Anwendung | allgemein |
Anmerkung | siehe auch "revised trauma score" |
| Respiratory rate [1] | 10-24 | 4 |
| 25-35 | 3 | |
| >35 | 2 | |
| <10 | 1 | |
| 0 | 0 | |
| Respiratory effort [2] | Normal | 1 |
| Shallow, or retractive | 0 | |
| Systolic blood pressure [3] | >90 | 4 |
| 70-90 | 3 | |
| 50-69 | 2 | |
| <50 | 1 | |
| 0 (no carotid pulse) | 0 | |
| Capillary refill | Forehead, lip muscosa or nail . bed color refill in 2 sec | 2 |
| More than 2 sec. of capillary refill | 1 | |
| No capillary refill | 0 | |
| Glasgow Coma Scale [4] | ||
| Eye opening | Spontaneous | 4 |
| To voice | 3 | |
| To pain | 2 | |
| None | 1 | |
| Verbal response | Oriented | 5 |
| Confused | 4 | |
| Inappropriate words | 3 | |
| Incomprehensible words | 2 | |
| None | 1 | |
| Motor response | Obeys commands | 6 |
| Purposeful movement (pain) | 5 | |
| Withdraw (pain) | 4 | |
| Flexion (pain) | 3 | |
| Extension (pain) | 2 | |
| None | 1 | |
| Total GCS | 14- 15 | 5 |
| 11 -13 | 4 | |
| 8-10 | 3 | |
| 5-7 | 2 | |
| 3-4 | 1 | |
| Result | Trauma Score = total points (alle fettgedruckten Kategorien) |
| [1] Number of respirations per minute |
| [2] Shallow - markedly decreased chest movement or air exchange. Retractive - use of accessory muscles or intercostal retraction |
| [3] Systolic cuff pressure - either arm - auscultate or palpate |
| [4] Teadsdale G, Jennett B (1974) Assessment of coma and impaired consciousness - a practical scale. Lancet II: 81-83 |