Emergency Medicine Book

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Pediatric Trauma Score

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  1. Scoring
    1. Weight
      1. Weight >20 kg: Score +2
      2. Weight 10-20 kg: Score +1
      3. Weight <10 kg: Score -1
    2. Airway
      1. Normal Airway: Score +2
      2. Maintained Airway: Score +1
      3. Invasive Airway (e.g. intubated): Score -1
    3. Systolic Blood Pressure
      1. SBP >90 mmHg: Score +2
      2. SBP 50-90 mmHg: Score +1
      3. SBP <50 mmHg: Score -1
    4. Central Nervous System
      1. Awake: Score +2
      2. Obtunded: Score +1
      3. Coma: Score -1
    5. Open Wound
      1. No Open Wound: Score +2
      2. Minor Open Wound: Score +1
      3. Major Open Wound: Score -1
    6. Skeletal Trauma
      1. No Skeletal Trauma: Score +2
      2. Closed Fracture: Score +1
      3. Open Fracture or Multiple Fractures: Score -1
  2. Interpretation
    1. Score Range: +12 to -6
    2. Trauma score <= 8 indicates significant mortality risk
  3. References
    1. Tepas (1987) J Pediatr Surg 22:14

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