In accordance with NYS BLS protocol, an adult patient will be considered to have major trauma if any one of the following is present and the patient shall be considered a trauma center candidate:

Mechanism of Injury

A. Survivor of a motor vehicle accident in which there was a death in the same passenger compartment of the vehicle.
B. Falls of more than 20 feet.
C. Vehicle-pedestrian collision.
D. Patient ejected from a vehicle.
E. Vehicle collision greater than 20 miles per hour (MPH) resulting in 12 inches of deformity to the vehicle.
F. Vehicle rollover.
G. Motorcycle crash.
H. Vehicle- Bicycle collision greater than 5 MPH.

Physical Findings

A. Pulse rate less than 50 beats per minute or greater than 120 beats per minute.
B. Systolic blood pressure of 90mm Hg or less.
C. Respiratory rate less than 10 or greater than 28 breaths per minute.
D. Glasgow Coma Score of less than 14.
E. Penetrating injuries of the trunk, head, neck, chest, abdomen, or groin.
F. Two or more proximal long bone fractures.
G. Flail chest.
H. Burns that involve 15% or more of the body surface or facial/airway burns.
I. Combined system trauma that involves two or more body systems.
J. Spinal cord injury or limb paralysis.
K. Amputations (except digits).

NOTE: Burn patients with associated hemorrhage should be treated as trauma patients rather than burn patients.
NOTE: Stable burn patients with trauma other than associated hemorrhage should be transported to a Burn Center