Ressources et utilitaires
Scoring systems for ICU and surgical patients:
Pediatric Trauma Score
References
- TEPAS JJ et coll. The Pediatric Trauma
Score as a predictor of injury severity in the injured child.
J. Pediat. Surg. 1987;22:14-8.
- RAMENOFSKY M et coll. The Predictive
Validity of the Pediatric Trauma Score. J. Trauma
1988;28:1038-42.
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Mental status
The child who has sustained no loss of
consciousness and is fully awake is graded as + 2.
The child who has any degree of obtundation or who has sustained a
loss of consciousness no matter how transient, is graded + 1.
The child who is totally nonresponsive is graded as - 1.
Systolic Blood Pressure
If proper sized BP cuff is not available, BP
can be assessed by assignating :
+ 2 pulse palpable at wrist;
+ 1 pulse palpable at groin;
- 1 no pulse palpable.
Airway
A child whose airway is completely within
normal limits and require no additional supportive measures is
categorized as +2.
A child whose airway is partially obstructed and who requires simples
measures for protection such as head positioning, oral airway or mask
oxygen delivery is categorized as + 1.
A child whose airway requires more definitive management and demands
a degree of expertise that will allow intubation, cricothyroidotomy,
or other invasive procedures is categorized as unmaintainable or -
1.
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PTS
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