Status:
Public Comment

Type:
Process

Trauma-04: Trauma patients transported to trauma center


Description

Numerator

Patients transported to a trauma center

Denominator

Patients meeting CDC Step 1 or 2 or 3 criteria originating from a 911 request

Rationale

Evidence is strong that Step 1 and Step 2 and Step 3 trauma patients should go to a trauma center

Pseudocode Numerator

eDisposition.23 IN
(
9908021 Trauma Center Level 1
9908023 Trauma Center Level 2
9908025 Trauma Center Level 3
9908027 Trauma Center Level 4
9908029 Trauma Center Level 5
)

Pseudocode Denominator

[eInjury.02] IS NOT NULL
OR
[eInjury.03] IN
(
2903001 - Amputation proximal to wrist or ankle;
2903003 - Crushed, degloved, mangled, or pulseless extremity;
2903005 - Chest wall instability or deformity (e.g., flail chest);
2903007 - Glasgow Coma Score <= 13; 2903009 - Open or depressed skull fracture; 2903011 - Paralysis; 2903013 - Pelvic fractures; 2903015 - All penetrating injuries to head, neck, torso, and extremities proximal to elbow or knee; 2903017 - Respiratory Rate <10 or >29 breaths per minute (<20 in infants aged <1 year) or need for ventilatory; support 2903019 - Systolic Blood Pressure <90 mmHg; 2903021 - Two or more proximal long-bone fractures ) OR [eInjury.04] IN ( 2904001 - Auto v. Pedestrian/Bicyclist Thrown, Run Over, or > 20 MPH Impact;
2904003 - Fall Adults: > 20 ft. (one story is equal to 10 ft.);
2904005 - Fall Children: > 10 ft. or 2-3 times the height of the child;
2904007 - Crash Death in Same Passenger Compartment;
2904009 - Crash Ejection (partial or complete) from automobile;
2904011 - Crash Intrusion, including roof: > 12 in. occupant site; > 18 in. any site;
2904013 - Crash Vehicle Telemetry Data (AACN) Consistent with High Risk of Injury;
2904015 - Motorcycle Crash > 20 MPH
) WHERE eResponse.05 - Type of Service Requested = 2205001 - 911 Response (Scene)

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