Abbreviated Injury Scale (AIS) & Injury Severity Score (ISS)

Age of patient

Does the patient ache all over the body?

Does the patient have muscle ache or stiffness in the chest wall ?

Does the patient have muscle ache or stiffness over the abdomen?

Does the patient have any minor lacerations, contusions and abrasions handled by simple closure?

Does the patient have an extensive contusion or abrasion?

Does the patient have a large laceration?

Does the patient have large lacerations involving more than 2 extremities?

Does the patient have an avulsion less than 3 inches wide?

Does the patient have a large avulsion 3 inches or more wide?

Does the patient have severe lacerations and/or avulsions with dangerous hemorrhage?

Does the patient have first degree burns?

Percent of body surface area involved by second degree burns (enter from 0 to 100)

Percent of body surface area involved by third degree burns (enter from 0 to 100)

Is there cerebral injury with headache or dizziness but no loss of consciousness?

Is there a nondisplaced skull fracture?

Is there a compound skull fracture?

Is there a displaced closed skull fracture without unconsciousness or other signs of intracranial injury?

Is there cerebral injury with/without skull fracture, with less than 15 minutes unconsciousness, and no no post-traumatic amnesia?

Is there cerebral injury with or without skull fracture, with unconsciousness more than 15 minutes, without severe neurological signs, and with brief post-traumatic amnesia (less than 3 hours)?

Is there cerebral injury with or without skull fracture with unconsciousness of more than 15 minutes, with definite abnormal neurological signs, and with post-traumatic amnesia 3-12 hours?

Is there cerebral injury with or without skull fracture, with unconsciousness of more than 24 hours and with post-traumatic amnesia for more than 12 hours?

Is there evidence of intracranial hemorrhage?

Are there signs of increased intra-cranial pressure (decreasing state of consciousness, bradycardia under 60, progressive rise in blood pressure, or progressive pupil inequality)?

Does the patient complain of whiplash injury without anatomical and radiological evidence of injury?

Does the patient have a severe whiplash injury with anatomical and radiologic evidence of injury?

Does the patient have a cervical spine fracture without cord damage?

Does the patient have cervical spine injury with quadraplegia?

Are there abrasions and contusions of ocular apparatus (lids, conjunctivae, cornea, uveal injuries)?

Are there vitreous or retinal hemorrhages?

Is there a laceration of the eye and appendages?

Does the patient have a retinal detachment?

Is there loss of an eye?

Does the patient have an avulsion of optic nerve?

Are there fractures and/or dislocation of teeth?

Are disfiguring facial, scalp or skin lacerations?

Are there undisplaced facial bone fractures or compound fracture of the nose?

Is there a displaced facial bone fracture or a facial fracture with antral or orbital involvement?

Is there trauma to mouth or neck with major airway obstruction?

Are there simple rib or sternal fractures?

Is therea major contusion of chest wall without hemothorax or pneumothorax or respiratory embarassment?

Are there multiple rib fractures without respiratory embarassment?

Is there rupture of the diaphragm?

Is there an open chest wound?

Is there flail chest?

Is there myocardial contusion without circulatory embarassment?

Are there pericardial injuries?

Is there a aortic laceration?

Is there myocardial rupture or contusion, with circulatory embarassment?

Is there a hemothorax?

Is there pneumothorax?

Is there a lung contusion?

Is there pneumomediastinum?

Is there myocardial contusion without circulatory embarassment?

Are there chest injuries with major respiratory embarassment (laceration of trachea, hemomediastinum, etc.)?

Does the patient have a seat belt abrasion?

Does the patient have a major contusion of abdominal wall?

Is there contusion of abdominal organs?

Is there retroperitoneal hemorrhage?

Is there a minor laceration of intra-abdominal contents (to include ruptured spleen, kidney and injuries to tail of pancreas)?

Is there rupture, avulsion or severe laceration of intra-abdominal vessels or organs, except kidney, spleen or ureter?

Is there a thoracic or lumbar spine fracture without neurological involvement?

Is there a thoracic and/or lumbar spine fracture with paraplegia?

Is there an extraperitoneal bladder rupture?

Is there avulsion of a ureter?

Is there a laceration of the urethra?

Is there an intraperitoneal bladder rupture?

Is there avulsion of the genitals?

Does the patient show minor sprains and/or a simple fracture?

Are there undisplaced long bone or pelvic fractures?

Are there serious sprains of the major joints?

Does the patient have any displaced simple long bone fractures?

Is there a displaced pelvic fracture?

Is there dislocation of a major joint?

Are there any lacerations of the major nerves or vessels of the extremities?

Are there multiple closed long-bone fractures?

Is there an amputation of a limb?

Are there multiple open limb fractures?

Are fingers or toes dislocated?

Are there compound fracture of fingers or toes?

Are there multiple hand or foot fractures?

Are there multiple amputations of toes or fingers?