Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
AResourceforTraumaCareProfessionals
AlsoavailableinPDF:InjuryScoringScale
Table1:CervicalVascularInjury
Table2:ChestWallInjury
Table3:HeartInjury
Table4:LungInjury
Table5:ThoracicVascularInjury
Table6:DiaphragmInjury
Table7:SpleenInjury
Table8:LiverInjury
Table9:ExtrahepaticBilliaryTreeInjury
Table10:PancreasInjury
Table11:EsophagusInjury
Table12:StomachInjury
Table13:DuodenumInjury
Table14:SmallBowelInjury
Table15:ColonInjury
Table16:RectumInjury
Table17:AbdominalVascularInjury
Table18:AdrenalOrganInjury
Table19:KidneyInjury
Table20:UreterInjury
Table21:BladderInjury
Table22:UrethraInjury
Table23:Uterus(nonpregnant)Injury
Table24:Uterus(pregnant)Injury
Table25:FallopianTubeInjury
Table26:OvaryInjury
Table27:VaginaInjury
Table28:VulvaInjury
Table29:TestisInjury
Table30:ScrotumInjury
Table31:PenisInjury
Table32:PeripheralVascularOrganInjury
Table1
Cervicalvascularorganinjuryscale
Grade Descriptionofinjury ICD9 AIS
90
I Thyroidvein 900.8
Commonfacialvein 900.8
Externaljugularvein 900.81 13
Nonnamedarterial/venousbranches 900.9
II Externalcarotidarterialbranches(ascendingpharyngeal,superiorthyroid,Ingual,facial
maxillary,occipital,posteriorauricular)
900.8
Thyrocervicaltrunkorprimarybranches
Internaljugularvein 900.8
Externalcarotidartery 900.1 13
III Subclavianvein 900.02 23
Vertebralartery 901.3 34
Commoncarotidartery 900.8 24
IV Subclavianartery 900.01 35
Internalcarotidartery(extracranial) 901.1 34
V 900.03 35
*IncreaseonegradeformultiplegradeIIIorIVinjuriesinvolvingmorethan50%vesselcircumference.Decreaseone
gradeforlessthan25%vesselcircumferencedisruptionforgradeIVorV.
FromMooreetal.[1]withpermission.
Table2
Chestwallinjuryscale*
Grade InjuryType DescriptionofInjury ICD9 AIS90
I Contusion Anysize 911.0/922.1 1
Laceration Skin&subcutaneous 875.0 1
Fracture <3ribs,closednondisplacedclavicleclosed 807.01 12
807/02
810.00/810.03 2
II Laceration Skin,subcutaneousandmuscle 875.1 1
Fracture >3adjacentribs,closed 807.03/807.09 23
Openordisplacedclavicle 810.10/810.13 2
Nondisplacedsternum,closed 807.2 2
Scapularbody,openorclosed 811.00/811.18 2
III Laceration Fullthicknessincludingpleuralpenetration 862.29 2
Fracture Openordisplacedsternum 807.2 2
Flailsternum 807.3
Unilateralflailsegment(<3ribs) 807.4 34
Laceration Avulsionofchestwalltissueswithunderlyingribfractures 807.10/807.19 4
Unilateralflailchest(>3ribs)
Fracture Bilateralflailchest(>3ribsonbothsides) 807.4 34
V Fracture 807.4 5
*Thisscaleisconfinedtothechestwallaloneanddoesnotreflectassociatedinternalorabdominalinjuries.Therefore,
furtherdelineationofupperversusloweroranteriorversusposteriorchestwallwasnotconsidered,andagradeVIwas
warranted.Specifically,thoraciccrushwasnotusedasadescriptiveterminstead,thegeographyandextentof
fracturesandsofttissueinjurywereusedtodefinethegrade.FromMooreetal.[2]withpermission.
BacktoTop
Table3
Heartinjuryscale
Grade Descriptionofinjury ICD9 AIS
90
I BluntcardiacinjurywithminorECGabnormality(nonspecificSTorTwavechanges,
prematurearterialorventricularcontractionorpersistentsinustachycardia)
861.01 3
Bluntorpenetratingpericardialwoundwithoutcardiacinjury,cardiactamponade,orcardiac
herniation
II Bluntcardiacinjurywithheartblock(rightorleftbundlebranch,leftanteriorfascicular,or
atrioventricular)orischemicchanges(STdepressionorTwaveinversion)withoutcardiac
failure
861.01 3
Penetratingtangentialmyocardialwoundupto,butnotextendingthroughendocardium,
withouttamponade
861.12 3
III Bluntcardiacinjurywithsustained(>6beats/min)ormultilocalventricularcontractions 861.01 34
Bluntorpenetratingcardiacinjurywithseptalrupture,pulmonaryortricuspidvalvular
incompetence,papillarymuscledysfunction,ordistalcoronaryarterialocclusionwithout
cardiacfailure
861.01 34
Bluntpericardiallacerationwithcardiacherniation
Bluntcardiacinjurywithcardiacfailure
IV Penetratingtangentialmyocardialwoundupto,butextendingthrough, 861.01 34
endocardium,withtamponade 861.12 3
Bluntorpenetratingcardiacinjurywithseptalrupture,pulmonaryortricuspid
valvularincompetence,papillarymuscledysfunction,ordistalcoronaryarterial 861.12 3
occlusionproducingcardiacfailure
Bluntorpenetratingcardiacinjurywithaorticmitralvalveincompetence
Bluntorpenetratingcardiacinjuryoftherightventricle,rightatrium,orleftatrium
Bluntorpenetratingcardiacinjurywithproximalcoronaryarterialocclusion
Bluntorpenetratingleftventricularperforation
Stellatewoundwith<50%tissuelossoftherightventricle,rightatrium,orofleftatrium 861.03 5
V Bluntavulsionoftheheartpenetratingwoundproducing>50%tissuelossofachamber 861.03
861.13 5
861.03 5
VI 861.13 6
*Advanceonegradeformultiplewoundstoasinglechamberormultiplechamberinvolvement.
FromMooreetal.[3]withpermission.
BacktoTop
Table4
LungInjuryScale
Grade* InjuryType DescriptionofInjury ICD9 AIS
90
I Contusion Unilateral,<1lobe 861.12 3
861.31
II Contusion Unilateral,singlelobe 861.20 3
861.30
Laceration Simplepneumothorax 860.0/1 3
III Contusion Unilateral,>1lobe 861.20 3
861.30
Laceration Persistent(>72hrs)airleakfromdistalairway 860.0/1 34
860.4/5
862.0
Hematoma Nonexpandingintraparenchymal 861.30
IV Laceration Major(segmentalorlobar)airleak 862.21 45
861.31
Hematoma Expandingintraparenchymal
Vascular Primarybranchintrapulmonaryvesseldisruption 901.40 35
V Vascular Hilarvesseldisruption 901.41 4
901.42
VI Vascular Totaluncontainedtransectionofpulmonaryhilum 901.41 4
901.42
*AdvanceonegradeforbilateralinjuriesuptogradeIII.Hemothoraxisscoredunderthoracicvascularinjury
scale.
FromMooreetal.[3]withpermission.
BacktoTop
Table5
ThoracicVascularInjuryScale
Grade* Descriptionofinjury ICD9 AIS90
I Intercostalartery/vein 901.81 23
Internalmammaryartery/vein 901.82 23
Bronchialartery/vein 901.89 23
Esophagealartery/vein 901.9 23
Hemizygousvein 901.89 23
Unnamedartery/vein 901.9 23
II Azygosvein 901.89 23
Internaljugularvein 900.1 23
Subclavianvein 901.3 34
Innominatevein 901.3 34
III Carotidartery 900.01 35
Innominateartery 901.1 34
Subclavianartery 901.1 34
IV Thoracicaorta,descending 901.0 45
Inferiorvenacava(intrathoracic) 902.10 34
Pulmonaryartery,primaryintraparenchymalbranch 901.41 3
Pulmonaryvein,primaryintraparenchymalbranch 901.42 3
V Thoracicaorta,ascendingandarch 901.0 5
Superiorvenacava 901.2 34
Pulmonaryartery,maintrunk 901.41 4
Pulmonaryvein,maintrunk 901.42 4
VI Uncontainedtotaltransectionof 901.0 5
thoracicaortaorpulmonary 901.41 4
hilum 901.42
*IncreaseonegradeformultiplegradeIIIorIVinjuriesifmorethan50%circumferencedecreaseonegradeforgrade
IVinjuriesiflessthan25%circumference.
FromMooreetal[3]withpermission
BacktoTop
Table6
Diaphragminjuryscale
Grade* Descriptionofinjury ICD9 AIS90
I Contusion 862.0 2
II Laceration<2cm 862.1 3
III Laceration210cm 862.1 3
IV Laceration>10cmwithtissueloss<25cm2 862.1 3
V Lacerationwithtissueloss>25cm2 862.1 3
*AdvanceonegradeforbilateralinjuriesuptogradeIII.
FromMooreetal.[3]withpermission
BacktoTop
Table7
Spleeninjuryscale(1994revision)
Grade* Injurytype Descriptionofinjury ICD9 AIS90
I Hematoma Subcapsular,<10%surfacearea 86501 2
865.11
Laceration Capsulartear,<1cm 865.02 2
parenchymaldepth 865.12 2
II Hematoma Subcapsular,10%50%surfacearea 865.01
intraparenchymal,<5cmindiameter 865.11
2
Laceration Capsulartear,13cmparenchymaldepththatdoesnot 865.02
involveatrabecularvessel 865.12
3
III Hematoma Subcapsular,>50%surfaceareaorexpandingruptured
subcapsularorparecymalhematomaintraparenchymal
hematoma>5cmorexpanding
Laceration >3cmparenchymaldepthorinvolvingtrabecularvessels 865.03 3
865.13
IV Laceration Lacerationinvolvingsegmentalorhilarvesselsproducing
majordevascularization(>25%ofspleen) 4
V Laceration Completelyshatteredspleen 865.04 5
Vascular Hilarvascularinjurywithdevascularizesspleen 865.14 5
*AdvanceonegradeformultipleinjuriesuptogradeIII.
FromMooreetal.[4]withpermission
BacktoTop
Table8
Liverinjuryscale(1994revision)
Grade* Typeof
Injury
Descriptionofinjury ICD9 AIS
90
I Hematoma Subcapsular,<10%surfacearea 864.01 2
864.11
Laceration Capsulartear,<1cm 864.02 2
parenchymaldepth 864.12
II Hematoma Subcapsular,10%to50%surfacearea 864.01 2
intraparenchymal<10cmindiameter 864.11
Laceration Capsulartear13parenchymaldepth,<10cminlength 864.03 2
864.13
III Hematoma Subcapsular,>50%surfaceareaofrupturedsubcapsularorparenchymal
hematomaintraparenchymalhematoma>10cmorexpanding
3
Laceration >3cmparenchymaldepth 864.04 3
864.14
IV Laceration Parenchymaldisruptioninvolving25%to75%hepaticlobeor 864.04 4
13Couinaudssegments 864.14
V Laceration Parenchymaldisruptioninvolving>75%ofhepaticlobeor>3 5
Couinaudssegmentswithinasinglelobe
Vascular Juxtahepaticvenousinjuriesie,retrohepaticvena 5
cava/centralmajorhepaticveins
VI Vascular Hepaticavulsion 6
*AdvanceonegradeformultipleinjuriesuptogradeIII
FromMooreetal.[4]withpermission
BacktoTop
Table9
Extrahepaticbilliarytreeinjuryscale
Grade* Descriptionofinjury ICD9 AIS90
I Gallbladdercontusion/hematoma 868.02 2
Portaltriadcontusion 868.02 2
II Partialgallbladderavulsionfromliverbedcysticductintact 868.02 2
Lacerationorperforationofthegallbladder 868.12 2
III Completegallbladderavulsionfromliverbed 868.02 3
Cysticductlaceration 868.12 3
IV Partialorcompleterighthepaticductlaceration 868.12 3
Partialorcompletelefthepaticductlaceration 868.12 3
Partialcommonhepaticductlaceration(<50%) 868.12 3
Partialcommonbileductlaceration(<50%) 868.12 3
V >50%transectionofcommonhepaticduct 868.12 34
>50%transectionofcommonbileduct 868.12 34
Combinedrightandlefthepaticductinjuries 868.12 34
Intraduodenalorintrapancreaticbileductinjuries 868.12 34
*AdvanceonegradeformultipleinjuriesuptogradeIII.
FromMooreetal.[5]withpermission
BacktoTop
Table10
PancreasInjuryScale
Grade* TypeofInjury DescriptionofInjury ICD9 AIS90
I Hematoma Minorcontusionwithoutductinjury 863.81863.84 2
Laceration Superficiallacerationwithoutductinjury 2
II Hematoma Majorcontusionwithoutductinjuryortissueloss 863.81863.84 2
Laceration Majorlacerationwithoutductinjuryortissueloss 3
III Laceration Distaltransectionorparenchymalinjurywithductinjury 863.92/863.94 3
IV Laceration Proximal?transectionorparenchymalinjuryinvolvingampulla 863.91 4
V Laceration Massivedisruptionofpancreatichead 863.91 5
*AdvanceonegradeformultipleinjuriesuptogradeIII.*863.51,863.91head863.99,862.92body863.83,863.93tail.
aProximalpancreasistothepatientsrightofthesuperiormesentericvein.
FromMooreetal.[6]:withpermission.
BacktoTop
Table11
Esophagusinjuryscale
Grade* Descriptionofinjury ICD9 AIS90
I Contusion/hematoma 862.22/.32 2
Partialthicknesslaceration 862.22/.32 3
II Laceration<50%circumference 862.22/.32 4
III Laceration>50%circumference 862.22/.32 4
IV Segmentallossordevascularization<2cm 862.22/.32 5
V Segmentallossordevascularization>2cm 862.22/.32 5
*AdvanceonegradeformultiplelesionsuptogradeIII.
FromMooreetal[5]withpermission
BacktoTop
Table12
Stomachinjuryscale
Grade* Descriptionofinjury ICD9 AIS90
I Contusion/hematoma 863.0/.1 2
Partialthicknesslaceration 863.0/.1 2
II Laceration<2cminGEjunctionorpylorus 863.0/.1 3
<5cminproximal1/3stomach 863.0/.1 3
<10cmindistal2/3stomach 863.0/.1 3
III Laceration>2cminGEjunctionorpylorus 863.0/.1 3
>5cminproximal1/3stomach 863.0/.1 3
>10cmindistal2/3stomach 863.0/.1 3
IV Tissuelossordevascularization<2/3stomach 863.0/.1 4
V Tissuelossordevascularization>2/3stomach 863.0/.1 4
*AdvanceonegradeformultiplelesionsuptogradeIII.GEgastroesophageal.
FromMooreetal.[5]withpermission
BacktoTop
Table13
Duodenuminjuryscale
Grade* Typeofinjury Descriptionofinjury ICD9 AIS90
I Hematoma Involvingsingleportionofduodenum 863.21 2
Laceration Partialthickness,noperforation 863.21 3
II Hematoma Involvingmorethanoneportion 863.21 2
Laceration Disruption<50%ofcircumference 863.31 4
III Laceration Disruption50%75%ofcircumferenceofD2 863.31 4
Disruption50%100%ofcircumferenceofD1,D3,D4 863.31 4
IV Laceration Disruption>75%ofcircumferenceofD2 863.31 5
Involvingampullaordistalcommonbileduct 5
V Laceration Massivedisruptionofduodenopancreaticcomplex 863.31 5
Vascular Devascularizationofduodenum 863.31 5
*AdvanceonegradeformultipleinjuriesuptogradeIII.D1firstpositionofduodenumD2secondportionofduodenum
D3thirdportionofduodenumD4fourthportionofduodenum
FromMooreetal.[6]withpermission.
BacktoTop
Table14
Smallbowelinjuryscale
Grade* Typeofinjury Descriptionofinjury ICD9 AIS90
I Hematoma Contusionorhematomawithoutdevascularization 863.20 2
Laceration Partialthickness,noperforation 863.20 2
II Laceration Laceration<50%ofcircumference 863.30 3
III Laceration Laceration>50%ofcircumferencewithouttransection 863.30 3
IV Laceration Transectionofthesmallbowel 863.30 4
V Laceration Transectionofthesmallbowelwithsegmentaltissueloss 863.30 4
Vascular Devascularizedsegment 863.30 4
*AdvanceonegradeformultipleinjuriesuptogradeIII.
FromMooreetal.[6]withpermission
BacktoTop
Table15
Coloninjuryscale
Grade* Typeofinjury Descriptionofinjury ICD9 AIS90
I Hematoma Contusionorhematomawithoutdevascularization 863.40863.44 2
Laceration Partialthickness,noperforation 863.40863.44 2
II Laceration Laceration<50%ofcircumference 863.50863.54 3
III Laceration Laceration>50%ofcircumferencewithouttransection 863.50863.54 3
IV Laceration Transectionofthecolon 863.50863.54 4
V Laceration Transectionofthecolonwithsegmentaltissueloss 863.50863.54 4
Vascular Devascularizedsegment 863.50863.54 4
*AdvanceonegradeformultipleinjuriesuptogradeIII.*863.41,863.51ascending863.42,863.52
transverse863.45,863.53descending863.44,863.54rectum.
FromMooreetal.[6]withpermission
BacktoTop
Table16
Rectuminjuryscale
Grade* Typeofinjury Descriptionofinjury ICD9 AIS90
I Hematoma Contusionorhematomawithoutdevascularization 863.45 2
Laceration Partialthicknesslaceration 863.45 2
II Laceration Laceration<50%ofcircumference 863.55 3
III Laceration Laceration>50%ofcircumference 863.55 4
IV Laceration Fullthicknesslacerationwithextensionintotheperineum 863.55 5
V Vascular Devascularizedsegment 863.55 5
*AdvanceonegradeformultipleinjuriesuptogradeIII.
FromMooreetal.[6]withpermission
BacktoTop
Table17
Abdominalvascularinjuryscale
Grade* Descriptionofinjury ICD9 AIS90
I Nonnamedsuperiormesentericarteryorsuperiormesentericveinbranches 902.20/.39 NS
Nonnamedinferiormesentericarteryorinferiormesentericveinbranches 902.27/.32 NS
Phrenicarteryorvein 902.89 NS
Lumbararteryorvein 902.89 NS
Gonadalarteryorvein 902.89 NS
Ovarianarteryorvein 902.81/.82 NS
Othernonnamedsmallarterialorvenousstructuresrequiringligation 902.90 NS
II Right,left,orcommonhepaticartery 902.22 3
Splenicarteryorvein 902.23/.34 3
Rightorleftgastricarteries 902.21 3
Gastroduodenalartery 902.24 3
Inferiormesentericartery,orinferiormesentericvein,trunk 902.27/.32 3
Primarynamedbranchesofmessentericartery(e.g.,ileocolicartery)or
messentericvein
902.26/.31 3
Othernamesabdominalvesselsrequiringligationorrepair 902.89 3
III Superiormesentericvein,trunk 902.31 3
Renalarteryorvein 902.41/.42 3
Illiacarteryorvein 902.53/.54 3
Hypogastricarteryorvein 902.51/.52 3
Venacava,infrarenal 902.10 3
IV Superiormesentericartery,trunk 902.25 3
Celiacaxisproper 902.24 3
Venacava,suprarenalandinfrahepatic 902.10 3
Aorta,infrarenal 902.00 4
V PortalveinExtraparenchymalhepaticvein 902.33
902.11
33(hepatic
vein)
5(liver+
veins)
Venacava,retrohepaticorsuprahepatic 902.19 5
Aortasuprarenal,subdiaphragmatic 902.00 4
*Thisclassificationsystemisapplicabletoextraparenchymalvascularinjuries.Ifthevesselinjuryiswithin2cmofthe
organparenchyma,refertospecificorganinjuryscale.IncreaseonegradeformultiplegradeIIIorIVinjuriesinvolving>
50%vesselcircumference.Downgradeonegradeif<25%vesselcircumferencelacerationforgradesIVorV.NSnot
scored.
FromMooreetal[2]withpermission
BacktoTop
Table18
Adrenalorganinjuryscale
Grade* Descriptionofinjury ICD9 AIS90
I Contusion 868.01/.11 1
II Lacerationinvolvingonlycortex(<2cm) 868.01/.11 1
III Lacerationextendingintomedulla(>2cm) 868.01/.11 2
IV >50%parenchymaldestruction 868.01/.11 2
V Totalparenchymaldestruction(includingmassiveintraparenchymalhemorrhage) 868.01/.11 3
Avulsionfrombloodsupply
*AdvanceonegradeforbilaterallesionsuptogradeV
FromMooreetal[1]withpermission
BacktoTop
Table19
Kidneyinjuryscale
Grade* Typeof
injury
Descriptionofinjury ICD9 AIS
90
I Contusion Microscopicorgrosshematuria,urologicstudiesnormal 866.01 2
Hematoma Subcapsular,nonexpandingwithoutparenchymallaceration 866.11 2
II Hematoma Nonexpandingperirenalhematmaconfirmedtorenal 866.01 2
retroperitoneum 866.11
Laceration <1.0cmparenchymaldepthofrenalcortexwithouturinary 866.02 2
extravagation 866.12
III Laceration <1.0cmparenchymaldepthofrenalcortexwithoutcollectingsystemrupture
orurinaryextravagation
866.02 3
Laceration Parenchymallacerationextendingthroughrenalcortex, 866.12 4
IV medulla,andcollectingsystem
Vascular Mainrenalarteryorveininjurywithcontainedhemorrhage 4
V Laceration Completelyshatteredkidney 866.03 5
Vascular Avulsionofrenalhilumwhichdevascularizeskidney 866.13 5
*AdvanceonegradeforbilateralinjuriesuptogradeIII
FromMooreetal.[7]withpermission
BacktoTop
Table20
Ureterinjuryscale
Grade* Typeofinjury Descriptionofinjury ICD9 AIS90
I Hematoma Contusionorhematomawithoutdevascularization 867.2/867.3 2
II Laceration <50%transection 867.2/867.3 2
III Laceration >50%transection 867.2/867.3 3
IV Laceration Completetransectionwith<2cmdevascularization 867.2/867.3 3
V Laceration Avulsionwith>2cmofdevascularization 867.2/867.3 3
*AdvanceonegradeforbilateraluptogradeIII.
FromMooreetal.[2]withpermission
BacktoTop
BacktoTop
Table21
Bladderinjuryscale
Grade* Injurytype Descriptionofinjury ICD9 AIS
90
I Hematoma Contusion,intramuralhematoma 867.0/867.1 2
Laceration Partialthickness 3
II Laceration Extraperitonealbladderwalllaceration<2cm 867.0/867.1 4
III Laceration Extraperitoneal(>2cm)orintraperitoneal(<2cm)bladderwalllaceration 867.0/867.1 4
IV Laceration Intraperitonealbladderwalllaceration>2cm 867.0/867.1 4
V Laceration Intraperitonealorextraperitonealbladderwalllacerationextendinginto
thebladderneckorureteralorifice(trigone)
867.0/867.1 4
*AdvanceonegradeformultiplelesionsuptogradeIII
FromMooreetal.[2]withpermission
BacktoTop
Table22
Urethrainjuryscale
Grade* Injurytype Descriptionofinjury ICD9 AIS
90
I Contusion Bloodaturethralmeatusretrographynormal 867.0/867.1 2
II Stretch
injury
Elongationofurethrawithoutextravasationonurethrography 867.0/867.1 2
III Partial
disruption
Extravasationofurethrographycontrastatinjurysitewithvisualizationin
thebladder
867.0/867.1 2
IV Complete
disruption
Extravasationofurethrographycontrastatinjurysitewithout
visualizationinthebladder<2cmofurethraseperation
867.0/867.1 3
V Complete
disruption
Completetransactionwith>2cmurethralseparation,orextensioninto
theprostateorvagina
867.0/867.1 4
*AdvanceonegradeforbilateralinjuriesuptogradeIII
FromMooreetal.[2]withpermission
BacktoTop
Table23
Uterus(nonpregnant)injuryscale
Grade* Descriptionofinjury ICD9 AIS90
I Contusion/hematoma 867.4/.5 2
II Superficiallaceration(<1cm) 867.4/.5 2
III Deeplaceration(>1cm) 867.4/.5 3
IV Lacerationinvolvinguterineartery 902.55 3
V Avulsion/devascularization 867.4/.5 3
*AdvanceonegradeformultipleinjuriesuptogradeIII
FromMooreetal.[5]withpermission
BacktoTop
Table24
Uterus(pregnant)injuryscale
Grade* Descriptionofinjury ICD9 AIS90
I Contusionorhematoma(withoutplacentalabruption) 867.4/.5 2
II Superficiallaceration(<1cm)orpartialplacentalabruption<25% 867.4/.5 3
Deeplaceration(>1cm)occurringinsecondtrimesterorplacentalabruption>25%
III but<50% 867.4/.5 3
Deeplaceration(>1cm)inthirdtrimester
Lacerationinvolvinguterineartery 867.4/.5 4
IV Deeplaceration(>1cm)with>50%placentalabruption 902.55 4
Uterinerupture 867.4/.5 4
V Secondtrimester
Thirdtrimester 867.4/.5 4
Completeplacentalabruption 867.4/.5 5
867.4/.5 45
*AdvanceonegradeformultipleinjuriesuptogradeIII
FromMooreetal.[5]withpermission
BacktoTop
Table25
Fallopiantubeinjuryscale
Grade* Descriptionofinjury ICD9 AIS90
I Hematomaorcontusion 867.6/.7 2
II Laceration<50%circumference 867.6/.7 2
III Laceration>50%circumference 867.6/.7 2
IV Transection 867.6/.7 2
V Vascularinjurydevascularizedsegment 902.89 2
*AdvanceonegradeforbilateralinjuriesuptogradeIII
FromMooreetal.[5]withpermission
BacktoTop
Table26
Ovaryinjuryscale
Grade* Descriptionofinjury ICD9 AIS90
I Contusionorhematoma 867.6/.7 1
II Superficiallaceration(depth<0.5cm) 867.6/.7 2
III Deeplaceration(depth>0.5cm) 867.8/.7 3
IV Partialdisruptionorbloodsupply 902.81 3
V Avulsionorcompleteparenchymaldestruction 902.81 3
*AdvanceonegradeforbilateralinjuriesuptogradeIII
FromMooreetal.[5]withpermission
BacktoTop
Table27
Vaginainjuryscale
Grade* Descriptionofinjury ICD9 AIS90
I Contusionorhematoma 922.4 1
II Laceration,superficial(mucosaonly) 878.6 1
III Laceration,deepintofatormuscle 878.6 2
IV Laceration,complex,intocervixorperitoneum 868.7 3
V Injuryintoadjacentorgans(anus,rectum,
urethra,bladder)
878.7 3
*AdvanceonegradeformultipleinjuriesuptogradeIII
FromMooreetal.[5]withpermission
BacktoTop
Table28
Vulvainjuryscale
Grade* Descriptionofinjury ICD9 AIS90
I Contusionorhematoma 922.4 1
II Laceration,superficial(skinonly) 878.4 1
III Laceration,deep(intofatormuscle) 878.4 2
IV Avulsionskin,fatormuscle 878.5 3
V Injuryintoadjacentorgans(anus,rectum,urethra,bladder) 878.5 3
*AdvanceonegradeformultipleinjuriesuptogradeIII
FromMooreetal.[5]withpermission
BacktoTop
Table29
Testisinjuryscale
Grade* Descriptionofinjury ICD9 AIS90
I Contusion/hematoma 911.0/922.4 1
II Subclinicallacerationoftunicaalbuginea 922.4 1
III Lacerationoftunicaalbugineawith<50%parenchymalloss 878.2 2
IV Majorlacerationoftunicaalbugineawith>50%parenchymalloss 878.3 2
V Totaltesticulardestructionoravulsion 878.3 2
*AdvanceonegradeforbilaterallesionsuptogradeV
FromMooreetal[1]withpermission
BacktoTop
Table30
Scrotuminjuryscale
Grade Descriptionofinjury ICD9 AIS90
I Contusion 922.4 1
II Laceration<25%ofscortaldiameter 878.2 1
III Laceration>25%ofscrotaldiameter 878.3 2
IV Avulsion<50% 878.3 2
V Avulsion>50% 878.3 2
FromMooreetal[1]withpermission
BacktoTop
Table31
Penisinjuryscale
Grade* Descriptionofinjury ICD9 AIS90
I Cutaneouslaceration/contusion 911.0922.4 1
II Bucksfascia(cavernosum)lacerationwithouttissueloss 878.0 1
III Cutaneousavulsion 878.1 3
Lacerationthroughglans/meatus
Cavemosalorurethraldefect<2cm
IV Partialpenectomy 878.1 3
Cavarnosalorurethraldefect>2cm
V Totalpenectomy 876.1 3
*AdvanceonegradeformultipleinjuriesuptogradeIII
FromMooreetal.[1]withpermission
BacktoTop
Table32
Peripheralvascularorganinjuryscale
Grade* Descriptionofinjury ICD9 AIS90
I Digitalartery/vein 903.5 13
Palmarartery/vein 903.4 13
Deeppalmarartery/vein 904.6 13
Dorsallapediaartery 904.7 13
Plantarartery/vein 904.5 13
Nonnamedarterial/venousbranches 903.8/904.7 13
II Basilic/cephalicvein 903.8 13
Saphenousvein 904.3 13
Radialartery 903.2 13
Ulnarartery 903.3 13
III Axillaryvein 903.02 23
Superficial/deepfemoralvein 903.02 23
Poplitealvein 904.42 23
Brachialartery 903.1 23
Anteriortibialartery 904.51/904.52 13
Posteriortibialartery 904.53/904.54 13
Peronealartery 904.7 13
Tibioperonealtrunk 904.7 23
IV Superficial/deepfemoralartery 904.1/904.7 34
Poplitealartery 904.41 23
V Axillaryartery 903.01 23
Commonfemoralartery 904.0 34
*IncreaseonegradeformultiplegradeIIIorIVinjuriesinvolving>50%vesselcircumference.Decreaseonegradefor<
25%vesselcircumferencedisruptionforgradesIVorV
FromMooreetal[1]withpermission
BacktoTop