Protocol 2-451-50 - General Trauma Management - TRAUMA Destination Matrix

CMH EMS & MIH Protocols

This matrix was developed using geographical analysis of designated facilities and historical ambulance transport statistics. It also follows Missouri regulations found in 19 CSR 30-40.790 (Transport protocol for trauma, stroke, and STEMI patients).

Consider transporting to the closest TRAUMA center for any one the following criteria:

Location Destination Trauma Designation Notes
Bolivar Citizens Memorial Level III If possible head trauma: Transport to Level I trauma center
Harrisonville Cass Regional Level III
Osage Beach Lake Regional Level III

Consider transporting to the closest Level I TRAUMA center for any one the following criteria:

Location Destination Trauma Designation Notes
Aircraft Aircraft crew determination NA If over 45 min drive time: Utilize aircraft
Springfield Cox South Level I
Mercy Level I
Kansas City Research Level I
St. Luke's Level I
Truman Level I

NEMSIS Protocol: 9914075 - General-Universal Patient Care/ Initial Patient Contact

Citations:

Change Log:

DateLink to
previous
version		Description of change
09/16/15pdfAdded option to consider bypassing closest trauma center if stable patient or head trauma. Per Dr. Merk’s specific request.
11/17/15Added northern destinations that might be closer to Ellett’s response area. Modified quickest transportation mode definition to 35 minutes.
07/22/16pdfAdded comment that BLS truck with ALS patient shall transport to closest ER or CMH.
08/24/17pdfStreamlined flowchart with a comment to follow aircraft protocol when flying patient.
08/24/18pdfChanged aircraft transportation mode from 35 min to 45 min.
07/23/19pdferified designated trauma centers with BEMS website.
11/18/19pdfAdded comment to bypass CMH if suspected head traumaon CT divert by specific order of Dr. Cauchi.
11/18/19Added comment to bypass CMH if suspected head traumaon CT divert by specific order of Dr. Cauchi.
11/27/19Changed format from flowchart to something more easily utilized.
11/27/19Changed format from flowchart to something more easily utilized.
07/12/20pdfMoved this section from 2-924created a new page.
06/06/21pdfMoved to emsprotocols.online
11/05/21Moved trauma destination matrix from 2-924-03 to 2-450-50.

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