Overlapping Circles
CHAPTER 5 DISCUSSION
4. There is the need for further designation and establishment of more trauma centres in Nigeria to cater for the growing rate of major trauma
4. There is the need for further designation and establishment of more trauma centres in Nigeria to cater for the growing rate of major trauma.
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APPENDIX
Table i: The AIS Rating Scale and Anatomical Body Region Classification.
Injury Classification Rating Scale Anatomic Body Assigned No Region
No injury 0 External injury 1
Minor injury 1 Head/Neck injury 2
Moderate injury 2 Face injury 3
Severe not life threatening 3 Chest injury 4
Severe life threatening 4 Abd/Pelvic content injury 5 Critical injury 5 Extremities/Pelvic injuries 6
Table ii: The variables in Glasgow Coma Scale, Triage Index, Trauma Score and Revised Trauma Score.
Variables Glasgow
Coma Scale (1974)
Triage Index (1980)
Trauma Score (1981)
Revised Trauma Score (1989) Eye Opening
Best verbal response
Best motor response
Capillary refill
Respiratory expansion
Respiratory rate
Systolic blood pressure
X
X
X
-
-
-
-
X
X
X
X
X
-
-
X
X
X
X
X
X
X
X
X
X
-
-
X
X
X = Present - = Absent
Table iii: Coding values and calculation of the Revised Trauma Score (RTS).
Parameter Weight Coded
Value
Score [Coded value x Weight]
Respiratory rate (min) 10 – 29
> 29 6 – 9 1 – 5 0
Systolic Blood pressure (mmHg)
> 89 76 – 89 50 - 75 1 – 49 0
Glasgow Coma Scale 13 – 15
9 – 12 6 – 8 4 – 5 3
0.2908
0.7236
0.9367
4 3 2 1 0
4 3 2 1 0
4 3 2 1 0
a……….
b………..
c………..
RTS total: a + b + c =
Table iv: Coding values and calculation of the Kampala Trauma Score (KTS)
Parameter Coded value Score
Age (years)
5 6 – 55
> 55
Number of Serious injuries None
One
Two or more
Systolic blood pressure (mmHg) Undetectable
1 - 49 50 - 89
>89
Respiratory rate (breath/min)
9 10 – 29
30
Neurological status (AVPU system) Alert
Verbal response Painful response Unresponsive
1 2 1
3 2 1
1 2 3 4
1 3 2
4 3 2 1
a………
b………
c………
d………
e………
KTS total: a + b + c + e =