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[Trauma severity assessment in prehospital setting]
I Y Whitaker1, M G de Gutiérrez, M S Koizumi
1Departamento de Enfermagem, Universidade Federal de São Paulo, Escola Paulista de Medicina.
Revista Da Associacao Medica Brasileira (1992)
|August 12, 1998
Summary
Prehospital trauma assessment using the modified Trauma Score (TSm) effectively identifies severe injuries. Low TSm scores correlate with high Injury Severity Scores (ISS), aiding in predicting mortality risk for trauma victims.
Area of Science:
- Emergency Medicine
- Trauma Surgery
- Prehospital Care
Context:
- Prehospital trauma assessment is crucial for survival.
- Timely intervention can significantly improve outcomes for trauma victims.
- The modified Trauma Score (TSm) is a physiologic index used in prehospital settings.
Purpose:
- To evaluate the utility of the modified Trauma Score (TSm) in assessing external cause victims during the prehospital phase.
- To correlate TSm scores with injury severity and mortality in trauma patients.
Summary:
- A retrospective analysis of 1414 trauma victims attended by SAMU-RESGATE-SP in São Paulo (1991) was conducted.
- Non-fatal victims typically had higher TSm scores (11-12), while fatal victims had lower scores (0-2).
- A significant association was found between low TSm scores (0-11) and high Injury Severity Scores (ISS > or = 16), indicating major trauma.
Impact:
- The study highlights the correlation between low TSm scores and high ISS, suggesting TSm's value in identifying critically injured patients.
- Findings support the use of TSm in prehospital settings for severity assessment and guiding resource allocation.
- This research contributes to improving prehospital trauma care protocols and patient outcomes.