|
Overview :
The Baxt Trauma
Triage Rule is intended to identify adult major trauma. It is useful to identify
those patients who will eventually die or require emergency
operation.
|
Parameter |
Finding |
|
Glasgow
Coma Scale |
Motor
Component < 5 (see below) |
|
Systolic
Blood Pressure |
< 85 mm
Hg |
|
Penetrating
Injury |
head,
neck, thorax or abdomen |
Motor Component
of Glasgow Coma Scale
|
Best Motor
Response |
Score |
|
obeys
commands |
6 |
|
localizes
pain |
5 |
|
flexion
withdrawal |
4 |
|
%flexion
abnormal (decorticate rigidity) |
3 |
|
extension
(decerebrate rigidity) |
2 |
|
no
response |
1 |
Patient
Selection: applies to patients >= 15 years of age
Interpretation:
• If all 3
findings are present, then major trauma is present.
| References: | |
Baxt WG, Jones G, Fortlage D. The trauma
triage rule: A new, resource-based approach to the prehospital identification of
major trauma victims. Ann Emerg Med. 1990; 19: 1401-1406.
Emerman CL, Shade B, Kubincanek J.
Comparative performance of the Baxt Trauma Triage Rule. Am J Emerg Med. 1992;
10: 294-297.
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