Harbor:Trauma activations

  • Harbor-UCLA Trauma Team Activation (TTA) Criteria (Effective November 7, 2025)
    • All TTA pages should be through the batch paging system.
      • All general surgery consults without a trauma mechanism should be referred to as “Acute Care Surgery (ACS)” consults.
    • Trauma Team Activation (TTA-Level 1 - full Trauma Team response required within 15 min)
  1. Systolic BP <90mmHg or [70+(2 x age)] in child <6 years old at ANY time.
  2. Cardiopulmonary arrest following trauma
  3. RR <10 or >29 breaths/min (adult) or for infants <1 year, <20 breaths/min
  4. Patients with respiratory compromise or obstruction
  5. Patient intubated or requiring advanced airway
  6. GCS <8 with mechanism attributed to trauma
  7. Pre-hospital blood transfusion or transfer from another hospital receiving blood to maintain vital signs
  8. Patients from a hanging with GCS <8, HR >120, or SBP <90
  9. GSW to head, neck, torso (chest, abdomen, pelvis, back, buttocks), or extremities proximal to the knee or elbow
  10. Uncontrollable hemorrhage following trauma
  11. ED Physician / Charge Nurse / MICN / Trauma Surgeon discretion
    • Trauma Team Activation (TTA-Level 2 - limited Trauma Team [no Anesthesia or RT: either Trauma Attending or Chief Resident/Fellow] response within 30 min)
  1. Previously stable vital signs deteriorating to SBP <90 or HR >120
  2. Age >65 years old with SBP <110mmHg (regardless of mechanism)
  3. Age >65 years with significant mechanism (excluding ground-level falls)
  4. GCS 9-13
  5. Extremity injury resulting in vascular compromise, significant hemorrhage, need for tourniquet, or concern for compartment syndrome
  6. Penetrating injury in proximity to major vessel
  7. Stab wound to head, neck, chest, abdomen, back, or buttocks
  8. Initial Hct <30 or dropping >5%
  9. Hemothorax or pneumothorax requiring a chest tube
  10. Pelvic fracture
  11. Flail chest
  12. Two or more proximal long bone fractures
  13. Crushed, degloved, mangled, or amputated extremity proximal to wrist or ankle
  14. Paralysis or weakness of a limb (suspected spinal cord injury)
  15. Pregnancy >20 weeks with abdominal pain or vaginal bleeding following trauma
  16. Burn meeting American Burn Association transfer criteria
  17. Transfer as 9-1-1 re-triage from another facility (unless meets TTA-1 criteria)
  18. ED Physician / Charge Nurse / MICN / Trauma Surgeon discretion
    • Trauma Consult (TC) criteria - evaluation performed by Trauma Surgery Service within 2 hours or sooner upon request:
  1. Patient with traumatic injury requiring admission to the hospital or transfer to another hospital and not meeting other criteria above.
  2. ED Physician / Charge Nurse / MICN / Trauma Surgeon discretion
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