Trauma Section


Please navigate to specific Trauma pages with these links, via the "Browse Topics" dropdown menu or search particular words above right.

 

In cases of suspected "major" trauma, please call the Emergency Medicine consultant on call if the CRAMS score is 8 or less.

CRAMS score

Circulation

Normal capillary refill and SBP>100

2

 

Delayed capillary refill or SBP 85-99

1

 

No capillary refill or SBP<85

0

     

Respiration

Normal

2

 

Abnormal (laboured, shallow, or rate>35)

1

 

Absent

0

     

Abdomen

Abdomen and thorax not tender

2

 

Abdomen and/or thorax tender

1

 

Abdomen rigid, thorax flail, or deep penetrating injury to either

0
     

Motor

Normal - obeys commands

2

 

Responds only to pain, no posturing

1

 

Only posturing or flaccid to pain

0

     

Speech

Normal - obeys commands

2

 

Confused or inappropriate

1

 

No intelligible word or silence

0

Total

 

0-10

 

 

Dr Íomhar O' Sullivan