Final list of in-hospital urgent and specialized trauma care interventions for which patients should be transported directly to the highest-level designated trauma centre within the catchment area
| Intervention | Time frame |
|---|---|
| Endotracheal intubation or insertion of supraglottic airway device (in ED or prehospital setting) | In ED |
| Chest tube inserted for pneumothorax | In ED |
| Chest tube inserted for hemothorax | Within 24 h |
| ≥ 1 blood transfusion products administered | In ED |
| Massive transfusion protocol activated | Within 24 h |
| Abdominal, neurologic, spinal or pelvic surgery | Within 24 h |
| Surgery for penetrating trauma in neck, thorax, abdomen or pelvis | Within 24 h |
| Orthopedic surgery for femur fracture (excluding hip fracture) | Within 6 h |
| Surgery after amputation of a limb (excluding fingers and toes) | NA |
| Angioembolization procedure for pelvic bleeding or other (e.g., spleen injury) | Within 24 h |
| Hospital admission in intensive care unit | None |
| Hospital admission for spinal fracture or ligamental instability | None |
| Hospital admission for observation of traumatic brain injury (without any surgery) | None |
| Hospital admission for observation of abdominal injury (without any surgery) | None |
| Hospital admission for observation of thoracic injury (without any surgery) | None |
ED = emergency department; NA = not applicable.