Victorian State Trauma System; Inter Hospital Major Trauma Transfer Poster

All penetrating injuries (except isolated / superficial limb injuries)

Blunt injuries:

• Serious injury to a single body region such that specialised careor intervention may be required, or such that life, limb or long term quality of life may be at risk.
• Significant Injuries involving more than one body region.

Specific Injuries:

• Limb amputations / limb threatening injuries.
• Serious crush injury.
• Major compound fractureor open dislocation.
• Fracture to two or more of the following: femur / tibia / humerus.
• Fractured pelvis.

Burns:

• Burns > 20% (adult) or 10% (child).
• Suspected respiratory tract burns.
• High Voltage Electrical Injury.

Neuro-trauma:

• Neurological deficits.
• Skull fracture.
• Abnormal CT scan findings.

Spinal trauma:

• Significant spinal fracture.
• Minor spinal cord or nerve root injury.
• Presence of neurological deficits.
• In isolated spinal cord trauma, the patient should be transferred from a primary hospital to the Victorian Spinal Cord Service – Austin Health, paediatric patients should be transferred and managed at the Royal Children’s Hospital.

Paediatric Trauma:

• Any of the above conditions when inchildren are indications for transfer in a paediatric patient.

Obstetric Trauma:

• Evidence of fetal distress.
• Fetus beyond 24 weeks gestation.
• Possibility of trauma to the uterus.
• All obstetric major trauma patients should be transferred to the RoyalMelbourne Hospital where they will have urgent obstetric assessment.