CRAMS Scale (Circulation Respiration Abdomen Motor Speech)

Anwendung

Triage
Anmerkung
Durch die Triage sollen Patienten identifiziert werden, die Transport in ein Traumazentrum benötigen. Die Anzahl der leichtverletzten Patienten, die in Traumazentrum transferiert werden, soll gesenkt werden, ohne deren outcome zu verschlechtern.

Systolic Blood Pressure or Capillary Refillblood pressure > 100 mm Hg or normal capillary refill2
  85 <= blood pressure <= 100 mm Hg or delayed capillary refill1
  blood pressure <85 mm Hg or no capillary refill0
Respirationsnormal2
  abnormal (labored and/or shallow)1
  absent0
Trunkthorax and abdomen nontender2
  thorax or abdomen tender1
  rigid abdomen, flail chest, penetrating wound to chest or penetrating wound to abdomen0
Motornormal2
  responds only to pain1
  no response or decerebrate0
Speechnormal2
  confused1
  no intelligible words0
   
Resultscore <= 8 major trauma (those who died in emergency department or who required emergency surgery)
score >= 9: minor trauma