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Sunday, August 12, 2018

Revised Trauma Score

Trauma Scoring Systems - Trauma - Orthobullets
src: upload.orthobullets.com

The Revised Trauma Score (RTS) is a physiologic scoring system, designed for use in based on the initial vital signs of a patient. A lower score indicates a higher severity of injury.


Video Revised Trauma Score



Use in triage

The Revised Trauma Score is made up of a three categories: Glasgow Coma Scale, systolic blood pressure, and respiratory rate. The score range is 0-12. In START triage, a patient with an RTS score of 12 is labeled delayed, 11 is urgent, and 3-10 is immediate. Those who have an RTS below 3 are declared dead and should not receive certain care because they are highly unlikely to survive without a significant amount of resources.


Maps Revised Trauma Score



Scoring

The score is as follows:

These three scores (Glasgow Coma Scale, Systolic Blood Pressure, Respiratory Rate) are then used to take the weighted sum by RTS = 0.9368 GCS + 0.7326 SBP + 0.2908 RR. Values for the RTS are in the range 0 to 7.8408. The RTS is heavily weighted towards the Glasgow Coma Scale to compensate for major head injury without multisystem injury or major physiological changes. A threshold of RTS < 4 has been proposed to identify those patients who should be treated in a trauma centre, although this value may be somewhat low.


Ten-year inhospital mortality trends for patients with trauma in ...
src: bmjopen.bmj.com


References

Source of the article : Wikipedia

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