|
Overview :
The Trauma Index
can be used to rapidly evaluate patients with traumatic
injury.
Point assignment
for Injury severity:
• minimal
injury: 1
• moderate
injury: 3 or 4
• severe injury:
6
|
Parameter |
Finding |
Points |
|
region |
head or
neck |
6 |
|
|
chest or
abdomen |
4 |
|
|
back |
3 |
|
|
skin or
extremities |
1 |
|
type of
injury |
missile |
6 |
|
|
blunt |
4 |
|
|
stab
wound |
3 |
|
|
laceration
or contusion |
1 |
|
cardiovascular
status |
absent
pulses |
6 |
|
|
blood
pressure < 80, pulse > 140 |
4 |
|
|
blood
pressure < 100, pulse > 100 |
3 |
|
|
external
hemorrhage |
1 |
|
|
normal |
0 |
|
central
nervous system status |
coma |
6 |
|
|
motor or
sensory loss |
4 |
|
|
stupor |
3 |
|
|
drowsy |
1 |
|
|
normal |
0 |
|
respiratory
status |
apnea or
cyanosis |
6 |
|
|
evidence
of aspiration |
4 |
|
|
dyspnea or
hemoptysis |
3 |
|
|
chest
pain |
1 |
|
|
normal |
0 |
trauma index
=
= (points for
region) + (points for type of injury) + (points for cardiovascular status) +
(points for CNS status) + (points for respiratory status)
Interpretation:
• minimum score with trauma: 2
• maximum score:
30
• scores > 7
need admission to the hospital
Limitations:
• The index is
not intended for burn patients.
| References: | |
Ford EG. Chapter 4: Trauma Triage. pages
95-117. IN: Ford EG,
Andrassy RJ. Pediatric
Trauma - Initial Assessment and Management. W.B. Saunders Company.
1994.
Kirkpatrick JR, Youmans RL. Trauma Index:
An aide to the evaluation of injury victims. J Trauma. 1971; 11:
711-714.
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