Pape et al reported consensus criteria for polytrauma. The authors are from multiple institutions in Europe, the United States and Australia.

Patient selection: trauma


Criteria for polytrauma - both of the following:

(1) AIS score >= 3 in >= 2 body regions

(2) one or more of the following:

(2a) hypotension (systolic blood pressure <= 90 mm Hg)

(2b) Glasgow coma scale<= 8

(2c) acidosis (base excess <= -6)

(2d) coagulopathy (aPTT>= 40 seconds or INR >= 1.4)

(2e) age >= 70 years


Mahmood et al added an ISS > 15 points while Rau et al added an ISS >= 18.

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