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| Home > Emergency, Trauma & Burn Services > Life Line |
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Requesting Life Line
.................................................................................................................................................
 Anyone
with a medical emergency may call St. John's Life Line. Physicians and/or
trained emergency personnel will consult with callers to help determine the
appropriate type of assistance.
Requests from public safety
officers, emergency medical service personnel, physicians, hospital
personnel, and private individuals are welcome.
Anyone calling for air medical transport
should first activate the local 911 system for help. Life Line
Communications will also contact local EMS and fire departments to initiate
patient care and to establish a safe landing zone. To activate Life Line,
please call the Communications Center at 1-800-433-5433 (LIFE).
- St. John's Level 1 Trauma and Burn Center Criteria:
TRAUMA ACTIVATION: Life threatening
injuries and/or unstable vital signs.
Cardiac or respiratory arrest.
Airway compromise (this includes all
intubated trauma patients).
Systolic BP less than 90mmHg, pulse less
than 60 or greater than 100
per minute with clinical signs of shock which
may include diaphoresis,
cold and clammy skin, pallor, restlessness, tachypnea.
Blunt chest injuries with RR greater than
30, less than 10, or hypoxia.
Penetrating chest or abdominal trauma.
Severe uncontrolled bleeding.
Neurological injuries with: loss of
consciousness >15 minutes, GCS< 8
or deteriorating and acute paralysis.
Crush injuries to chest, abdomen or pelvis.
Any pediatric patient with potential life
threatening injuries whether or not
vital signs are stable.
Pedestrian struck by vehicle at significant
rate of speed.
MVC with patient ejected from vehicle
traveling at a significant rate of
speed.
Combination of trauma and burns if burn >
10% BSA or inhalation injury
Pelvic fractures with history of/or current
hypotension or tachycardia;
Trauma in patients > 20 weeks pregnant with
vaginal bleeding, FHT's
>200 or <100, abdominal pain or signs of fetal
compromise.
Drowning or electrocution victims meeting
any of the above criteria.
Patients greater than 70 years of age with
potential life threatening.
injuries whether or not vital signs are stable.
Patients from motorcycle crashes in which
the rider is separated from the
bike at a high rate of speed or is thrown a
significant distance and has
potential life threatening injuries whether or
not the vital signs are stable.
Isolated burn injury greater than 25 percent BSA or inhalational injury.
TRAUMA CONSULTATION: Potentially
life-threatening injuries but vital signs currently stable.
GCS 9-14.
Systolic blood pressure < 90mmHg without
signs of shock.
Significant blunt chest trauma with RR 10-29
and no hypoxia.
Any penetrating trauma to head, neck, and
extremities proximal to elbow
or knees.
Pelvic fractures without previous
hypotension or tachycardia.
Femur fractures excluding isolated injuries
from a single level fall (ie-hip
fracture from a fall from bed if patient is
otherwise stable and uninjured).
Two or more extremity fractures.
Significant abdominal pain or tenderness.
Obvious need for hospital admission
following trauma.
Any significant trauma or mechanism in
patients > 65 years of age.
CARDIAC/MEDICAL
Airway control intervention
Uncontrolled cardiac dysrhythmias
Decreased LOC
Acute chest pain
S/S high risk OB patient
Active GI bleed
CVA with paralysis less than one hour
IC bleed
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