The SceneScore for improved pre-hospital triage of motor-vehicle crash victims

The SceneScore is a simple mechanism of injury scoring system designed to facilitate the appropriate triage of crash victims. It comprises 7 variables including age, collision type, impact location, airbag deployment, steering wheel deformity, intrusion, and restraint use. A cutoff value of 7 or 8 p...

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Bibliographic Details
Published in:Annual proceedings - Association for the Advancement of Automotive Medicine 2007, Vol.51, p.49-60
Main Authors: Schulman, C I, Wilbur, V, Leibowitz, B, Labiste, L, Perdeck, E, Bahouth, G, Digges, K, Augenstein, J S
Format: Article
Language:English
Subjects:
Accidents, Traffic - statistics & numerical data
Aged
Databases as Topic
Emergency Medical Services - methods
Female
Florida
Glasgow Coma Scale
Health Status Indicators
Humans
Injury Severity Score
Male
Middle Aged
Motor Vehicles - statistics & numerical data
Pilot Projects
Post-Crash Research
Triage - methods
Wounds and Injuries - therapy
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Summary:The SceneScore is a simple mechanism of injury scoring system designed to facilitate the appropriate triage of crash victims. It comprises 7 variables including age, collision type, impact location, airbag deployment, steering wheel deformity, intrusion, and restraint use. A cutoff value of 7 or 8 provides the maximum balance between sensitivity and specificity, with sensitivities of 75% to 83% and specificities of 29% to 46%. For cases triaged to the trauma center based only on high suspicion of injury, the SceneScore reduces the overtriage rate by almost half. Proper application of the SceneScore may lead to improved triage and enhanced communication of mechanism of injury criteria.
ISSN:1540-0360