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This means that the HIC includes the effects of head acceleration and the duration of the acceleration. Large accelerations may be tolerated for very short times. At a HIC of 1000, there is an 18% probability of a severe head injury, a 55% probability of a serious injury and a 90% probability of a moderate head injury to the average adult. [4]
The Revised Trauma Score is made up of three categories: Glasgow Coma Scale, systolic blood pressure, and respiratory rate. The score range is 0–12. In START triage, a patient with an RTS score of 12 is labeled delayed, 11 is urgent, and 3–10 is immediate.
The Glasgow Outcome Scale has also been extensively used in research and clinical trials. In a 2016 review on the management of traumatic brain injury that examined over 160 randomized controlled trials published between 1980 and 2015, the GOS or GOSE was the outcome measurement reported in over two-thirds of the trials. [13] [3]
The Glasgow Coma Scale [1] (GCS) is a clinical scale used to reliably measure a person's level of consciousness after a brain injury.. The GCS assesses a person based on their ability to perform eye movements, speak, and move their body.
The Injury Severity Score (ISS) is an established medical score to assess trauma severity. [1] [2] It correlates with mortality, morbidity and hospitalization time after trauma. It is used to define the term major trauma. A major trauma (or polytrauma) is defined as the Injury Severity Score being greater than 15. [2]
Closed-head injuries are caused primarily by vehicular accidents, falls, acts of violence, and sports injuries. [4] Falls account for 35.2% of brain injuries in the United States, with rates highest for children ages 0–4 years and adults ages 75 years and older. [3] Head injuries are more common in men than women across every age group. [3]
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The Abbreviated Injury Scale (AIS) is an anatomical-based coding system created by the Association for the Advancement of Automotive Medicine to classify and describe the severity of injuries. [1] [2] [3] It represents the threat to life associated with the injury rather than the comprehensive assessment of the severity of the injury. [4]