTY INCIDENT (MCI) | YES [RIGHTWARDS ARROW] | LERN Level I, II, III, or IV |
La. Admin. Code tit. 48, § I-19113