Trauma Algorithms (modified from www.medal.org)
1. Revised Trauma Score
– Frequently used by EMS to rapidly assiss patients on-scene.
2. Prehospital Index
– A trauma severity scoring system intended for triaging patients by on-scene EMS.
3. CRAMS (Circulation, Respiration, Abdomen, Motor, Speech) Scale
– Measures 5 components and is intended to triage those patients requiring transport to a Trauma Center.
– Intended to reduce the number of minor trauma patients referred to Trauma Centers.
4. Indications for using Air Medical Transport of a Trauma Patient
– The use of aircraft to deliver trauma patients to a hospital can be lifesaving, however, this method of tranport should only be used when there are clear indications that justify the risks to the flight crew and the expense to the health care system.
5. Trauma and Injury Severity Score (TRISS)
– This score was designed to evaluate trauma care for seriously injured patients by giving an expected survival based on patient characteristics.
– This score was intended to be used to identify cases for quality assurance review at the local hospital or to compare outcomes form different Trauma Centers.
6. A Severity Characterization of Trauma (ASCOT)
– This score can be used to assess the severity of traumatic injury and estimate the probability of survival.
– Similar to TRISS, this scale may be better in predicting outcome.
7. The Sacco Triage Method – An evidence-based, outcome-driven triage and resource management system that maximizes expected survivors in consideration of the timing, availability and capability of transport and treatment resources.