Indicators

1^o

• • Altered mental status (GCS ≤ 12)
  • Abnormal vital signs

AND

2^o

• • Immediately to OR
  • Transfer to trauma center
  • Multiple fluid boluses
  • Blood transfusion
  • Platelet transfusion
  • Central line
  • Spine, pelvis, or femur fracture
  • Flail chest
  • Pneumothorax / hemothorax chest tube
  • Intracranial bleed
  • Intubation
  • Solid organ injury