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injury severity score wikipedia jump to content main menu main menu move to sidebar hide navigation main page contents current events random article about wikipedia contact us contribute help learn to edit community portal recent changes upload file special pages search search appearance donate create account log in personal tools donate create account log in contents move to sidebar hide top 1 abbreviated injury scale ais 2 definition 3 references 4 external links toggle the table of contents injury severity score 7 languages العربية deutsch français עברית italiano norsk bokmål 中文 edit links article talk english read edit view history tools tools move to sidebar hide actions read edit view history general what links here related changes upload file permanent link page information cite this page get shortened url switch to legacy parser print export download as pdf printable version in other projects wikidata item appearance move to sidebar hide from wikipedia the free encyclopedia medical score to assess trauma severity the injury severity score iss is an established medical score to assess trauma severity 1 2 it correlates with mortality morbidity and hospitalization time after trauma it is used to define the term major trauma a major trauma or polytrauma is defined as the injury severity score being greater than 15 2 the ais committee of the association for the advancement of automotive medicine aaam designed and improves upon the scale abbreviated injury scale ais edit the abbreviated injury scale ais is an anatomically based consensus derived global severity scoring system that classifies each injury in every body region according to its relative severity on a six point ordinal scale minor moderate serious severe critical maximal currently untreatable there are nine ais chapters corresponding to nine body regions head face neck thorax abdomen spine upper extremity lower extremity external and other definition edit the iss is based see below upon the abbreviated injury scale ais to calculate an iss for an injured person the body is divided into six iss body regions these body regions are head or neck including cervical spine face including the facial skeleton nose mouth eyes and ears chest thoracic spine and diaphragm abdomen or pelvic contents abdominal organs and lumbar spine extremities or pelvic girdle pelvic skeleton external to calculate an iss take the highest ais severity code in each of the three most severely injured iss body regions square each ais code and add the three squared numbers for an iss iss a 2 b 2 c 2 where a b c are the ais scores of the three most injured iss body regions the iss scores ranges from 1 to 75 i e ais scores of 5 for each category if any of the three scores is a 6 the score is automatically set at 75 since a score of 6 unsurvivable indicates the futility of further medical care in preserving life this may mean a cessation of further care in triage for a patient with a score of 6 in any category 3 references edit baker sp o neill b haddon w long wb 1974 the injury severity score a method for describing patients with multiple injuries and evaluating emergency care the journal of trauma 14 3 lippincott williams wilkins 187 196 doi 10 1097 00005373 197403000 00001 pmid 4814394 1 2 copes w s h r champion w j sacco m m lawnick s l keast l w bain 1988 the injury severity score revisited the journal of trauma 28 1 lippincott williams wilkins 69 77 doi 10 1097 00005373 198801000 00010 pmid 3123707 trauma org website http www trauma org index php main article 383 archived 2009 09 16 at the wayback machine accessed nov 18 2009 external links edit online calculator of the injury severity score v t e emergency medicine emergency medicine emergency department emergency medical services emergency nursing emergency psychiatry golden hour medical emergency international emergency medicine pediatric emergency medicine pre hospital emergency medicine major trauma trauma center triage equipment bag valve mask bvm chest tube defibrillation aed icd electrocardiogram ecg ekg intraosseous infusion io intravenous therapy iv tracheal intubation laryngeal tube combitube nasopharyngeal airway npa oropharyngeal airway opa pocket mask drugs adenosine amiodarone atropine dopamine epinephrine adrenaline naloxone magnesium sulfate sodium bicarbonate organisations international federation for emergency medicine international conference on emergency medicine american college of emergency physicians australasian college for emergency medicine canadian association of emergency physicians royal college of emergency medicine european society for emergency medicine asian society for emergency medicine american academy of emergency medicine courses life support first aid cardiopulmonary resuscitation cpr mouth to mouth resuscitation basic life support bls advanced cardiac life support acls advanced trauma life support atls neonatal resuscitation program nrp acute care of at risk newborns acorn pediatric basic life support pbls pediatric advanced life support pals advanced life support in obstetrics also care of the critically ill surgical patient ccrisp scoring systems naca score injury severity score category outline v t e trauma principles polytrauma major trauma traumatology triage resuscitation trauma triad of death assessment clinical prediction rules abbreviated injury scale injury severity score naca score revised trauma score investigations diagnostic peritoneal lavage focused assessment with sonography for trauma management principles advanced trauma life support damage control surgery early appropriate care trauma center trauma surgery trauma team procedures resuscitative thoracotomy pathophysiology injury msk bone fracture degloving joint dislocation soft tissue injury respiratory diaphragmatic rupture flail chest hemothorax pneumothorax pulmonary contusion cardio cardiac tamponade internal bleeding thoracic aorta injury gi blunt kidney trauma splenic injury neuro intracranial hemorrhage penetrating head injury traumatic brain injury mechanism blast injury blunt trauma burn crush injury electrocution gunshot wound penetrating trauma stab wound region abdominal trauma chest injury facial trauma head injury spinal cord injury demographic geriatric trauma pediatric trauma complications acute respiratory distress syndrome chronic traumatic encephalopathy compartment syndrome contracture volkmann s contracture crush syndrome rhabdomyolysis embolism air fat post traumatic stress disorder subcutaneous emphysema wound healing retrieved from https en wikipedia org w index php title injury_severity_score oldid 1325783452 categories diagnostic emergency medicine diagnostic intensive care medicine medical scales hidden categories articles with short description short description is different from wikidata webarchive template wayback links this page was last edited on 5 december 2025 at 03 48 utc page was rendered with parsoid text is available under the creative commons attribution sharealike 4 0 license additional terms may apply by using this site you agree to the terms of use and privacy policy wikipedia is a registered trademark of the wikimedia foundation inc a non profit organization privacy policy about wikipedia disclaimers contact wikipedia legal safety contacts code of conduct developers statistics cookie statement mobile view search search toggle the table of contents injury severity score 7 languages add topic