Factors

Score

Skeletal/soft-tissue injury

Low energy (stab; simple fracture; pistol gunshot wound)

1

Medium energy (open or multiple fractures, dislocation)

2

Medium energy (open or multiple fractures, dislocation)

3

Very high energy (high speed trauma + gross contamination)

4

Limb ischemia

Pulse reduced or absent but perfusion normal

1*

Pulseless; paresthesias, diminished capillary refill

2*

Cool, paralyzed, insensate, numb

3*

Shock

Systolic BP always > 90 mm Hg

0

Hypotensive transiently

1

Persistent hypotension:

2

Age (years)

<30

0

30 - 50

1

>50

2