TO COMPARE REVERSE SHOCK INDEX- SIMPLIFIED MOTOR SCORE(rSI-SMS) VERSUS REVERSE SHOCK INDEX- GLASGOW COMA SCORE(rSIG) FOR POLYTRAUMA PATIENTS PRESENTING IN TRAUMA TRIAGE.

TITLE

To compare Reverse Shock Index-Simplified
Motor Score(rSI-SMS) Versus Reverse Shock Index-Glasgow Coma Score (rSIG) for
polytrauma patients presenting in trauma triage

AIM

To compare reverse shock index-simplified motor score(rSI-SMS) and reverse shock index-Glasgow coma score (rSIG) for prediction of need for mechanical ventilation, vasopressors and ICU stay in polytrauma patients.

OBJECTIVE

Primary objective

1.     To compare reverse shock index-simplified motor score (rSI-SMS) and reverse shock index-Glasgow coma score (rSIG) for their correlation with need of mechanical ventilation in polytrauma patients.

Secondary objectives

1.     To compare the two scores rSI-SMS and rSIG, for prediction of hemodynamic instability requiring vasopressors in polytrauma patients

2.     To compare two scores, rSI-SMS and rSIG in predicting the length of ICU stay in polytrauma patients.

Inclusion Criteria:

1. Patient with age >18 years and <60 years

2.  Polytrauma patients with injury severity score>15.

Exclusion Criteria:

1. Patient with age <18 years.

2. Patients who are already intubated/tracheostomized.

3. Patients who have history of cardiac arrest.

4. Patients on vasopressors.

5. Known cases of compromised left ventricular systolic function.

6. Patient with minor injuries.

7. Polytrauma more than 48 hours.

SAMPLE SIZE: 120 patients of polytrauma presenting in trauma triage.

ASSESSMENT : a) General Examination: head to toe

b) Respiratory System: RR,sPO2

c) Cardiovascular system : HR, SBP, rSI

d)Neurological system : GCS, SMS, MOTOR, SENSORY

Reverse shock index – Glasgow coma score (rSIG)

Reverse shock index-Simplified motor score (rSI-SMS)

e) GIT

f) Skin

g) Pupils

h) Blood gas analysis

Oxygenation:

Ventilatory support (required or not):

If required, ventilator settings:

Fluids

a)     Per oral /Ryles tube

b)     Intravenous

a)     Urine output

b)     Drains

Infusions

a)     Vasopressors

a)     Sedation

Blood sugar charting:

ICU stay (+/-):

If yes, No.of days:

Critical event (if any):

Mortality:

ANALYSIS : Data will be compiled and appropriate statistical test will be applied for results.