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  • Glasgow Coma Scale: Revised Trauma Score

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    Nelma Gomes
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    The Revised Trauma Score is a physiological scoring system used to predict death in trauma patients, based on the Glasgow Coma Scale, systolic blood pressure, and respiratory rate. It assigns numeric values to those three criteria and calculates an overall score from 0 to 7.8408, with lower scores indicating a higher probability of death. An RTS of less than 4 has been proposed as a threshold to identify patients needing treatment at a trauma center.

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    Trauma Score

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    The Revised Trauma Score is a physiological scoring system used to predict death in trauma patients, based on the Glasgow Coma Scale, systolic blood pressure, and respiratory rate. It assigns numeric values to those three criteria and calculates an overall score from 0 to 7.8408, with lower scores indicating a higher probability of death. An RTS of less than 4 has been proposed as a threshold to identify patients needing treatment at a trauma center.

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    30 visualizações1 página

    Glasgow Coma Scale: Revised Trauma Score

    Enviado por

    Nelma Gomes
    The Revised Trauma Score is a physiological scoring system used to predict death in trauma patients, based on the Glasgow Coma Scale, systolic blood pressure, and respiratory rate. It assigns numeric values to those three criteria and calculates an overall score from 0 to 7.8408, with lower scores indicating a higher probability of death. An RTS of less than 4 has been proposed as a threshold to identify patients needing treatment at a trauma center.

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    1/4/2014

    TRAUMA.ORG: Trauma Scoring: Revised Trauma Score

    Revised Trauma Score


    The Revised Trauma Score is a physiological scoring system, with high inter-rater reliability and demonstrated accurracy in predictng death. It is scored from the first set of data obtained on the patient, and consists of Glasgow Coma Scale, Systolic Blood Pressure and Respiratory Rate. Glasgow Coma Scale Systolic Blood Pressure Respiratory Rate Coded Value (GCS) (SBP) (RR) 13-15 9-12 6-8 4-5 3 >89 76-89 50-75 1-49 0 10-29 >29 6-9 1-5 0 4 3 2 1 0

    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.

    The RTS correlates well with the probability of survival :

    The RTS Calculator will sit as a standalone window on your desktop.


    Champion HR et al, "A Revision of the Trauma Score", J Trauma 29:623-629,1989 Champion HR et al, "Trauma Score", Crit Care Med 9:672-676,1981

    http://www.trauma.org/archive/scores/rts.html

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