ACCESS TO:MINOR INJURIES
DEPARTMENT
WAST SOP MINOR INJURY UNIT
ACCEPTED INJURIES
Excluded Criteria
-provided no excluded
criteria
( Children under 1, under 12 years in severe pain or those
suspected of NAI)
Abdominal injury
 All
Assaults
 Specific injuries that meet any other exclusions in this
Back injury
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document e.g. head injury
Sexual assaults
Specific injuries that meet any other exclusions in this
document e.g. RTC or Head Injury
High risk for significant injury e.g. fall/Jump from height,
significant hyperextension injury
Not directly linked to trauma
Bowel or bladder involvement
Paraesthesia or neurological deficit to limbs
Bony tenderness to spine
Exotic animal or insect bites e.g. spider, snake :
Bites or stings
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Burns
 Symptoms or injuries that meet any other exclusions in this
document
> 3% BSA
Electrical / inhalation/ perineal burns
mouth or lips burns
Full circumferential burns which have blistering or are white &
non-blanching
 Burns to face, head or trunk with blistering or are white & nonblanching in children < 12 years
 All
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Chest or Truncal Injuries
Ear injury
Eye injury only
Facial injury also review
head /neck injury exclusions
Falls
Foreign bodies
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Wound through cartilage
Penetrating injury
Associated with perforated ear drum: actual or potential
Complete loss of vision since injury in one or both eyes
Penetrating injury, blood or pus visible in anterior chamber
Wounds crossing eyelid margin
Wounds affecting tear ducts or epicanthus
Wounds to eyelid between eyelashes & orbit margin
Obvious bony deformity
Associated uncontrolled epistaxis
Open fracture nose
wounds over vermillion border of lip
Specific injuries that meet any other exclusions in this
document e.g. head or neck injuries
 From > 5 steps or stairs or equivalent as considered as major
trauma
 meet any other exclusions in this document e.g. airway or
breathing
Head injury
 rectal FBs
 sexual assault
 Meet any other exclusions in this document e.g. neck or facial
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injuries
GCS < 15/15 at any time before or after injury
Amnesia before or after injury
Vomiting before or after injury
Seizures since injury
Obtunded by drugs or alcohol
Suspicion of skull fracture
History of bleeding or clotting disorder
Drug history of anticoagulant therapy
Signs of Otorrhoea / Rhinorhoea / Panda eyes / Battles signs
Poor communications skills e.g. deaf, dementia, severe
learning disabilities
Associated with severe headache or headache not relieved by
simple analgesia
All
Hip/ groin injuries
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Limb Injury
 Dislocated major joints: shoulder, elbow, wrist, hip, knee,
Mouth Injuries
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Neck injuries
ankle
Deformed limbs
Limb with neurovascular deficit
Femur, hip or pelvis injury
Injuries that meet any other exclusions in this document e.g.
head injury & wounds
Wounds crossing vermillion border
 Injuries that meet any other exclusions in this document e.g.
head or facial injuries
 Quad bike, motor bike or bicycle injury
 Poor communications skills e.g. deaf, dementia, severe
learning disabilities
 PMH: ankylosing spondylitis / rheumatoid arthritis /
osteoparosis
PMH: previous c/spine surgery or disease
Injury caused by Axial loading
Paraesthesia to upper limbs
Neurological deficit to upper limbs
Significant distraction injury [major long bone fractures]
All
Pelvic injuries inc sacrum
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RTCs or transport Injuries
 Specific injuries that meet any other exclusions in this
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document e.g. head, neck, mouth or limb injuries
Severe crush injuries
High speed injuries i.e. > 60mph
Roll over or ejection from car/ vehicle
Quad bike injuries
Head on collision
Entrapment in vehicle
Wounds
 Specific injuries that meet any other exclusions in this
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document e.g. facial, eye or head injuries
Stabbings
Gunshot
Penetrating trauma
Wounds to lips which extend over vermillion border
Deep wounds where the base of wound cannot be seen or
deep tissues are damaged (e.g. muscles, vessels etc)
Severe crush injuries
Tendon injuries
Nerve injuries
Ear wounds that affect cartilage
Non-traumatic i.e. surgical wound problems or ulcers
Wound that would require closure in theatre or under
sedation e.g. very distressed child, large deep wounds, and
wounds with large FBs insitu.