Animal Trauma Triage (ATT) Score Perfusion 0 or 1 2
[Pages:1]Animal Trauma Triage (ATT) Score
Perfusion
MM pink/moist, CRT 2 sec, T 100F, strong or bounding femoral pulse quality
0
MM hyperemic or pale pink, MM tacky, T 100F, CRT 0?2 sec, fair femoral pulses
1
MM very pale pink & tacky, CRT 2?3 sec, T < 100F, detectable but poor pulses
2
MM gray/blue/white, CRT > 3 sec, T < 100F, non-palpable femoral pulses
3
Cardiac
HR canine: 60?140 bpm feline: 120?200 bpm, normal sinus rhythm
0
HR canine: 140?180 bpm feline: 200?260 bpm, NSR or VPC < 20/min
1
HR canine: > 180 bpm feline: > 260 bpm, consistent arrhythmia
2
HR canine: < 60 bpm feline: 120 bpm, erratic arrhythmia
3
Respiratory
Regular resp rate with no stridor, no abdominal component to resp
0
Mild inc resp rate and eff, ? abd comp, mild upper airway sounds
1
Mod inc resp rate and effort, some abd comp, elbow abduct, mod inc upper airway
2
Marked resp effort or gasping/agonal resp, little/no air passage
3
Eye/Muscle/Integument
Abrasion/laceration - none or partial thickness. Eye: no fluorescein uptake.
0
Abrasion/laceration - full thickness. No deep tissue involved. Eye - corneal lac not perf.
1
Abrasion/laceration - full thickness, deep tissue involved, art/nerve/muscle intact. Eye: corneal perforation,
2
punctured globe or proptosis.
Penetration of abdomen/thorax. Abrasion/laceration full thickness, deep tissue invol, artery/nerve/muscle
3
compromised.
Skeletal
Wt bearing 3 or 4 limbs. No palpable fx/jt laxity.
0
Closed limb fx/rib fx or any mandibular fx. Single jt laxity/lux (including SI). Pelvic fx with unilateral intact SI -ilium- 1
acetabulum. Single limb open/closed fx at or below carpus/tarsus.
Multiple grade 1 conditions, single long bone open fx above carpus/tarsus with cortical bone preserved. Non-
2
mandibular skull fx.
Vertebral body fx/luxation except coccygeal, multiple long bone open fx above tarsus/carpus, single long bone
3
open fx above tarsus/carpus with loss of cortical bone.
Neurologic
Central: consciousness: alert to sl dull, interest in surrounding. Periph: normal spinal reflexes; purposeful
0
movement and nociception in all limbs.
Central: dull/depressed/withdrawn. Periph: abn spinal reflexes with purposeful movement and nociception intact 1
in all 4 limbs.
Central: unconscious, responds to noxious stimuli. Periph: absent purposeful movement with intact nociception
2
in 2 or more limbs or nociception absent in 1 limb, decr anal or tail tone.
Central: nonresponsive to all stimuli, refractory seizures. Periph: absent nociception in 2 or more limbs, absent
3
tail or perianal nociception.
Score 0?3 (3 = most severe) for each of the above 6 categories. Add all scores together for total ATT Score. "Each point increase in the ATT score resulted in a 2.3?2.6 times decreased likelihood of survival." Journal of Veterinary Emergency and Critical Care. 2007;4(2):77?83
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