Trauma 'Code Crimson' Pathway

Trauma Code Crimson Pathway‘Code Crimson’ is a term that is commonly used by hospital-based teams managing patients with life-threatening haemorrhage that is refractory to resuscitation. The purpose of a ‘Code Crimson’ activation is to streamline patient access to definitive intervention, including an operating theatre or interventional radiology suite.

The ITIM Clinical Review Committee has led the development of a clinical practice guideline to enhance the current management of a patient with life-threatening traumatic haemorrhage by recommending that pre-hospital medical retrieval teams initiate a ‘Code Crimson’ activation, thereby further reducing the time to definitive intervention in these patients.

This clinical guideline therefore aims to standardise the:

  • pre-hospital identification of a trauma ‘Code Crimson’
  • activation of a Trauma ‘Code Crimson’ Pathway by pre-hospital medical retrieval teams and the subsequent notification to a receiving trauma centre
  • procedures instituted by trauma centres following activation of a trauma ‘Code Crimson’ pathway.

Clinical Guideline

Trauma 'Code Crimson' Pathway - Streamlining access to definitive intervention for patients with life-threatening haemorrhage.

Implementation resources

A number of resources are currently being developed to assist with the local implementation of the Trauma 'Code Crimson' Pathway including:



For more information please contact:

Ms Kelly Dee
Clinical Review Officer
NSW Institute of Trauma and Injury Management



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