Which condition indicates a patient aged 70 or older should be triaged for a Trauma Center?

When assessing the need for trauma center triage in patients aged 70 or older, the presence of a Glasgow Coma Scale (GCS) score of less than 15 alongside a traumatic brain injury (TBI) is a critical indicator. The GCS is a standard scale used to assess a patient's level of consciousness and neurological status, with a perfect score of 15 indicating full alertness and responsiveness. A GCS score below 15 suggests some level of impairment, which can be particularly concerning in the elderly population where even minor impacts can lead to significant morbidity.

Older adults are at a higher risk for complications from brain injuries due to factors such as age-related changes in the brain, increased likelihood of existing comorbidities, and the potential for fragile neurological health. Therefore, when a patient aged 70 or older presents with a GCS of less than 15 following a TBI, it serves as a strong rationale for transporting them to a trauma center equipped to handle serious neurological issues.

In contrast, the other conditions listed may not warrant the same urgency for trauma center evaluation. For example, a systolic blood pressure greater than 100 mmHg in an older adult does not immediately indicate a need for trauma center triage; rather