急診臨床計算機 — 外傷

離線、零外連、規格可追溯|共 12 項

ABC Score for Massive Transfusion
ABC Score 大量輸血預測

領域:外傷|來源數:1
Penetrating mechanism
Systolic BP ≤90 in ED
HR ≥120 in ED
Positive FAST
來源:MDCalc;Nunez TC, Voskresensky IV, Dossett LA, Shinall R, Dutton WD, Cotton BA. Early prediction of massive transfusion in trauma: simple as ABC (assessment of blood consumption)? J Trauma. 2009 Feb;66(2):346-52. PubMed PMID: 19204506.
MDCalc:https://www.mdcalc.com/calc/1228/abc-score-massive-transfusion

NEXUS Head CT Instrument
NEXUS Head CT 準則

領域:外傷|來源數:1
Age ≥65 years
Evidence of significant skull fracture
Scalp hematoma
Neurologic deficit
Altered level of alertness
Abnormal behavior
Coagulopathy
Persistent vomiting
來源:MDCalc;需人工判斷
MDCalc:https://www.mdcalc.com/calc/10423/nexus-head-ct-instrument

Pittsburgh Knee Rules
Pittsburgh 膝關節準則

領域:外傷|來源數:1
來源:MDCalc;Seaberg DC and Jackson R. Clinical decision rule for knee radiographs. American Journal of Emergency Medicine. 1994; 12(5): 541-3.
MDCalc:https://www.mdcalc.com/calc/1042/pittsburgh-knee-rules

Rule of Nines
九則法 Rule of Nines 燒傷面積

領域:外傷|來源數:1
TBSA affected by burns = Σ(BSA of individual affected body parts)
Head and face
Torso
Back
Right arm
Left arm
Genital area
Right leg
Left leg
來源:MDCalc;Wallace AB. The exposure treatment of burns. The Lancet. 1951;257(6653):501-504.
MDCalc:https://www.mdcalc.com/calc/10568/rule-nines

STUMBL/Battle Score
STUMBL / Battle 肋骨骨折評分

領域:外傷|來源數:1
來源:MDCalc;Battle C, Hutchings H, Lovett S, et al. Predicting outcomes after blunt chest wall trauma: development and external validation of a new prognostic model. Crit Care. 2014;18(3):R98.
MDCalc:https://www.mdcalc.com/calc/10468/stumbl-battle-score

Canadian C-Spine Rule
Canadian C-Spine Rule 頸椎影像決策

領域:外傷|來源數:2
來源:原始論文;Stiell IG, Wells GA, Vandemheen KL, Clement CM, Lesiuk H, De Maio VJ, Laupacis A, Schull M, McKnight RD, Verbeek R, Brison R, Cass D, Dreyer J, Eisenhauer MA, Greenberg GH, MacPhail I, Morrison L, Reardon M, Worthington J. The Canadian C-sp
MDCalc:https://www.mdcalc.com/calc/696/canadian-c-spine-rule

Canadian CT Head Injury/Trauma Rule
Canadian CT Head Rule 頭部 CT 決策

領域:外傷|來源數:2
來源:MDCalc;Stiell IG, Wells GA, Vandemheen K, Clement C, Lesiuk H, Laupacis A, McKnight RD, Verbeek R, Brison R, Cass D, Eisenhauer ME, Greenberg G, Worthington J. The Canadian CT Head Rule for patients with minor head injury. Lancet. 2001 May 5;357(9
MDCalc:https://www.mdcalc.com/calc/608/canadian-ct-head-injury-trauma-rule

Modified Denver Criteria for Blunt Cerebrovascular Injury (BCVI)
Modified Denver 準則(鈍性腦血管損傷 BCVI)

領域:外傷|來源數:2
Le Fort II or III fracture
Basilar skull fracture with carotid canal involvement
Diffuse axonal injury with GCS <6
Cervical spine fracture patterns
Near-hanging with anoxic brain injury
來源:MDCalc;Cothren CC, Moore EE, Biffl WL, et al. Anticoagulation is the gold standard therapy for blunt carotid injuries to reduce stroke rate. Arch Surg. 2004;139(5):540-546.
MDCalc:https://www.mdcalc.com/calc/10653/modified-denver-criteria-bcvi

New Orleans/Charity Head Trauma/Injury Rule
New Orleans 頭部 CT 準則

領域:外傷|來源數:2
Applicability|適用性條件(全部必答)
Headache
Vomiting
Age > 60
Alcohol or drug intoxication
Persisent anterograde amnesia (short-term memory deficits)
Visible trauma above the clavicle
Seizure

NEXUS Chest CT Decision Instrument for CT Imaging
NEXUS Chest CT 準則

領域:外傷|來源數:2
Abnormal chest X-ray
Distracting injury
Chest wall, sternum, thoracic spine, or scapular tenderness
Rapid deceleration mechanism

NEXUS Chest Decision Instrument for Blunt Chest Trauma
NEXUS Chest 鈍性胸傷影像準則

領域:外傷|來源數:2
Age >60 years
Rapid deceleration mechanism
Chest pain
Intoxication
Altered mental status
Distracting painful injury
Tenderness to chest wall palpation

Ottawa Ankle Rule
Ottawa 踝關節準則

領域:外傷|來源數:2
來源:MDCalc;需人工判斷
MDCalc:https://www.mdcalc.com/calc/1670/ottawa-ankle-rule
值班盲點回饋
背景送到共用回饋表單(同 ICD-10/peds-dose 那張 Sheet)+存本機備援,離線也能記。