|
Overview :
The Revised
Trauma Score is frequently used by emergency squad personnel to rapidly assess
patients at the scene of an accident.
|
Parameter |
Finding |
Points |
|
respiratory
rate |
10-29 per
minute |
4 |
|
|
> 29
per minute |
3 |
|
|
6-9 per
minute |
2 |
|
|
1-5 per
minute |
1 |
|
|
0 |
0 |
|
systolic
blood pressure |
>89 mm
Hg |
4 |
|
|
76-89 mm
Hg |
3 |
|
|
50-75 mm
Hg |
2 |
|
|
1-49 mm
Hg |
1 |
|
|
0 |
0 |
|
Glasgow
Coma Score |
13-15 |
4 |
|
|
9-12 |
3 |
|
|
6-8 |
2 |
|
|
4-5 |
1 |
|
|
3 |
0 |
revised trauma
score =
= (points for
respiratory rate) + (points for systolic blood pressure) + (points for Glasgow
coma score)
Interpretation:
• maximum score
(indicating least affected): 12
• minimum score
(indicating most affected): 0
• Potentially important trauma occurs
with scores <= 11; these patients should be treated at a trauma
center
| References: | |
Champion HR, Sacco WJ, et al. A revision
of the trauma score. J Trauma. 1989; 29: 623-629.
Jaffe D, Wesson D. Emergency management
of blunt trauma in children. N Engl J Med. 1991;
324:1477-1482.
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