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Ressources et utilitaires

Scoring systems for ICU and surgical patients:

Pediatric Trauma Score 

Variables (help)	Value	Points
Weight (kg)	> 20 10 - 20 < 10
Systolic BP (mmHg)	> 90 50 - 90 < 50
Mental status	Awake Obtunded Comatose
Airway	Normal Maintainable Not maintainable
Skeletal	None Closed fractures Open or multiple
Open wounds	None Minor Major or penetrating
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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