Trauma Score
Number of respirations in 15 sec, multiply by four
integer
Shallow - markedly decreased chest movement or air exchange. Retractive - use of accessory muscles or intercostal retraction.
integer
Systolic cuff pressure - either arm - auscultate or palpate
integer
Normal - Forehead, lip muscosa or nail bed color refill in 2 sec. Delayed - More than 2 sec. of capillary refill. None - No capillary refill.
integer
total GCS points
integer
Total points A+B+C+D+E
integer