Revised Trauma Score

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The Revised Trauma Score (RTS) is a tool for on-site triage for Multiple Casualty Incidents. Its power resides both in the speed of assessment in it's objectivity, providing a close value from differing medical professionals.

Contents

[edit] RTS and Triage

The Revised Trauma Score is made up of a combination of results from three categories: Glascow Coma Scale, Systolic Blood Pressure, and Respirations. All of these results can be quickly assessed with minimal equipment: a flashlight, a watch and a sphygmomanometer since systolic pressure can be obtained through arterial palpation. The score range is 0-12. In START triage, a patient with a RTS score of 12 is labeled DELAYED (walking wounded), 11 is URGENT(intervention is required but the patient can wait a short time, and 10-3 is IMMEDIATE (immediate intervention is necessary).

[edit] Scoring

[edit] GCS

GCS .... Points
15-13 ....... 4
12-9 ........ 3
8-6 .......... 2
5-4 .......... 1
3 ............ 0

[edit] Systolic Pressure

SBP .... Points
>89 .......... 4
76-89 ....... 3
50-75........ 2
1-50 ......... 1
0 ............. 0

[edit] Respirations

RR ..... Points
29-10 ....... 4
>29 ......... 3
6-9 ......... 2
1-5 ......... 1
0 ............ 0

Score: 0-12