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Trauma Triage Scoring System 1288.e1

Trauma Triage Scoring System
VetBooks.ir Eye/Muscle/

Skeletal
Abrasion, laceration:
mm pink and moist
Central: conscious, alert
HR: C—60-140;
0 Grade Perfusion Cardiac Respiratory Integument Weight bearing in 3 or Neurologic
Regular respiratory
CRT—2 sec F—120-200 rate with no stridor none or partial 4 limbs; no palpable to slightly dull; interest
Rectal temp ≥37.8°C Normal sinus rhythm No abdominal thickness fracture or joint laxity in surroundings
(100°F) component to Eye: no fluorescein Peripheral: normal spinal
Femoral pulses strong respiration uptake reflexes; purposeful
or bounding movement and
nociception in all limbs
1 mm hyperemic or pale HR: C—140-180; Mildly ↑ respiratory Abrasion, laceration: Closed appendicular/ Central: conscious but
pink; mm tacky F—200-260 rate and effort, ± full thickness, rib fracture or any dull, depressed,
CRT 0-2 sec Normal sinus rhythm some abdominal no deep tissue mandibular fracture withdrawn
Rectal temp ≥37.8°C or VPCs <20/min component involvement Single joint laxity/ Peripheral: abnormal
(100°F) Mildly ↑ upper airway Eye: corneal luxation, including spinal reflexes with
Femoral pulses fair sounds laceration/ulcer, sacroiliac joint purposeful movement
not perforated Pelvic fracture with and nociception intact
unilateral intact in all 4 limbs
SI-ilium-acetab
Single limb open/closed
fracture at or below
carpus/tarsus
2 mm very pale pink and HR: C—>180; Moderately ↑ Abrasion laceration: Multiple grade 1 Central: unconscious, but
very tacky F—>260 respiratory effort full thickness, conditions (see responds to noxious
CRT: 2-3 sec Consistent with abdominal deep tissue above) stimuli
Rectal temp <37.8°C arrhythmia component, elbow involvement, and Single long bone open Peripheral: absent Differentials, Lists, and Mnemonics
(100°F) abduction arteries, nerves, fracture above purposeful movement
Detectable but poor Moderately ↑ upper muscles intact carpus/tarsus with intact nociception
femoral pulses airway sounds Eye: corneal with cortical bone in 2 or more limbs or
perforation, preserved nociception absent
punctured globe Nonmandibular skull only in 1 limb
or proptosis fracture ↓ anal and/or tail tone
3 mm gray, blue, or white HR: C—≤60; Marked respiratory Penetration to Vertebral body fracture/ Central: nonresponsive to
CRT >3 sec F—≤120 effort or gasping/ thoracic/ luxation except all stimuli; refractory
Rectal temp <37.8°C Erratic arrhythmia agonal respiration abdominal cavity coccygeal seizures
(100°F) or irregularly timed Abrasion, laceration: Multiple long bone Peripheral: absent
Femoral pulse not effort full thickness, open fracture above nociception in 2 or
detected Little or no detectable deep tissue tarsus/carpus more limbs; absent tail
air passage involvement, Single long bone open or perianal nociception
and artery, fracture above
nerve, or muscle tarsus/carpus with
compromised loss of cortical bone
From Rockar RA, Drobatz KS, Shofer FS. Development of a scoring system for the veterinary trauma patient. J Vet Emerg Crit Care 4:77-83, 1994.

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