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: