cliot (version 1.0.0)

pediatric_trauma_score: Pediatric Trauma Score (PTS)

Description

Calculates the Pediatric Trauma Score (PTS) to assess injury severity in children. This tool aids in triage decisions, specifically identifying pediatric trauma patients who require transfer to a specialized pediatric trauma center. A score of 8 or lower indicates significant injury and potential for mortality.

Usage

pediatric_trauma_score(weight_kg, airway_status, systolic_bp, cns_status,
                       open_wound_status, skeletal_fracture_status)

Value

A list containing:

PTS_Score

The calculated Pediatric Trauma Score (Range -6 to 12).

Recommendation

Triage guidance based on the threshold of 8.

Risk_Assessment

Estimated mortality risk context.

Arguments

weight_kg

Numeric. Patient weight in kilograms. >20 kg (+2) 10-20 kg (+1) <10 kg (-1)

airway_status

String. Assessment of the airway. "normal" (+2) "maintainable" (+1) "unmaintainable" (-1)

systolic_bp

Numeric. Systolic blood pressure in mmHg. >90 (+2) 50-90 (+1) <50 (-1)

cns_status

String. Central Nervous System status. "awake" (+2) "obtunded" (+1) (includes loss of consciousness) "coma" (-1) (includes decerebrate posturing)

open_wound_status

String. Assessment of open wounds. "none" (+2) "minor" (+1) "major" (-1) (includes penetrating wounds)

skeletal_fracture_status

String. Assessment of skeletal injuries. "none" (+2) "closed" (+1) "open_multiple" (-1)

References

Tepas JJ 3rd, Mollitt DL, Talbert JL, Bryant M. The pediatric trauma score as a predictor of injury severity in the injured child. J Pediatr Surg. 1987;22(1):14-18. doi:10.1016/s0022-3468(87)80005-5

Examples

# Example 1: Severe Trauma
# 9kg (-1), Unmaintainable (-1), SBP 45 (-1), Coma (-1), Major Wound (-1), Open Fx (-1)
# Score = -6
pediatric_trauma_score(9, "unmaintainable", 45, "coma", "major", "open_multiple")

# Example 2: Minor Trauma
# 25kg (+2), Normal Airway (+2), SBP 100 (+2), Awake (+2), Minor Wound (+1), None Fx (+2)
# Score = 11
pediatric_trauma_score(25, "normal", 100, "awake", "minor", "none")