Introduction of Trauma Scoring for the

Qualification of Trauma on a Live Victim

WILSON
EVELYN SANDJOJO
SHERILYN CINDY
KEVIN JULIUS TANADY
PUTRI WULANDARI
MARIA YOVITA SARASWATI PELE ALU
PATRICK WIRATAMA

2010-061-161
2011-061-061
2012-061-168
2012-061-169
2012-061-175
2012-061-177
2012-061-179

RESIDEN PEMBIMBING
Dr. M Faisal , MHKes
DOSEN PENGUJI :
Dr. Gatot Suharto, SpF.Mkes, SH

DISUSUN OLEH
FK ATMA JAYA
FK ATMA JAYA
FK ATMA JAYA
FK ATMA JAYA
FK ATMA JAYA
FK ATMA JAYA
FK ATMA JAYA

INTRODUCTION

Trauma
Medical
Law

Perspective

Perspective

Qualification

of trauma Punishment

Trauma Score
Alternative
TRISS

discussion

mostly used

Purposes
Trauma

Score in general

ISS, RTS and TRISS

Visum

et Repertum of the trauma

Persecution

laws

TRISS

discussion qualification of
trauma

Benefits
To

know and understand about

trauma score and its uses in the
qualification of trauma.

Literature Review

Definition

Function

Anatomical

Trauma scoring
Types

Physiological

Combination

TRAUMA SCORING

AIS

AP

Anatomical

NISS

RTS

ISS

Physiological

GCS

APACHE

TRISS

Combination

ICISS

Abbreviated Injury Score

(AIS)
sejarah

Hubungan
dengan ISS

ISS
FORMULA : (1ST HIGHEST AIS)2 + (2ND
HIGHEST AIS)2 + (3RD HIGHEST AIS)2

Example of AIS scoring calculation

Region

Trauma Description

AIS

Quadrat

of

highest score
Head and neck

Cerebral contusion

Face

No trauma

Chest

Flail chest

16

Abdomen

Minor contusion of of 2

25

the

hepar

Rupture

of

and 5
the

Extremity

spleen
Fracture of femur

External

No trauma

Injury severity score:

E:\SCORING AIS.DOCX

50

Weakness
-

IF A MISTAKE WERE MADE IN AIS SCORING,

THE LEVEL OF ERROR FOR THE ISS WILL ALSO
INCREASE

DIFFERENT FORMS OF TRAUMA COULD RESULT

IN THE SAME ISS SCORE

COMPLETE DESCRIPTION OF TRAUMA COULD

NOT BE KNOWN

THERES A LIMITATION IN SCORING MULTIPLE

TRAUMAS IN THE SAME REGION OF THE BODY

Revised trauma score

The revised trauma score is a

physiological scoring system

It is scored from the first set of data

obtained on the patient, and consists of
Glasgow Coma scale, Systolic Blood
Pressure and Respiratory Rate

GCS is intended to measure the functional status

of Central Nervous System and also as a
component of trauma scoring.

GCS inherent problem is the inability to accurately

calculate scores in patients who are intubated and
assisted with a ventilator.

Recent research proves that RTS can predict

mortality

TRISS (Trauma and Injury

Severity Score)
TRISS IS A WAY TO IDENTIFY MAJOR TRAUMA
PATIENTS WITH UNEXPECTED OUTCOMES AND TO
COMPARE PATIENT OUTCOMES AMONG INSTITUTIONS
WHILE CONTROLLING FOR DIFFERENCES IN INJURY
SEVERITY.
TRISS FORMULA :
PS = 1/(1 + EB)

Ps = an estimate of a patients survival probability.

b = bo + b1(RTS) + b2(ISS) + b3(AGE)

AGE = 0 (for age < 55 years old)

AGE = 1 (for age 55 years old)

AGE < 15 years old, use only the values of non

penetration injuries

e = 2.718282

Calculate TRISS using TRISS calculator from

http://www.trauma.org

TRISS LIMITATION

Less accurate

Problem with ISS

Problem with RTS

No information about past condition

Visum Et Repertum of
Injury

Objective to find out the cause and

the severity of injury
Purpose in order for a person who
causes another person got injured will
be punished according to the severity
experienced by victims
Conclusion : identify type of injury,
determine the type of violence, injury
qualification

Government Law Against the

Human Body And Soul
( Indonesian Penal Code)

Chapter 90

Chapter 351

Chapter 352

Chapter 353

Chapter 354

SUMARY
Trauma

scoring -> Interpretation

of the severity of a trauma in the
form of number which would help
doctor in rephrasing into a term
which is familiar to the general
public.

Outcome

of the trauma
Medical aspect and juridical
aspect.

THANK YOU