|
Overview :
The Trauma Score
assesses key physiologic parameters after injury to help in the triaging of
patients.
Parameters:
(1) respiratory
rate
(2) respiratory
expansion
(3) systolic
blood pressure
(4) capillary
return
(5) Glasgow Coma
Score (GCS)
|
Parameter |
Finding |
Points |
|
respiratory
rate |
>= 36
per minute |
2 |
|
|
25-35 per
minute |
3 |
|
|
10-24 per
minute |
4 |
|
|
0-9 per
minute |
1 |
|
|
absent |
0 |
|
respiratory
expansion |
normal |
1 |
|
|
shallow |
0 |
|
|
retractive |
0 |
|
systolic
blood pressure |
>= 90
mm Hg |
4 |
|
|
70-89 mm
Hg |
3 |
|
|
50-69 mm
Hg |
2 |
|
|
0-49 mm
Hg |
1 |
|
|
absent
pulse |
0 |
|
capillary
return |
normal |
2 |
|
|
delayed |
1 |
|
|
none |
0 |
|
Glasgow
Coma Score |
14-15 |
5 |
|
|
11-13 |
4 |
|
|
8-10 |
3 |
|
|
5-7 |
2 |
|
|
3-4 |
1 |
trauma score
=
= (points for
respiratory rate) + (points for respiratory expansion) + (points for systolic
blood pressure) + (points for capillary return) + (points for Glasgow coma
score)
Interpretation:
• maximum score
is 16
• minimum score
is 1
|
Trauma Score |
Probability of
Survival |
|
16 |
0.99 |
|
15 |
0.98 |
|
14 |
0.95 |
|
13 |
0.91 |
|
12 |
0.83 |
|
11 |
0.71 |
|
10 |
0.55 |
|
9 |
0.37 |
|
8 |
0.22 |
|
7 |
0.12 |
|
6 |
0.07 |
|
5 |
0.04 |
|
4 |
0.02 |
|
3 |
0.01 |
|
2 |
0 |
|
1 |
0 |
| References: | |
Champion HR, Sacco WJ, et al. Trauma
score. Crit Care Med. 1981; 9:672-676.
Wilberger JE. The multiply injured
patient. page 15.9. IN: Rengarchy SS, Wilkins RH. Principles of Neurosurgery.
Wolfe. 1994.
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