MUSC trauma center

Criteria for Consideration for Trauma Transfer to MUSC

Physiologic Criteria:

  • GCS < 9
  • SBP < 90 mmHg with suspicion of shock
  • Respiratory Rate < 10 or > 29

Anatomic Criteria:

  • Penetrating Injuries:
    • Penetrating injury to the head, neck or torso
    • Penetrating injury to an extremity proximal to the elbow or thigh
  • Neurologic Injuries:
    • Paralysis
    • Open or depressed skull fractures
    • GCS < 14 with materializing signs
    • Spinal fractures or spinal cord deficits
  • Thoracic Injuries:
    • Flail Chest
    • Bilateral pulmonary contusions with PaO2/FiO2 ratio < 200
    • > 2 unilateral rib fractures, or bilateral rib fractures with pulmonary contusions
  • Cardiac and Vascular Injuries:
    • Carotid or vertebral artery injury
    • Torn thoracic aorta or great vessel injury
    • Cardiac rupture
    • Major abdominal vascular injury
  • Abdominal Injuries:
    • Grade 4 or 5 liver injuries requiring > 6 units of PRBCs in six hours
    • Pancreatic Injuries
  • Orthopedic Injuries:
    • Two or more long bone fractures proximal to the wrist or ankle
    • Suspected pelvic fracture with hemodynamic instability
    • Open long bone fracture
    • Fracture or dislocation with loss of distal pulses
    • Crushed, degloved or mangled extremity
  • Significant torso injury with advanced co-morbid disease

Mechanistic Criteria:

  • Falls > 20 feet
  • Ejection from vehicle
  • Death in the same passenger compartment
  • Auto/pedestrian with patient thrown, run over, or with impact > 20 mph
  • Motorcycle crash > 20 mph

How to send a trauma patient to MUSC:

  • Call MEDULINE at 800-922-5250 or 843-792-2200 (24 hours a day, seven days a week)

How to contact the trauma team about research, outreach or education:

  • Call MUSC Trauma Administration at 843-792-3780

Learn more about the MUSC Trauma Center:

 
 
 

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