We have never consider stairs fall as a vertical fall, and would treat the child based on the physical findings at triage, your trauma team view looks to me like an over response, and I wonder how often did those multi protocol generated tests result in change of care... How about using clinical judgement?
Sent from my iPad
On Jun 23, 2012, at 5:52 PM, "Joshua Ross" <[log in to unmask]> wrote:
> I'm a PEM physician at an academic Level I trauma center. One of our automatic activation criteria for a Level II trauma response is a "fall from 10 feet or 2-3x the child's height." Our PEM group has always interpreted this as a vertical fall.
> The trauma team has expressed that this should include stair falls. Meaning, a child falling 10 feet or 2-3 times his/her height down the steps would trigger a Level II response (entire trauma team evaluation, full immobilization,often cxr/pelvis, labs) regardless of the child's clinical appearance.
> Our PEM group feels this would overtriage patients and the injury severity and pattern of stair falls are not equivalent to vertical falls.
> My question for other Level I trauma centers: In your institution how is the mechanism of stair falls addressed in your leveling criteria?
> Thanks for your input,
> Josh Ross
> Pediatric Emergency Medicine
> University of Wisconsin College of Medicine and Public Health
> American Family Children's Hospital
> For more information, send mail to [log in to unmask] with the message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
This e-mail has been scanned by McAfee Managed Email Content Service. To report
any issues regarding e-mail SPAM ONLY, please call the Helpdesk at
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is: