If suspected ongoing hemorrhage, activate trauma surgery and massive transfusion protocol (Class I framework, strong consensus)
Renal injury suspicion cues
Gross hematuria after trauma
Flank pain or flank ecchymosis
High-energy deceleration mechanism
Monitoring and access
Resuscitation monitoring
Continuous ECG
Dysrhythmia with hemorrhagic shock
Electrolyte disturbance signal
Blood pressure trend
MAP target based on traumatic hemorrhage priorities
If ongoing bleeding, permissive hypotension per trauma protocol unless TBI
Urine output
Foley output trend if no urethral injury concern
Oliguria as shock marker vs urinary tract obstruction
Early consult and pathway decisions
Specialty activation
Trauma surgery
Any suspected high-grade solid organ injury
Any hemodynamic instability
Urology
Suspected collecting system injury
Suspected renal pelvis or UPJ injury
Interventional radiology
Active hemorrhage on CT in stable patient
Ongoing transfusion need with stable vitals
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.