ED Disposition of Uninjured Trauma Patients
Disposition guidance when trauma activation evaluation finds no traumatic injury requiring trauma admission.
Updated: Current
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⚠️ Trauma attending approval required before transfer from ED care pathway.
🎯Purpose
▼Use when a trauma activation has no injury requiring admission to trauma, but has a medical issue or social circumstance requiring further evaluation or admission.
🏥Disposition Pathway
▼- All trauma activations receive usual trauma team evaluation first
- If active MI, stroke, seizure, or other acute medical code becomes clear during resuscitation, ED should place inpatient Medicine consult for rapid evaluation
- Trauma team remains consultant if needed and provides 24h tertiary exam for admitted patients
- After resuscitation, if medical issue or social circumstance is primary, discuss older adults with trauma attending and consult Medicine for admission
- Patients under 65 are case-by-case with trauma attending/chief discussion
- Patients awaiting mental status clearance, such as intoxication, remain under trauma team unless ED and trauma attending agree otherwise
⚠️
No patient should be transferred to the ED without trauma attending approval.
- Status
- AHS Official Protocol
- Source
- sites.google.com/view/hghtrauma/ed-disposition-of-uninjured-trauma-patients-to-medicine
- Last reviewed / updated
- Current