Emergency Medicine

Revised Trauma Score (RTS) & TRISS Predicted Survival Probability

Calculates physiological RTS (0–12) and TRISS predicted survival probability in severe trauma.

Parameters

Revised Trauma Score (RTS) & TRISS Predicted Survival Probability Result

--
FormulaTriage RTS = GCS Code (0–4) + SBP Code (0–4) + RR Code (0–4) (Range: 0–12) Physiological RTS = 0.9368(GCS) + 0.7326(SBP) + 0.2908(RR) (Range: 0–7.84) TRISS Survival Ps = 1 / (1 + e^-b), where b = β₀ + β₁(RTS) + β₂(ISS) + β₃(Age)

Clinical Pearls

The benchmark physiological score utilized globally by EMS and trauma teams to trigger emergency trauma room activations and benchmark trauma center outcomes.

Limitations

RTS can be artificially depressed by severe acute alcohol intoxication or recreational drug overdose without intracranial pathology.