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ROUTINE TRAUMA LABS

These pages are excerpted from the Trauma Resident Handbook, Rhode Island Hospital Department of Surgery, Division of Trauma - updated 2001. The policies herein are intended to serve as guidelines only. Individual circumstances need to be considered as there may be times when it is appropriate or desirable to deviate from these guidelines. These educational guidelines will be reviewed and updated routinely.

The following laboratory tests should be ordered for all pediatric surgical trauma patients evaluated in the trauma rooms:

0-12 years of age

• CBC with differential
• Type and screen
• Type and cross for any patient with:
  • SBP <70 for patients <4 y/o
  • SBP <80 for patients 4-12 y/o
  • Penetrating truncal injury
  • Any patient going directly to the OR from the ED
• Urine dip (if positive for blood or protein, a UA must be sent)
• Medical Examiner blood for Level I cases only

13-17 years of age

• CBC with differential
• Urine dip (if positive for blood or protein, a UA must be sent), UCG for female patients
• Type and screen, type and cross for any patient with a SBP <90, a penetrating truncal injury or any patient going directly to the OR from the ED.
• Medical Examiner blood

The following laboratory tests should be ordered for all pediatric surgical trauma patients evaluated in the trauma rooms:

• Coags for any patient with a GCS < 10
• Urine "Drugs of Abuse" toxicology screen
• Blood alcohol level
  
  

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