The 2021 National Guidelines for the Field Triage of Injured Patients or “Guidelines” are now available. A multidisciplinary expert panel led by the American College of Surgeons (ACS) undertook this revision with support from the National Highway Traffic Safety Administration (NHTSA), the Health Resources and Services Administration’s (HRSA) Maternal and Child Health Bureau, and EMS for Children Program.
For three decades, the Guidelines have been widely adopted by trauma systems in the United States to support decision making by EMS clinicians in transport destination determinations for injured patients. The goal has been to ensure that seriously injured patients are transported to the most clinically appropriate trauma centers.
The 2021 revision was based on a scientific literature review conducted by Oregon Health and Science University as well as the results from a broad stakeholder feedback tool, which aimed to capture the perspective from those in the field.
The ACS, in collaboration with partner organizations, has developed a series of resources and implementation tools for use by providers and EMS and trauma system leadership.
The following manuscripts have been published describing the evidence and process for revision of the Guidelines.
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Many of the resources on this page are in an editable format to allow adaption by local trauma and EMS systems; however, the field triage guideline criteria should not be altered. These criteria are evidence-based and have undergone a rigorous expert panel review. These materials may not be distributed, resold, nor used to create revenue-generating content by any entity other than the ACS without the express written permission of the ACS.
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