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The Revised Trauma Score (RTS) is a tool for on-site triage for Multiple Casualty Incidents. Its superior efficiency is due to both speed and objectivity. It is designed to provide a comprehensive assessment for medical professionals of any field.
RTS and Triage
The Revised Trauma Score is made up of a combination of results from three categories: Glasgow Coma Scale, Systolic Blood Pressure, and respiratory rate. All of these results can be quickly assessed with minimal equipment: a flashlight, a watch and a sphygmomanometer since systolic pressure can be obtained through arterial palpation. The score range is 0-12. In START triage, a patient with an RTS score of 12 is labeled DELAYED (walking wounded), 11 is URGENT (intervention is required but the patient can wait a short time), and 10-3 is IMMEDIATE (immediate intervention is necessary). The last possible label is MORGUE, which is given to seriously injured people with an RTS score of 3 or lower. These people should not receive certain care because they are unlikely to survive. The reasoning is that diverting scarce resources away from people with a little chance of survival increases the chances of survival of others who are inherently more likely to survive.