LESI\u00d3N<\/p>\n<\/td>\n
Puntuaci\u00f3n <\/p>\n<\/td>\n<\/tr>\n
Respiratorio:<\/p>\n<\/td>\n
Dolor tor\u00e1cico: hallazgos m\u00ednimos
Contusi\u00f3n pared tor\u00e1cica: fractura simple costal o esternal
Fractura 1\u00aa costilla o m\u00faltiple, hemot\u00f3rax, neumot\u00f3rax
Herida abierta, neumot\u00f3rax a tensi\u00f3n, volet o contusi\u00f3n pulmonar unilateral
IRA, aspiraci\u00f3n, volet o contusi\u00f3n pulmonar bilateral, laceraci\u00f3n diafragm\u00e1tica<\/p>\n<\/td>\n
1
2
3
4 <\/p>\n
5<\/p>\n<\/td>\n<\/tr>\n
Abdominal:<\/p>\n<\/td>\n
vacio<\/p>\n<\/td>\n<\/tr>\n
Sensibilidad moderada pared abdominal o flancos con signos peritoneales
Fractura costal 7-12, dolor abdominal moderado
Una lesi\u00f3n <: hep\u00e1tica, intestino delgado, bazo, ri\u00f1\u00f3n, p\u00e1ncreas o ur\u00e9ter
Dos lesiones >: rotura hep\u00e1tica, vejiga, p\u00e1ncreas, duodeno o colon
Dos lesiones severas: lesi\u00f3n por aplastamiento h\u00edgado, lesi\u00f3n vascular<\/p>\n<\/td>\n
1 <\/p>\n
2
3 <\/p>\n
4
5<\/p>\n<\/td>\n<\/tr>\n
Sistema nervioso:<\/p>\n<\/td>\n
Trauma cerrado sin fracturas ni p\u00e9rdida de consciencia
Fractura craneal, una fractura facial, p\u00e9rdida de consciencia, GCS 15
Lesi\u00f3n cerebral, fractura craneal deprimida, fractura facial m\u00faltiple, p\u00e9rdida de consciencia, GCS <15
P\u00e9rdida de consciencia, GCS <6, fractura cervical con paraplej\u00eda
Coma >24 h, fractura cervical con tetraplej\u00eda
Coma, pupilas dilatadas y fijas <\/p>\n<\/td>\n
1
2 <\/p>\n
3 <\/p>\n
4
5
6 <\/p>\n<\/td>\n<\/tr>\n
Musculoesquel\u00e9tico:<\/p>\n<\/td>\n
Esguince o fractura <, no afectaci\u00f3n de huesos largos
Fractura simple: h\u00famero, clav\u00edcula, radio, c\u00fabito. tibia, peron\u00e9
Fracturas m\u00faltiples: simple de f\u00e9mur, p\u00e9lvica estable, luxaci\u00f3n >
Dos fracturas >: compleja de f\u00e9mur, aplastamiento de un miembro o amputaci\u00f3n, fractura p\u00e9lvica inestable
Dos fracturas severas: fracturas > m\u00faltiples<\/p>\n<\/td>\n
1
2
3
4 <\/p>\n
5<\/p>\n<\/td>\n<\/tr>\n
Cardiovascular:<\/p>\n<\/td>\n
P\u00e9rdida de sangre 10%
P\u00e9rdida de sangre 20-30%, contusi\u00f3n mioc\u00e1rdica
P\u00e9rdida de sangre 20-30%, taponamiento con TAS normal
P\u00e9rdida de sangre 20-30%, taponamiento con TAS <80
P\u00e9rdida de sangre 40-50%, agitaci\u00f3n
P\u00e9rdida de sangre >50%, coma, PCR <\/p>\n<\/td>\n
1
2
3
4
5
6<\/p>\n<\/td>\n<\/tr>\n
Piel:<\/p>\n<\/td>\n
Quemadura <5%, abrasiones, laceraciones
Quemadura 5-15%, contusiones extensas, avulsiones
Quemadura 15-30%, avulsiones severas
Quemadura 30-45%
Quemadura 45-60%
Quemadura >60% <\/p>\n<\/td>\n
1
2
3
4
5
6<\/p>\n<\/td>\n<\/tr>\n
IRA: <\/b>insuficiencia respiratoria aguda; GCS:<\/b> escala de los comas de Glasgow; TAS:<\/b> presi\u00f3n arterial sist\u00f3lica; PCR:<\/b> paraca cardio-respiratoria.
La puntuaci\u00f3n total del ISS se obtiene sumando los cuadrados de las tres puntuaciones m\u00e1s altas.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
Fuente: Baker SP, O\u00b4Neill B, Haddon W. The injury severity score (ISS): a method for decribing patients with multiple injuries and evaluating emergency care. J Trauma 1974; 14: 187-196<\/p>\n
<\/div>\n","protected":false},"excerpt":{"rendered":"\u00a0 LESI\u00d3N Puntuaci\u00f3n Respiratorio: Dolor tor\u00e1cico: hallazgos m\u00ednimos Contusi\u00f3n pared tor\u00e1cica: fractura simple costal o esternal Fractura 1\u00aa costilla o m\u00faltiple, hemot\u00f3rax, neumot\u00f3rax Herida abierta, neumot\u00f3rax a tensi\u00f3n, volet o contusi\u00f3n pulmonar unilateral IRA, aspiraci\u00f3n, volet o contusi\u00f3n pulmonar bilateral, laceraci\u00f3n diafragm\u00e1tica 1 2 3 4 5 Abdominal: vacio Sensibilidad moderada pared abdominal o flancos … Continue reading “Injury severity score (ISS).”<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[8],"tags":[],"class_list":["post-1963","post","type-post","status-publish","format-standard","hentry","category-gravedad-y-edo-fisico"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/1963","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1963"}],"version-history":[{"count":0,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/1963\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1963"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1963"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1963"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}