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Table 1 Differences in trauma triage categories

From: Comparison of minor head trauma management in the emergency departments of a United States and Italian Children’s hospital

Head Trauma Triage Levels, Boston Children’s Hospital

 Level 1 (Most emergent)

Unresponsive or with depressed mental status after significant head trauma. Will need to go to OR or ICU immediately.

 Level 2 (Emergent)

Altered mental status (may have repetitive questioning or be slow to respond), lethargic, but able to respond verbally.

 Level 3 (Urgent)

Usually minor head trauma, may have vomiting and headache, but are awake and alert.

 Level 4 (Least urgent/Non-urgent)

Minor head trauma, appear normal with no headache or vomiting. Usually these patients present after falling while running or after running into an object.

Head Trauma Triage Levels, Institute for Maternal and Child Health IRCCS Burlo Garofolo

 Red (Emergent)

One or more of: Critical vital parameters, Fracture of the base/exposed fracture, Penetrating wound or scalp, Severe dynamica, Anisocory or pupils not reacting to light or gaze deviation, Coagulopathy, Infant with bulging fontanelle and weeping crying

 Yellow (Intermediate)

One or more of: Prostrate child, GCS 13 or less, Loss of consciousness, Amnesia/syncope/dizziness, Persistent vomiting > 2 h from the head trauma, Persistent headache > 2 h or worsening headache, Post-traumatic convulsion resolved, Newborn, Depressed fracture, Scalp or face tear, Irritability or incessant crying, Diplopia, Soft swelling of the head

 Green (Mild)

One or more of: 1–2 episodes of vomiting < 2 h from the head trauma, Headache at the impact point, GCS 14–15, Mild dynamica, Infant > 6 months with no symptoms, Cephalohematoma

 White (Trivial)

Head trauma with no signs or symptoms > 6 h

  1. aDynamic includes: Fall from height < 1 m, Impact against elastic or dampening surface, Fall from moving vehicle