In cases of suspected "major" trauma, please call the Emergency Medicine consultant or Regsitrar if the CRAMS score is 8 or less.
| Circulation | Normal capillary refill and SBP>100 | 2 |
|---|---|---|
| Delayed capillary refill or SBP 85-99 | 1 | |
| No capillary refill or SBP<85 | 0 | |
| Respiration | Normal | 2 |
| Abnormal (laboured, shallow, or rate>35) | 1 | |
| Absent | 0 | |
| Abdomen | Abdomen and thorax not tender | 2 |
| Abdomen and/or thorax tender | 1 | |
| Abdomen rigid, thorax flail, or deep penetrating injury to either | 0 | |
| Motor | Normal - obeys commands | 2 |
| Responds only to pain, no posturing | 1 | |
| Only posturing or flaccid to pain | 0 | |
| Speech | Normal - obeys commands | 2 |
| Confused or inappropriate | 1 | |
| No intelligible word or silence | 0 | |
| Total | 0-10 |