> I am at present revamping the Sussex Patient Report Form. We currently use a
> trauma scoring system which has Respiratory Rate, Systolic BP and GCS as
> components of the total score - of 12.
These are the componants of the Revised Trauma Score (RTS). The
score for each is given a number which is multiplied by a weighting
factor to give a total score out of 7.84. This figure is used in the
national audit of trauma outcomes run by the UK Trauma Audit and
research network (see their website for more details). If hospitals in
your area are participating then this pre-hospital info in very useful.
See:
Champion, Sacco et al. A revision of the Trauma Score. J Trauma
1989; 29: 623-629.
> I noticed in PHTLS that it has a total trauma score of 16 as it includes:
> capillary refil
> normal 2
> delayed 1
> None nil
> Respiratory expansion
> normal 1
> retractive nil
These are the componants of the original Trauma Score (TS) which
was developed from the Triage Index (TI). The capillary return and
type of respiration were dropped (mainly because they were difficult
to evaluate at the roadside at night). See:
Champion, Sacco, Hannan et al. Assessment of injury severity: The
triage index. J Trauma 1980: 8; 201-208.
Champion, Sacco, Carnazzo et al. Trauma Score. J Trauma 1981;
Crit care Med; 9: 672-676
> I need to know... should we be including this in trauma scoring or is the
> data out of date. I appreciate people may have a 'point of view' on the
> subject, but I really do need facts based upon evidence based medicine with
> references to support statements.
>
There is a huge literature on the subject. I would not try and get to
grips with it as it is a large and complex area. However a good place
to start is:
Yates DW. 1990. Scoring systems for Trauma. British Medical
Journal 301, 1090-1094.
Please feel free to get in contact if any further info required.
Tim.
Timothy J Coats MD FRCS FFAEM
Senior Lecturer in Accident and Emergency / Pre-Hospital Care
Royal London Hospital, UK.
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