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
GCS 13–15, systolic BP > 89 mmHg and respiratory rate 10–29/min (all coded 4).
→ Physiology alone does not indicate trauma-centre care; secondary survey; apply anatomical and mechanism criteria.
Any coded value below 4 (Champion 1989: identified more than 97% of non-survivors). Lower values mean worse physiology.
→ Trauma team; resuscitation; major haemorrhage protocol if bleeding; major trauma centre per the regional network.
Interpretation bands for the Revised Trauma Score. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Tranexamic Acid (ICU/Trauma/Surgical) · Antifibrinolytic
- Labetalol (IV — Hypertensive Emergency) · Combined Alpha-1 and Beta-Adrenergic Blocker
- Labetalol (IV — Hypertensive Emergency) · Combined alpha and beta blocker
- Tenecteplase · Cardiovascular Emergency
- Tirofiban · Cardiovascular Emergency
- Terlipressin · Gastrointestinal Emergency
- Major Trauma — Primary Survey (ATLS) · ATLS 10th Edition; JRCALC; NICE NG39
- Major Haemorrhage / Massive Transfusion · BCSH; RCOA; RCEM; RCS — BCSH Guidelines
- Burns — TBSA Estimation & Fluid Resuscitation · British Burn Association; EMSB; RCEM 2024
- Lower Gastrointestinal Bleed · NICE; BSG; ACPGBI — Commissioning Guide
- Acute Pancreatitis · NICE; IAP/APA; ACPGBI — CG104
- Hypertrophic Pyloric Stenosis · BAPS / RCPCH
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.