COAST score

Question 1

What is the COAST score?

Answer 1

Coagulopathy of severe trauma score. A rapid & highly specific predictor of acute traumatic coagulopathy in adult blunt trauma.
Assesses 5 descriptors:
• Entrapment
• SBP
• Temp
• Likelihood of chest inj req intervention
• Likelihood of intra-abdo or pelvic inj req
intervention

Question 2

COAST score varibles

Answer 2

Varible / Value / Score

• Entrapment: No = 0 / Yes = 1
• SBP: >100 = 0 / 90-100 = 1 / <90 = 2
• Temp: >35 = 0 / 32-35 = 1 / <32 = 2
• Ch. Dec.: No = 0 / Yes = 1
• Abdo/pelvis: No = 0 / Yes = 1

Question 3

A COAST of ≥ 3 is a predictor of what?

Answer 3

That adult pts may require transexamic acid