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Table 1 New team members of consecutive resuscitation. Trauma team activation criteria in the University Medical Centre Utrecht. GCS, Glasgow coma score; BSA, body surface area

From: Variation of in-hospital trauma team staffing: new resuscitation, new team

Mechanism

 Motor vehicle accident

•Speed over 80 km/h

•Ejection/roll over/trapped

•Unrestrained/fatality

 Motor bicycle

•Any with speed >30 km/h

 Pedestrian/cyclist

•Struck by car or motorcycle/any speed

 Fall

•Adult >3 m and/or 5 stairs

•Elderly on anti-coagulant therapy

•Motor bikes/cycle/water ski

 Horse

•Any horse-related injury

 Assaults

•Shooting

•Stabbing

•Focal blunt head trauma with GCS <13

 Multiple casualties

•With significant injuries

 Other

•Explosion

•Hanging

•Submersion

Injuries

 

•Potential airway obstruction/respiratory distress

•Penetrating injury to the head/neck/chest/abdomen/pelvis/back/limbs

•Paralysis (spinal cord injury)

•Burns >10% BSA

Signs

 

•Respiratory rate <10 or >30

•Heart rate <40 or >120

•Arterial pressure <90 systolic at any stage

•Capillary return >2 s

•GCS <14

Treatment

 

•Multi-trauma transferred from other hospital within 24 h of injury

•Intubation or assisted ventilation

•>2 liter of fluid resuscitation