To quantify the over- and under-triage rates as relative to trauma activation criteria reform.

Accurately identifying the patients requiring additional care through trauma resources drives effective resource management and quality patient care. Determining the criteria used to activate the trauma team is an essential means of managing hospital resource utilization. These criteria are based off of injury patterns, physiological findings, and mechanism of injury to predict the level of care and resource consumption.Pre-hospital criteria, however, have been described as having poor sensitivity, especially in older patients. While over-activation of trauma teams potentially reduces available resources for other patients, data suggest there is minimal risk of harm to the patient. The standardized triage assessment tool has been shown to outperform other triage assessment tools at both the single center and national levels.

Inclusion Criteria:

Patient is included in the Methodist Dallas Medical Center trauma registry. Trauma patients who recieved care at Methodist Dallas Medical Center between November 24, 2023 and November 25, 2025.

Exclusion Criteria:

Patient does not meet registry inclusion criteria.

This observational trial will be limited by actual MDMC trauma patient volumes. We anticipate one year of observations will be adequate to establish feedback on the efficacy of the activation criteria refinement. We estimate this will include approximately 5,000 patient records.

All information will be blinded in compliance with HIPAA(Health Insurance Portability and Accountability Act) regulations. The investigator will make all possible efforts to ensure compliance with all policies regarding sharing of protected health information or research information. Only de-identified protected health information will be shared in relevant research mediums.