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M-CRAMS SCORE

M ECHANISM CIRCULATION
All Motor Vehicles (MVA)
Systolic BP >100------------------- 2
Capillary refill – normal
Restrained <60 mph----------------------- 2 Systolic BP <100------------------- 1
Restrained >60 mph ----------------------- 1 Capillary refill – delayed
Unrestrained <30mph. Systolic BP <85-------------------- 0
Prolonged extrication >15 min. Capillary refill - none
Intrusion >20 inches.
Rollover.
Unrestrained >30 mph--------------------- 0
Ejected.
Passenger death.
Motor Cycle (MCA) RESPIRATION
Normal------------------------------ 2
<10 mph with helmet----- 2 Abnormal --------------------------- 1
10-20 mph----------------- 1 (Laboured, shallow or rate >29
No helmet. Absent------------------------------- 0
>20 mph ------------------- 0
Thrown >8 feet.
Cyclist – Fall or Knocked down by m-cycle ANATOMICAL
or m-vehicle Abdomen or thorax not tender--- 2
Abdomen or thorax tender-------- 1
Penetrating injury to proximal
<10 mph ------------------- 1 extremity (upper or lower limbs)
>10 mph ------------------- 0 Abdomen rigid or thorax flail----- 0
Thrown >8 feet. Penetrating injury to torso (neck to
groin)
Pedestrian knocked down by m-cycle or m- M OTOR
vehicle
Normal (obeys commands)------- 2
Responds only to pain-------------- 1
<10 mph ------------------- 1 (No posturing)
>10 mph ------------------- 0 Postures----------------------------- 0
Thrown >8 feet. No response
Falls SPEECH
Normal------------------------------ 2
Confused---------------------------- 1
<10 feet-------------------- 2 Inappropriate
10-20 feet------------------ 1 Incomprehensible-------------------- 0
>20 feet-------------------- 0 None
Pick one value from each variable and total
Major assault----------- 1 = MCRAMS
Minimum=0, Maximum=12
Always notify the hospital before arrival.
Children------------------ 1 When the score is 10 or less request that
Elderly (age >70 yy) a trauma team receive the patient.
Intoxicated
This group of patients should be scored ‘0’ if in
any doubt.

Designed by: MR I S REDDY


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E-mail: Ippala@aol.com

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