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 Release 22.0, Sept. 2008
 
Chapter : ch29. Trauma & Emergency Medicine Section : Triage of the Trauma Patient
  The Cardiovascular-Respiratory Score (CVRS)

  Online Excel Reference
Copyright (c) 2008-2010, Institute for Algorithmic Medicine, Houston, TX, USA. All rights reserved.

Overview :

The Cardiovascular-Respiratory Score (CVRS) is a subset of the Trauma Score. It consists of all the elements of the Trauma Score except for the Glasgow Coma Score. It can be used as a measure of the physiologic condition of the injured patient.

 

Parameters:

(1) respiratory rate

(2) respiratory expansion

(3) systolic blood pressure

(4) capillary return

 

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

 

cardiovascular-respiratory score =

= (points for respiratory rate) + (points for respiratory expansion) + (points for systolic blood pressure) + (points for capillary return)

 

Interpretation:

• minimum score: 0

• maximum score: 11

• The higher the score, the better the prognosis.

• A score of 0 to 3 indicates a poor prognosis.

 

  References:

Asensio JA, Murray J, et al. Penetrating cardiac injuries: A prospective study of variables predicting outcomes. J Am Coll Surg. 1998; 186: 24-34.

Champion HR, Sacco WJ, et al. Trauma score. Crit Care Med. 1981; 9:672-676.

 

 

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