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antibioprophylaxie Maladie thrombo-embolique Anti-aggrégeants alr polytraumatisé sdra transfusion sepsis Stents

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Scoring systems for ICU and surgical patients:

GMSPS Score (Glasgow Meningococcal Septicaemia Prognostic Score)

Variables (on admission)	Values	Points
Hypotension (SBP < 75 mmHg if below of 4 years of age, < 85 mmHg if older)	Yes No
Skin / rectal temp. difference > 3°C	Yes No
Base deficit (capillary sample) < 8 mmol/L	Yes No
Coma score (Simpson & Reilly) < 8 at any time or deterioration of >=3 in an hour	Yes No
Lack of meningism	Yes No
Parental opinion that child's condition as become worse over the past hour	Yes No
Widespread ecchymoses, or extending lesions on review	Yes No
		Score = Sum (points) A score > 8 indicate a fatal outcome.

Reference:

• Sinclair JF et al. Prognosis of meningococcal septicaemia. Lancet 1987;2(8549):38.

 

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