Application of Trauma Scores and Scales-Video: Application of Trauma Scores and Scales

Video Transcription

Video Summary

In a presentation on the evolution of trauma scores, Mike Trullo, a seasoned trauma registrar and analyst, discusses various trauma scoring systems. These systems include the Glasgow Coma Scale (GCS), Revised Trauma Score, Pediatric Trauma Score, and others specialized for pediatric and geriatric assessment. He emphasizes the importance of accurately calculating scores like the Revised Trauma Score manually, particularly in scenarios where digital systems are compromised. The conversation includes case studies and personal anecdotes to illustrate the practical application of scores, such as how frailty indexes can aid in predicting patient outcomes, especially in older adults. Trullo also highlights the role of shock indices and survival probabilities in critical care decision-making. Additionally, tools for mental health assessment, including for PTSD and depression, are covered, stressing the need for screening post-trauma. The session ends with a discussion on the usefulness of post-mortem CT scans, known as "cat opsies," to identify unrecognized injuries in patients where traditional autopsies may not be feasible. The presentation engages its audience interactively, inviting participants to compute trauma scores and encouraging adaptation of scoring systems to specific hospital needs.

Keywords

trauma scoring systems

Glasgow Coma Scale

Revised Trauma Score

pediatric and geriatric assessment

frailty indexes

shock indices

mental health assessment

post-mortem CT scans

trauma registrar