Table 1.
CRAMS | PHI | T-RTS | PSS | MGAP | |||||
---|---|---|---|---|---|---|---|---|---|
Circulation | SBP | SBP | SBP | SBP | |||||
normal CR and SBP > 100 | 2 | >100 | 0 | >89 | 4 | >90 | 4 | >120 | 5 |
delayed CR or SBP 85-100 | 1 | 86-100 | 1 | 76-89 | 3 | 70-90 | 3 | 60-120 | 3 |
no CR or SBP < 85 | 0 | 75-85 | 2 | 50-75 | 2 | 50-69 | 2 | <60 | 0 |
Respiration | 0-74 | 5 | 1-49 | 1 | <50 | 1 | MOI | ||
normal | 2 | Pulse | no pulse | 0 | no pulse | 0 | Blunt | 4 | |
abnormal | 1 | ≥120 | 3 | Respiration (RR) | Respiration (RR) | Age | |||
absent | 0 | 51-119 | 0 | 10-29 | 4 | 10-24 | 4 | >60 | 5 |
Abdomen/thorax | <50 | 5 | >29 | 3 | 25-35 | 3 | Consciousness | ||
nontender | 2 | Respiration | 6-9 | 2 | >35 | 2 | GCS | *) | |
tender | 1 | normal | 0 | 1-5 | 1 | 1-9 | 1 | ||
rigid/flail chest | 0 | labored/shallow | 3 | 0 | 0 | 0 | 0 | ||
Motor | RR < 10/needs intubation | 5 | GCS | Consciousness | |||||
normal | 2 | Consciousness | 13-15 | 4 | normal | 4 | |||
resonse to pain | 1 | normal | 0 | 9-12 | 3 | confused | 3 | ||
no response | 0 | confused | 3 | 6-8 | 2 | responds to sound | 2 | ||
Speech | no intelligible words | 5 | 4-5 | 1 | respons to pain | 1 | |||
normal | 2 | 3 | 0 | no response | 0 | ||||
confused | 1 | ||||||||
no intelligible words | 0 | ||||||||
Score range | |||||||||
0-10 | 0-20 | 0-12 | 0-12 | 3-29 |
Note: CRAMS = Circulation, Respiration, Abdomen, Motor, Speech; PHI = Pre-Hospital Index; T-RTS = Triage-Revised Trauma Score; PSS = Physiologic Severity Score; MGAP = Mechanism, Glasgow Coma Scale, Age, and Arterial Pressure; CR = Capillary Refill; SBP = Systolic Blood Pressure; GCS = Glasgow Consciousness Scale; MOI = Mechanism of Injury; RR = Respiratory Rate; *) GCS value