Table 1:

Animal trauma triage scoring system

PerfusionScore
Mucous membranes pink/moist, CRT <2 seconds, temperature ≥37.8°C, strong or bounding femoral pulse quality0
Mucous membranes hyperaemic or pale pink, tacky, CRT <2 seconds, temperature ≥37.8°C, fair femoral pulses1
Mucous membranes very pale pink and tacky, CRT 2 to 3 seconds, temperature <37.8°C, detectable but poor pulses2
Mucous membranes grey/blue/white, CRT >3 seconds, temperature <37.8°C, non-palpable femoral pulses3
CardiacScore
Heart rate: canine 60 to 140 bpm, feline 120 to 200 bpm; normal sinus rhythm0
Heart rate: canine 140 to 180 bpm, feline 200 to 260 bpm; normal sinus rhythm or ventricular premature contraction <20/minute1
Heart rate: canine >180 bpm, feline >260 bpm; consistent arrhythmia2
Heart rate: canine <60 bpm, feline ≤120 bpm; erratic arrhythmia3
RespiratoryScore
Regular respiratory rate with no stridor, no abdominal component to respiration0
Mild increase in respiratory rate and effort±abdominal component, mild upper airway sounds1
Moderately increased respiratory rate and effort, some abdominal component, elbow abduction, moderately increased upper airway noise2
Marked respiratory effort or gasping/agonal respiration, little/no air passage3
Eye/muscle/integumentScore
Abrasion/laceration: none or partial thickness
Eye: no fluorescein uptake
0
Abrasion/laceration: full thickness, no deep tissue involved
Eye: corneal laceration, not perforated
1
Abrasion/laceration: full thickness, deep tissue involved, artery/nerve/muscle intact
Eye: corneal perforation, punctured globe or proptosis
2
Penetration of abdomen/thorax
Abrasion/laceration: full thickness, deep tissue involvement, artery/nerve/muscle compromised
3
SkeletalScore
Weight bearing on three or four limbs; no palpable fractures/joint laxity0
Closed limb fracture/rib fracture or any mandibular fracture; single joint laxity/luxation (including sacroiliac); pelvic fracture with unilateral intact sacrum-ilium-acetabulum; single limb open/closed fracture at or below the carpus/tarsus1
Multiple grade 1 conditions; single long bone open fracture above the carpus/tarsus with cortical bone preserved; non-mandibular skull fracture2
Vertebral body fracture/luxation except coccygeal, multiple long bone open fracture above tarsus/carpus; single long bone open fracture above the tarsus/carpus with loss of cortical bone3
NeurologicalScore
Central: alert to mildly dull, interested in surroundings
Peripheral: normal spinal reflexes, purposeful movement and nociception in all limbs
0
Central: dull/depressed/withdrawn
Peripheral: abnormal spinal reflexes with purposeful movement and nociception intact in all four limbs
1
Central: unconscious, responds to noxious stimuli
Peripheral: absent purposeful movement with intact nociception in two or more limbs or nociception absent in one limb, decreased anal or tail tone
2
Central: non-responsive to all stimuli, refractory seizures
Peripheral: absent nociception in two or more limbs, absent tail or perianal nociception
3