Multiple Organ System Failure Score of Tran et al

Is the patient in need of intensive care due to injury or other cause?

Systolic blood pressure

Diastolic blood pressure

Heart rate

Does the patient show a ventricular tachycardia?

Does the patient have ventricular fibrillation?

Has the patient needed inotropic agents to maintain the circulation?

Has the patient had a cardiac arrest?

Has the patient had an acute myocardial infarction?

Positive end-expiratory pressure (PEEP)

FIO2 (enter from 21 to 100)

Respiratory rate

Serum creatinine

Does the patient have chronic renal insufficiency?

Has the patient required acute dialysis?

Serum bilirubin

AST

Does the patient have hepatic encephalopathy?

Hematocrit (enter 0 to100)

WBC count

Platelet count

Does the patient have disseminated intra-vascular coagulopathy (DIC)?

Does the patient have a normal functioning GI tract?

Does the patient have acalculous cholecystitis?

Does the patient have a stress ulcer?

How many units of blood have been used in the past 24 hours to replace blood loss from the bleeding ulcer?

Does the patient have necrotizing colitis?

Does the patient have necrotizing pancreatitis?

Does the patient have perforation of a viscus or the gallbladder?

Glasgow coma score (enter from 3 to 15)