Page 9 - IMPRESSION Newsletter February 19

Guidelines
Risk Management FAQ

T-046

Trauma Team Response Guidelines

TRAUMA Definitions Adult > or = 15 years old

Child < or = 14 years old
Activations

TIER 2

Formerly known as…

“ECHO” Our Trauma Center’s response for
TIER 1
trauma patients who arrive as a TIER 2,
Our Trauma Center’s response TIER 3, or non-activated trauma
Formerly known as… for trauma patients who patients, but who are found to

“DELTA” present with normal vital signs immediately require additional trauma

but who have a mechanism of expertise requiring a TIER 1 Trauma
Our Trauma injury that suggests a risk for Team response.

Center’s response significant injury. These

for trauma patients patients require immediate

assessment by the Emergency
who present with Medicine attending physician

abnormal vital TRAUMA SURGERY SERVICE

on arrival.

signs, significant CONSULTATION
identified injuries,

or high-risk TIER 3 Our Trauma Center’s response for

mechanisms. These trauma patients who requires

trauma surgery expertise for

patients require the Our Trauma Center’s response for management of specific injuries or
highest level of trauma patients who do not meet Tier 1 multisystem injuries as determined

trauma response or 2 criteria, but who are at increased by the ED Attending Physician.
resources available risk of injury due to age, intoxication or

immediately upon medical co-morbidities.
arrival.

If uncertainty exists as
to which Service is most
When notified, the ED RN/ appropriate for a
Provider will document the
Steps consultant's name, service trauma patient's
admission, the ED
and time of arrival in EPIC.
Consultants will also Attending will initiate a
document their arrival to Hopkins Access Line
Upon arrival, consultants the bedside time in their conference call with the
will present themselves EPIC note. A Multi-D team involved Services'
to the ED RN/Provider is exploring other options of Attending physicians to
and identify themselves capturing the Consultant discuss Service
by name and service. time of bedside arrival. assignment.
410-550-5674 410-550-0479

Debbie Glassman ✉dkramer@jhmi.edu Marie Dieter ✉mdieter4@jhmi.edu

HPO: https://hpo.johnshopkins.edu/bayview/policies/120/7742/policy_7742.pdf?_=0.586863972563