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Many scoring systems have been devised to gauge the severity of trauma injuries, guide early triage and predict mortality. The earliest, introduced in 1969, was the AIS, which grades injuries from 1-6 in different organs. No longer used alone, it does form the basis for the ISS and the more widely-used NISS. The revised trauma score (RTS) is a commonly used physiologic score, applicable to triage as well as mortality prediction.However, neither the NISS nor the RTS were designed for pediatrics. The pediatric trauma score (PTS), shown above, can be utilized for both field assessment and outcome prediction. It is the only trauma score specifically devised for pediatric trauma patients. Children with a PTS > 8 rarely die; those with PTS of 0 or less have a mortality near 100%. Therefore, any child with a PTS in the field of 8 or less should be transported to a trauma facility. |