As in all trauma patients, initial strategy should focus on the primary and secondary survey and assessing and stablilizing the ABCs.
Each of the six body systems' injuries are given an Abbreviated Injury Scale (AIS); the most severe injury in each body system is used for the Injury Severity Score. Next, the three highest AIS scores are squared, then summed to determine a patient's Injury Severity Score (ISS), which ranges from 0-75. If a patient has an “Unsurvivable” injury in any of the body systems, they are automatically assigned a score of 75.
Susan Baker, MPH, is an professor and epidemiologist specializing in injury prevention at Johns Hopkins Bloomberg School of Public Health and was the first director of the Center for Injury Research and Policy. She is well known for authoring the Injury Fact Book. Professor Baker's teaching and research is aimed at influencing policy changes that will reduce the likelihood of injury for thousands of people.
To view Dr. Susan Baker's publications, visit PubMed