Tuesday, January 23, 2024

Iris Publishers-Open access Journal of Anaesthesia & Surgery | Brief review on the Trauma Score

 


Authored by Behzad Saberi*,

Abstract

Trauma Score is used clinically to estimate the severity of injury in the patients with trauma. The score is a numerical grading system and consists of cardiopulmonary function measurements and Glasgow Coma Scale with reduced total value. Respiratory rate, Respiratory expansion, Systolic blood pressure and Capillary refill are the parameters which would be measured in the Trauma score. Each of these parameters is given a number and by adding up the numbers, the severity of the injury would be estimated. The measured score would be between one and sixteen. This is a brief review on the Trauma score which having knowledge about that would be of help for the clinicians to estimate the severity of injury in the patients with trauma.

Keywords: Trauma Score

Body

Respiratory rate, Respiratory expansion, Systolic blood pressure and Capillary refill are the parameters which would be measured in the Trauma score. If the Respiratory rates would be between 10 to 24 per minute the score would be 4. Score 3 is given when the respiratory rates would be between 25 to 35 per minute. Respiratory rates which are measured equal to 36 per minute or more would be given score 2. Respiratory rates between 1 to 9 per minute would be given score 1 and if there would not be any respiratory rate, the score would be 0. If the Respiratory expansion would be normal the score would be 1 and if it would be retractive or there would not be any respiratory expansion the score would be 0. If the Systolic blood pressure would be 90 mmHg or higher the score would be 4. Score 3 is given if the Systolic blood pressure would be between 70 to 80 mmHg. Systolic blood pressures which are between 50 to 69 mmHg would be given score 2 and ones which are between 0 to 49 mmHg would be given score 1. If there would not be any Systolic blood pressure the score would be 0. Normal Capillary refill would be given score 2 while the delayed one would be given score 1. If there would not be any Capillary refill the score would be 0. If the patients have Trauma scores equal or more than 13, their survival rates would be more than 90 percent and if they have the scores equal or less than 6, their survival rates would be less than 10 percent.

Conclusion

This brief review tries to summarize the Trauma score which can be practical and easy to use for the clinicians. Having knowledge about the Trauma score would help the clinicians to approach the patients with trauma with more precision.

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