Trauma triage scoring systems for children

Revised trauma score*
Clinical Parameter	Parameter Category	Score
RR	10-24	4
	25-35	3
	>35	2
	<10	1
	0	0
SBP	>90	4
	70-90	3
	50-69	2
	<50	1
	0	0
GCS	14-15	5
	11-13	4
	8-10	3
	5-7	2
	3-4	1

Pediatric trauma scoreΔ
Clinical Parameter	Parameter Category	Score
Weight (kg)	≥20	2
	10-20	1
	<10	-1
Airway	Normal	2
	Maintainable	1
	Unmaintainable	-1
SBP	≥90	2
	50-90	1
	<50	-1
Central nervous system	Awake	2
	Obtunded/Loss of consciousness	1
	Coma or decerebrate	-1
Open wound	None	2
	Minor	1
	Major/penetrating	-1
Skeletal	None	2
	Closed fracture	1
	Open/multiple fractures	-1

Trauma_scoring_children.htm

* The revised trauma score utilizes respiratory rate, systolic blood pressure, and Glasgow coma score. Unlike the trauma score, it does not include subjective variables such as respiratory effort and capillary refill. The revised trauma score is the sum of the values given for each parameter. Triage to a trauma center is recommended for patients with a score of ≤11.
Δ The pediatric trauma score is the sum of the values given for each parameter. Triage to a trauma center is recommended for patients with a score of ≤8.

Adapted with permission from Furnival, RA, Schunk, JE. Pediatr Emerg Care 1999; 15:215.

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Trauma triage scoring systems for children