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Revised Trauma Score (RTS)

Physiological trauma severity score using GCS, systolic BP, and respiratory rate. Used for triage, survival prediction, and outcome benchmarking.

Score interpretation

Minor physiological derangement (RTS 10-12)

→ T3 delayed (non-urgent); standard trauma assessment; secondary survey; vital signs monitoring

Moderate derangement (RTS 7-9)

→ T2 urgent; senior clinician assessment; IV access; imaging; trauma team review; monitor closely for deterioration; predicted survival ~76%

Severe physiological derangement (RTS 0-6)

→ T1 immediate or T4 expectant; full trauma team; resuscitation; massive transfusion protocol if haemorrhage; predicted survival falls steeply; T4 if RTS=0 and no survivable injuries in MCE

Interpretation bands for the Revised Trauma Score. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

📚 MRCEM Revision

Featured in these MRCEM clinical pathways

The Revised Trauma Score 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.