Inclusion Criteria for Adult (> 16 Years Old) Patients With High-Energy Blunt Trauma Protocol Between June 2005 and August 2008 (11) ^a.

	Definitions
Inclusion Criteria
Vital Problems
Airway patency	As declared by anesthesiologist
Breathing problems	Respiratory rate ≥ 30/min
Circulatory problems	Heart rate ≥ 120/min; Systolic blood pressure < 100 mm Hg; Capillary refill > 4 s; External blood loss > 500 mL
Neurologic problems	GCS ≤ 13
Physical examination
Clinically evident fractures ≥ 2 long bones	As declared by attending surgeon
Clinically evident pelvic ring fracture	As declared by attending surgeon
Signs of unstable vertebral fractures or spinal cord compression	As declared by attending surgeon
Mechanism of injury
High-energy mechanism of injury as declared by prehospital emergency medical service	Fall from > 3 m height; motor vehicle accident with the speed of ≥ 50 km/h, ejection from a vehicle; car rollover; cabin shortening ≥ 50 cm; hit by (motor) cyclist ≥ 30 km/h
High-energy crush injury to torso	Pedestrian vs. motor vehicle ≥ 10 km/h; squeezed underneath or between heavy objects
Exclusion criteria
CT not feasible/appropriate
Shock class IIIB/IV	Pulse rate ≥ 120/min or systolic blood pressure < 100 mm Hg and nonresponsive to volume therapy
Immediate neurosurgical intervention	As declared by neurosurgeon
Pregnancy	Suspicious by history or AUS
Dead on arrival	As declared by attending surgeon

^a Abbreviations: GCS, Glasgow Coma Scale; CT, computed tomography; AUS, abdominal ultrasonography.