Trauma Score Calculator
Revised Trauma Score (RTS) from GCS, systolic blood pressure, and respiratory rate with survival probability estimate.
About this calculator
Proposed by Champion and colleagues in 1989, the Revised Trauma Score recodes three vital physiologic measurements -- Glasgow Coma Scale, systolic blood pressure, and respiratory rate -- each into a 0-4 coded value from a lookup table, then combines them two different ways for two different purposes. For estimating survival probability, the codes are multiplied by statistically derived weights (0.9368 for the GCS code, 0.7326 for systolic BP, 0.2908 for respiratory rate) and summed into the weighted RTS, ranging from 0 (worst) to 7.8408 (best), which feeds a logistic regression estimate of survival. For rapid field triage, the same three codes are instead simply added together with no weighting at all -- called the Triage RTS (T-RTS), ranging from 0 to 12 -- because paramedics in the field need a number they can compute by addition alone.
A T-RTS of 12 indicates minimal injury, 11 indicates delayed priority, and 1 through 10 indicates the highest, immediate priority for trauma center transport. These are two genuinely different scores built from the same three inputs, not two views of the same number, and conflating them (comparing the weighted RTS against T-RTS's 11-12 thresholds, for example) produces triage categories that are never reachable. The survival-probability regression here uses RTS alone; it is a simplified estimate, not the full TRISS methodology, which also incorporates Injury Severity Score and a patient's age.
Medical Disclaimer
This calculator is for informational and educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making decisions about your health. Never disregard professional medical advice or delay seeking it because of results from this tool.
Inputs
Results
Revised Trauma Score
7.84
Figures current as of 1989. Source: Champion HR, Sacco WJ, Copes WS, Gann DS, Gennarelli TA, Flanagan ME. A Revision of the Trauma Score. J Trauma. 1989;29(5):623-629.
How to Use This Calculator
- Enter the Glasgow Coma Scale (GCS) total score (3-15).
- Input Systolic Blood Pressure (mmHg) and Respiratory Rate (breaths/min).
- Review the Revised Trauma Score (RTS) — the WEIGHTED sum of coded GCS, SBP, and RR values, used for the survival probability estimate.
- Check Estimated Survival Probability (%) — a simplified, RTS-only approximation, not the full TRISS.
- Use Triage RTS and Triage Priority (Immediate/Delayed/Minimal) — the UNWEIGHTED sum of the same three codes, used for field transport decisions.
What each input means
- Glasgow Coma Scale (GCS)
- GCS score from 3 (deep coma) to 15 (fully alert).
- Systolic Blood Pressure (mmHg)
- Systolic BP in mmHg. Enter 0 if no pulse detected.
- Respiratory Rate (breaths/min)
- Breaths per minute. Enter 0 if apneic.
What each result means
- Revised Trauma Score
- RTS ranges from 0 (worst) to 7.8408 (best).
- GCS Coded Value (0-4)
- Coded GCS component for RTS calculation.
- SBP Coded Value (0-4)
- Coded systolic BP component for RTS calculation.
- RR Coded Value (0-4)
- Coded respiratory rate component for RTS calculation.
- Estimated Survival Probability (%)
- A logistic model of survival probability using the weighted RTS. An approximation, not a substitute for full TRISS (which also requires Injury Severity Score and age).
- Triage RTS (T-RTS, 0-12)
- The unweighted sum of the same three coded values (0-12), used for field triage thresholds -- a different score from the weighted RTS above.
- Triage Priority (1=Immediate, 2=Delayed, 3=Minimal)
- Field triage category from the Triage RTS: T-RTS 1-10 = immediate (highest priority), 11 = delayed, 12 = minimal injuries.
How this is calculated
Worked example, using the default values
- Identify Input ParametersGlasgow Coma Scale (GCS) = 15, Systolic Blood Pressure (mmHg) = 120, Respiratory Rate (breaths/min) = 16 = 3 input(s) provided
- Calculate Revised Trauma ScoreRevised Trauma Score = round(rts * 1000) / 10007.841 = 7.841
- Calculate GCS Coded ValueGCS Coded Value4 = 4
- Calculate SBP Coded ValueSBP Coded Value4 = 4
Figures and sources
- Revised Trauma Score (RTS / T-RTS) (1989) — Champion HR, Sacco WJ, Copes WS, Gann DS, Gennarelli TA, Flanagan ME. A Revision of the Trauma Score. J Trauma. 1989;29(5):623-629.
Engine last updated . Checked against 1 independently-derived test — how we verify calculators. Built by Paul Gunder, a software engineer, not a licensed financial, medical, or legal professional.
Frequently Asked Questions
What's the difference between the RTS and the Triage RTS (T-RTS)?
Both start from the same three 0-4 coded values for GCS, systolic blood pressure, and respiratory rate, but they combine them differently for different purposes. The weighted RTS multiplies each code by a statistically derived coefficient and sums them (range 0 to 7.8408) for estimating survival probability, while the Triage RTS simply adds the three raw codes together with no weighting (range 0 to 12) so a first responder can compute it by hand in the field for rapid transport decisions.
What Triage RTS value indicates the patient needs a trauma center?
A Triage RTS of 10 or below indicates the highest, immediate priority for transport to a designated trauma center. A T-RTS of 11 indicates delayed priority, and a T-RTS of 12 -- the maximum, meaning every component is at its best coded value -- indicates minimal injury. Because the scale only has 13 possible whole-number values (0 through 12), most injured patients with any physiologic derangement fall into the immediate-priority range.
Is the survival probability estimate here the same as the full TRISS score?
No -- this calculator's survival probability uses a logistic model based on RTS alone. The full Trauma and Injury Severity Score (TRISS) methodology combines RTS with the Injury Severity Score (which requires detailed anatomic injury coding not entered here) and a patient's age into a more complete survival estimate. Treat this calculator's percentage as a simplified, RTS-only approximation, not a substitute for a complete TRISS calculation.
Why do GCS, systolic BP, and respiratory rate each get coded 0-4 instead of used directly?
Coding each measurement into a 0-4 bucket compresses continuous vital signs (a GCS of 3-15, a blood pressure of any value, a respiratory rate of any value) into a small, comparable scale before combining them, the same way the original Trauma Score's designers intended. A patient with a GCS of 9 and a GCS of 12 both fall in the same coded bucket (3) even though the raw scores differ, because the RTS is designed around broad physiologic categories rather than fine-grained precision in any one measurement.
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