Application of Trauma Scores and Scales (Live)-Handout: Application

Handout: Application

Pdf Summary

The document outlines a presentation on the evolution of trauma scores and scales by Michael Trelow, Director of Trauma Quality. It is part of a continuing medical education activity approved for nursing contact hours by the Trauma Center Association of America (TCAA). The educational activity emphasizes that clinical judgment should guide the application of the information provided.

The presentation focuses on various trauma scores and scales used in the medical field for assessing and managing trauma patients effectively. These include:

- <strong>Glasgow Coma Scale</strong>: Used to measure consciousness levels in trauma patients.
- <strong>Revised Trauma Score (RTS)</strong>: A scoring system that combines Glasgow Coma Scale, systolic blood pressure, and respiratory rate to determine the severity of a trauma.
- <strong>Pediatric Trauma Score (PTS)</strong>: A specialized score for assessing trauma in children.
- <strong>Nelson Score and Shock Index</strong>: Indicators of patient condition post-injury.
- <strong>Frailty Scores</strong>: Includes general and trauma-specific frailty assessments for predicting patient outcomes.
- <strong>Injury Severity Score (ISS)</strong>: Ranks injuries from minor (1) to maximal (6).
- <strong>Survival Probability</strong>: Based on scores such as ISS and RTS, it indicates the likelihood of survival post-trauma.

The presentation also discusses the application of these scores in quality improvement processes and highlights intervention needs based on trauma assessment scores. Two versions of Need for Trauma Intervention scores, NFTY and MNFTI, outline criteria such as the necessity for blood transfusions, surgery, radiology, ICU admission, and mechanical ventilation.

Lastly, the document references research such as the Cribari and MNFTI overtriage rates and methods like SBIRT (Screening, Brief Intervention, and Referral to Treatment) and CAGE as part of the trauma assessment process. Michael Trelow concludes the session, offering further contact for inquiries.

Keywords

trauma scores

Glasgow Coma Scale

Revised Trauma Score

Pediatric Trauma Score

Injury Severity Score

frailty assessments

trauma intervention

Michael Trelow

clinical judgment

Trauma Center Association of America