Ressources et utilitaires

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)
Skin / rectal temp. difference > 3°C
Base deficit (capillary sample) < 8 mmol/L
Coma score (Simpson & Reilly) < 8 at any time or deterioration of >=3 in an hour
Lack of meningism
Parental opinion that child's condition as become worse over the past hour
Widespread ecchymoses, or extending lesions on review
Score = Sum (points)
A score > 8 indicate a fatal outcome.

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