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Modified Pediatric Trauma Score (mPTS) of Simon et al

Purpose: To secondarily triage a pediatric trauma patient using the modified Pediatric Trauma Score (mPTS) of Simon et al.

Description

Simon et al developed a modified Pediatric Trauma Score (mPTS) that can be used as a secondary triage score within a trauma center. The scores uses clinical findings to identify a subset of patients with a low probability of serious disease that do not need management by a full trauma team. The authors are from Baystate Medical Center in Springfield, Massachusetts.


Parameters:

(1) airway

(2) open wound

(3) neurological status

(4) hemodynamics

(5) skeletal integrity

 

Parameter

Finding

Points

airway

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

 

where:

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

 

total score =

= SUM(points for all 5 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 5

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

• A score of 5 indicates a patient at low risk for serious injury. This patient can be managed without activation of the trauma team.

 

Performance:

• Nasr et al found that the score missed some children with significant intra-abdominal injuries.


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Specialty

Objective

ICD-10