High-yield criteria for emergency CT scans

✍ Scribed by ML Mills

• Publisher: Elsevier Science
• Year: 1985
• Tongue: English
• Weight: 146 KB
• Volume: 14
• Category: Article
• ISSN: 1097-6760
• DOI: 10.1016/s0196-0644(85)80434-0

✦ Synopsis

sential to use a valid scale that requires no extra tasks beyond stabilization and transport. A scoring system suited for prehospital care was sought, using a microcomputer to develop and verify progressive simplifications. Data elements were uniformly graded and limited to objectifiable observations routinely made at trauma scenes; impossible or redundant element value combinations were identified and excluded. This process produced a scale, the Jax System (JS), nearly identical to a grading of vital signs, with performance comparable to the CTS. Because JS contains only 4 routinely assessed data elements {respiratory rate, blood pressure, pulse, and neurological), it represents a significant improvement in applicability for prehospital scoring. High-degree correlation between the 2 systems was confirmed by computergenerated comparisons of each of the 18,000 possible CTS scoring combinations with its JS counterpart.