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Sick Kids Pediatric Trauma Score

Purpose: To secondarily triage a pediatric trauma patient using the Sick Kids Pediatric Trauma Score (PTS).

Description

Nasr et al evaluated the modified Pediatric Trauma Score (mPTS) of Simon et al (previous section) and further modified it. This improved the sensitivity to detect serious trauma. The authors are from the Hospital for Sick Children at the University of Toronto.


Parameters:

(1) airway

(2) open wound

(3) neurological status

(4) hemodynamics

(5) skeletal integrity

(6) history of loss of consciousness after the injury

(7) contusions to head and/or torso

 

Parameter

Finding

Points

airway intact

normal

1

 

abnormal

0

open wound

absent (normal)

1

 

present

0

neurological status

normal

1

 

abnormal

0

hemodynamic status

normal

1

 

abnormal

0

skeletal integrity

normal

1

 

abnormal

0

loss of consciousness

absent (normal)

1

 

present

0

contusions to head or torso

absent (normal)

1

 

present

0

 

where:

• Normal hemodynamics was a systolic blood pressure > 90 mm Hg and a palpable pulse at the wrist.

 

total score =

= SUM(points for all 7 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 7

• A low score indicates a higher chance of serious trauma.

• A score of 7 indicates a patient with a low risk of serious trauma.

 

Performance at the Hospital for Sick Children:

• The sensitivity was 99% and specificity 21%.

• It use reduced activation of the trauma team by 20%.


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Specialty

Objective

ICD-10