Rome Eye Scoring System for Urgency and Emergency (RESCUE) of Rossi et al for Triaging an Ophthalmic Emergency

Description

Rossi et al described the Rome Eye Scoring System for Urgency and Emergency (RESCUE) for evaluating a patient with an ophthalmic emergency. This can help triage the patient for optimum management. The authors are from Ospedale Oftalmico of Roma, G.B. Bietti Foundation IRCCS and Citta di Pomezia Hospital in Italy.

Patient selection: ophthalmic emergency in the Emergency Department

Parameters:

(1) redness

(2) pain

(3) loss of vision

(4) risk for an open globe

Parameter	Finding	Points
redness	none	0
	moderate	1
	severe	2
pain	none	0
	moderate	1
	severe	2
loss of vision	none	0
	moderate	2
	severe	4
risk for open globe	none	0
	moderate	2
	severe	4

where:

• Mild changes are not assigned. In the implementation these will be added to the moderate category. Another option is to assign half pointage.

total score =

= SUM(points for all 4 parameters)

Interpretation:

• minimum score: 0

• maximum score: 12

• The higher the score the more severe the trauma.

Total Score	Color Code for Triage	Management
0 to 3	white	not urgent
4 to 7	green	urgent
8 to 12	yellow	emergency

Performance:

• The sensitivity was 91% and specificity 97%.

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Rome Eye Scoring System for Urgency and Emergency (RESCUE) of Rossi et al for Triaging an Ophthalmic Emergency

Description

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