+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The Trauma Score as a triage tool in the prehospital setting



The Trauma Score as a triage tool in the prehospital setting



JAMA 256(10): 1319-1325



Implementation of a regional trauma care system requires a field triage tool that identifies the severely injured patient and transports him to a trauma center, while preserving the flow of minimally injured patients to community hospitals. We prospectively tested the Trauma Score (TS) as a field triage tool and evaluated its accuracy against that of the Injury Severity Score (ISS), calculated after the patients' injuries were fully defined. During an 18-month period, 1106 patients admitted to the trauma center at San Francisco General Hospital had a TS determined in the field (TS1) and on arrival at the emergency department. A TS1 of 14 or less defined a subgroup of 222 patients in whom 93% of the deaths occurred. Using an ISS of 20 or more as an indicator of life-threatening injury, we determined the predictive value of TS1. There were 66 false-negatives (ISS, greater than or equal to 20; TS1, 15 or 16) and 107 false-positives (ISS, less than 20; TS1, less than or equal to 14). Using a prehospital TS of 14 or less as an indicator of serious injury, only 20% of a major urban trauma population would qualify for diversion to a trauma center.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 006781868

Download citation: RISBibTeXText

PMID: 3747045

DOI: 10.1001/jama.1986.03380100093027


Related references

Evaluating performance of the revised trauma score as a triage instrument in the prehospital setting. Injury. 27(3): 163-167, 1996

The trauma score a triage tool in the pre hospital setting. Journal of Trauma 24(7): 671, 1984

Field trauma triage Will the addition of mechanism of injury criteria to the prehospital index yield a definitive trauma triage tool?. Journal of Trauma 39(1): 176, 1995

Field trauma triage: combining mechanism of injury with the prehospital index for an improved trauma triage tool. Journal of Trauma 43(2): 283-287, 1997

Correlation Between the Revised Trauma Score and Injury Severity Score: Implications for Prehospital Trauma Triage. Prehospital Emergency Care 23(2): 263-270, 2018

Evaluation of the Pediatric Trauma Triage Checklist as a prehospital pediatric trauma triage tool for the state of Florida. Prehospital and Disaster Medicine 11(1): 20-5; Discussion 25-6, 1995

Evaluation of the Pediatric Trauma Triage Checklist as a Prehospital Pediatric Trauma Triage Tool for the State of Florida. Prehospital and Disaster Medicine 11(1): 20-26, 1996

Shock Index as a Triage Tool Compared with the Triage Revised Trauma Score. Journal of the American College of Surgeons 223(4): e112-e113, 2016

Respiratory rate as a prehospital triage tool in rural trauma. Journal of Trauma 55(3): 466-470, 2003

Validation of a prehospital trauma triage tool: a 10-year perspective. Journal of Trauma 65(6): 1253-1257, 2008

Development and Validation of the Air Medical Prehospital Triage Score for Helicopter Transport of Trauma Patients. Annals of Surgery 264(2): 378-385, 2016

A Prospective Comparison of Paramedic Judgment and the Trauma Triage Rule in the Prehospital Setting. Annals Of Emergency Medicine. 24(5): 885-889, 1994

Focused assessment with sonography in trauma prehospital triage: an important tool. Critical Care Medicine 38(6): 1501-2; Author Reply 1502, 2010

The utility of the Kampala trauma score as a triage tool in a sub-Saharan African trauma cohort. World Journal of Surgery 39(2): 356-362, 2015

A risk stratification tool for prehospital triage of patients exposed to a whiplash trauma. Plos one 14(5): E0216694, 2019