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Domain 2 > Trauma Scoring Systems > Flashcards

Trauma Scoring Systems Flashcards

1
Q

What are the parameters of the Glasgow coma scale?

A

Eye opening
Verbal response
Motor response

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2
Q

How is the best eye response graded adult GCS?

A
  1. No eye opening
  2. Eye opening to pain
  3. Eye opening to Verbal command
  4. Open spontaneous
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3
Q

How is the best eye response graded pediatric GCS?

A

1 no eye opening
2 eye opening to pain
3 eye opening to speech
4 open spontaneously

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4
Q

How is the best verbal response graded adult GCS?

A 
1 No verbal response
2 Incomprehensible
3 Inappropriate
4 Confused conversation
5Orientated
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5
Q

How is the best verbal response graded pediatric GCS?

A
  1. No vocal response
  2. Inconsolable, agitated
  3. Inconsistently inconsolable, moaning
  4. Cries but is consolable, inappropriate interaction
  5. Smiles, oriented to sound, follows objects, interacts
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6
Q

How is the best motor response graded adult GCS?

A
  1. No motor response
  2. Extension to pain
  3. Flexion to pain
  4. Withdrawal from pain
  5. Localizing pain
  6. Obeys commands
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7
Q

How is the best motor response graded pediatric GCS?

A
  1. No motor response
  2. Extension to pain
  3. Flexion to pain
  4. Withdrawal from pain
  5. Localizing pain
  6. Obeys commands
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8
Q

How to grade head injury using GCS?

A

Mild : 13-15
Moderate : 9-12
Severe : < 8

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9
Q

What is the revised trauma score?

A

A physiologic based triage score.

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10
Q

What are the physiological parameters of the Revised trauma scale?

A

Respiratory rate
Systolic pressure
Glasgow coma scale

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11
Q

How is he respiratory rate graded with revised trauma scale?

A 
10-24 = 4
25-35 = 3
>35 = 2
<10 = 1
0 = 0
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12
Q

How is the systolic blood pressure graded with revised trauma scale?

A 
>90 mmHg = 4
70-89 mmHg = 3
50-69 mmHg = 2
<50 mmHg = 1
0 = 0
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13
Q

How is the GCS graded with revised trauma scale?

A 
14-15 = 4
11-13 = 3
8-10 = 2
5-7 = 1
3-4 = 0
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14
Q

What is the RTS formula?

A

RTS= 0.9368 (GCS) +0.7326(SBP) +0.22908(RR)
The sum of each variable is multiplied by a weight coefficient.
The higher the score the better the prognosis.

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15
Q

What is the AVPU scale?

A

simple scale that categorizes a patient’s condition as alert, verbal, painful, or unresponsive APVU

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16
Q

What are the major problems with AVPU score?

A

Subjective

Significant risk of undertriaging

17
Q

What is the Pediatric trauma scale?

A

Six variables comprise both physiologic and injury attributes. After a number for each variable is totaled, a score of 8 or lower is considered to be a marker for children requiring care at a designated trauma center.

18
Q

What are the 6 varibles of the Pediatric trauma scale?

A 
Weight
Airway
Systolic blood pressure
Central nervous system
Open wound
Skeletal
19
Q

How is severity graded with the Pediatric trauma score?

A
20
Q

What is s the age specific pediatric trauma score

A
21
Q

What is the abbreviated injury scale?

A

The AIS is used to calculate an Injury Severity Score (ISS) by taking the sum of the squares of the three highest injury regions.

22
Q

What is the injury severity score?

A

the ISS is a method of characterizing the trauma patient with multiple injuries

23
Q

What are the parameters assessment for ISS

A
24
Q

What is the formula for the AIS score

A
25
Q

What modalities can be used to predict mortality

A

Trauma score and injury severity TRISS

26
Q

How is TRISS calculated?

A

combines the physiologic variables of the RTS with the anatomic severity-of-injury scores generated by the ISS 

27
Q

What is the formula for TRISS?

A
28
Q

What is severity characterization of trauma score

A

is an attempt to revise and fix the limitations found using TRISS methodology (i.e., severely injured patients and extremes of age)

29
Q

How is ASCOT measured?

A

uses individual components of the RTS (not totaled) and incorporates a modification of AIS entitled The Anatomic Profile.excludes those patients with either very severe or nonserious injuries

30
Q

How is TRISS age adjusted?

A

Domain 2 (22 decks)

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