Trauma patients with one of the following parameters at hospital arrival: |
Systolic blood pressure < 100 mmHg |
Estimated exterior blood loss ≥ 500 mL |
Glasgow coma scale score ≤ 13 or abnormal pupillary reaction |
AND/OR |
Patients with a clinical suspicion of one of the following diagnoses: |
Fractures of at least two long bones |
Flail chest, open chest, or multiple rib fractures |
Severe abdominal injury |
Pelvic fracture |
Unstable vertebral fractures/spinal cord compression |
AND/OR |
Patients with one of the following injury mechanisms: |
Fall from a height (> 4 m/> 13 ft) |
Wedged or trapped chest/abdomen |