Revised Trauma Score
Predicts survival probability in trauma using GCS, systolic BP, and respiratory rate
Score interpretation
GCS 13–15, systolic BP > 89 mmHg and respiratory rate 10–29/min (all coded 4).
→ Physiology alone does not indicate trauma-centre care; apply anatomical and mechanism triage criteria.
Any coded value below 4 (Champion 1989: identified more than 97% of non-survivors). Lower values mean worse physiology.
→ Trauma team activation; resuscitation; transfer to a major trauma centre per the regional network.
Interpretation bands for the RTS. Apply clinical judgement and local guidance.
References
- Champion HR, et al. A revision of the Trauma Score. J Trauma. 1989;29(5):623–9.
Related
Curated clinical cross-links plus same-class fallbacks.
- Difficult Airway Algorithm (DAS) · DAS 2015; Royal College of Anaesthetists
- Major Haemorrhage Protocol · NICE NG24; UK MHP guidelines
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Featured in these MRCEM clinical pathways
The RTS is covered in detail — with RCEM/NICE evidence base, indications and pitfalls — in the following exam-focused pathways on our sister siteReviseMRCEM.
MRCEM Primary / Intermediate / OSCE candidates: each pathway includes exam-style questions, RCEM/NICE citations, and FAQ summaries.
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.
