• MRCC should only call a TTA if EMS has provided CDC Step 1 or 2 criteria for triage to a trauma center. These mostly correspond to our physiologic and anatomic criteria. The criterion must be included in the page or it will initially be treated as a non-activation until evaluated by an EM physician.
  • If an activation is called and no criteria are included in the page, OR if a trauma patient presents that has not been activated the EM staff will rapidly evaluate and determine if TTA is needed. If so, TTA NOW should be called.
  • If TTA of any kind is called, team members listed below will report to E pod. If TTA criteria were listed on page, or the evaluating EM physician believes it should be a trauma activation,  the core team members listed below should don appropriate PPE and enter room to await patient. If not, no one will dress until EM and/or surgery staff will rapidly evaluate and cancel TTA if not justified.
  • Core trauma team for valid RD TTA pages and TTA NOW pages:
    • Faculty based on time of day will will supervise team leader.
    • Faculty from other discipline (surgery vs EM)
    • Airway
    • MD1
    • RN1
    • RN2
    • Team Leader (EM or surgery resident based on time of day)
    • ER tech
    • Scribe
  • Additional team that responds but does not dress or enter room unless requested:
    • Respiratory therapy
    • X-ray tech
    • Pharmacy (can pass meds into room without entering)
  • The following personnel are not part of the trauma team:
    • Students
    • Shadows
    • Trainees
    • MD2
  • Low-risk patients that need transport to CT scan will be accompanied by the following personnel. Please see separate guideline for conduct in CT.
    • Trauma surgeon
    • Trauma nurse
    • Respiratory therapy (intubated patients only)

Note that this is a new process and we will be learning and changing it as we go!