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Predictive accuracy of adding shock index to the American College of Surgeons’ minimum criteria for full trauma team activation

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The American College of Surgeons requires trauma centers to use six minimum criteria (ACS‐6) for full trauma team activation: hypotension, gunshot wound to the neck or torso, Glasgow Coma Scale… Click to show full abstract

The American College of Surgeons requires trauma centers to use six minimum criteria (ACS‐6) for full trauma team activation: hypotension, gunshot wound to the neck or torso, Glasgow Coma Scale (GCS) score < 9, respiratory compromise, transfers receiving blood transfusion, or physician discretion. Our goal was to evaluate the effect of adding varying shock index (SI) thresholds to the ACS‐6 in an adult trauma population with the hypothesis that SI would significantly improve sensitivity at the expense of an acceptable decrease in specificity.

Keywords: team activation; college surgeons; trauma team; full trauma; american college; minimum criteria

Journal Title: Academic Emergency Medicine
Year Published: 2022

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