Criteria for level 1 and level 2 trauma codes: Are pelvic ring injuries undertriaged?

Table 2 Inclusion criteria for designation as a level 2 trauma code at the author’s home institution

Level 2 adult trauma code criteria
Heart rate < 50 or > 125 (> 100 if age > 65 yr)
Systolic BP < 110 mmHg (only if age > 65 yr)
Respiratory rate < 10 or > 29
GCS ≤ 10
Stab to neck or torso (chest, back, abdomen, or groin)
GSW head (without airway compromise)
Amputation proximal to knee or elbow
Two or more proximal long bone fractures
Crush injury to chest or pelvis
Paralysis/suspected spinal cord injury
Neurovascular compromise of an extremity
Age > 65 yr + anticoagulant use + significant trauma
Intubation at outside hospital (transfer patients)
Multisystem trauma on outside imaging (transfer patients)
Emergency physician discretion

GCS: Glasgow coma scale; GSW: Gunshot wound.