+ 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

Prospective evaluation of the CRAMS scale for triaging major trauma

Prospective evaluation of the CRAMS scale for triaging major trauma

Journal of Trauma 25(3): 188-191

In order to effectively implement a community-wide trauma system, a mechanism of field triage is required. This process of triage should be simple to use and should accurately identify patients who are in need of level I trauma facility care. It should also allow the less critically injured to be cared for at the local hospital of their choice or at the nearest community hospital. The CRAMS (Circulation, Respiration, Abdomen, Motor, Speech) scale was prospectively studied as a potential triage tool by using it to score patients in the field and then comparing their scores to their emergency room dispositions and final outcomes. The CRAMS scale was easy to apply and accurately identified both the critically injured who should be triaged to a Level I center and the less critically injured who can be adequately cared for by Level II and III centers.

Please choose payment method:

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

Accession: 041102202

Download citation: RISBibTeXText

PMID: 3981668

DOI: 10.1097/00005373-198503000-00003

Related references

Ineffectiveness of the trauma score and the CRAMS scale for accurately triaging patients to trauma centers. Annals of Emergency Medicine 14(11): 1061-1064, 1985

Superiority of the champion trauma score over the crams scale in determining which trauma patients need immediate surgery. Journal of Trauma 24(7): 674, 1984

CRAMS scale: field triage of trauma victims. Annals of Emergency Medicine 11(3): 132-135, 1982

The CRAMS system of quantitative evaluation in trauma. Revista Medica de Chile 116(3): 238-241, 1988

Prospective evaluation of a two-tiered trauma activation protocol in an Australian major trauma referral hospital. Injury 41(5): 470-474, 2010

Triaging older major trauma patients in the emergency department: an observational study. Emergency Medicine Journal 32(4): 281-286, 2015

Trauma triage: A comparison of CRAMS and TRTS in a UK population. Injury 28(2): 97-101, 1997

KTS and CRAMS were useful trauma scores in a resource-limited settings. American Journal of Emergency Medicine 35(9): 1372-1373, 2017

Is case triaging a useful tool for emergency surgeries? A review of 106 trauma surgery cases at a level 1 trauma center in South Africa. World Journal of Emergency Surgery 13: 4, 2018

Functional limitation after major trauma: a more sensitive assessment using the Quality of Well-being scale--the trauma recovery pilot project. Journal of Trauma 36(1): 74-78, 1994

Statistical Machines for Trauma Hospital Outcomes Research: Application to the PRospective, Observational, Multi-Center Major Trauma Transfusion (PROMMTT) Study. Plos One 10(8): E0136438, 2016

Low major trauma confidence among emergency physicians working outside major trauma services: Inevitable result of a centralised trauma system or evidence for change?. Emergency Medicine Australasia 30(6): 834-842, 2018

Coordination and management of multicenter clinical studies in trauma: Experience from the PRospective Observational Multicenter Major Trauma Transfusion (PROMMTT) Study. Resuscitation 83(4): 459-464, 2012

Hand trauma: a prospective evaluation of patients transferred to a level I trauma center. American Journal of Orthopedics 39(4): 196-200, 2010

A prospective evaluation of missed injuries in trauma patients, before and after formalising the trauma tertiary survey. World Journal of Surgery 38(1): 222-232, 2014