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1382 Clinical Tools

AAST Bladder Injury Scale AAST Bowel Injury Scale AAST Cardiac Injury Scale AAST Diaphragm Injury Scale AAST Hepatic Injury Scale AAST Kidney Injury Scale AAST Lung Injury Scale AAST Pancreatic Injury Scale AAST Rectal Injury Scale AAST Splenic Injury Scale AAST Vascular Injury Scale ABC Score (Massive Transfusion)ACS COT Field Triage Guidelines ATLS Hemorrhagic Shock Classification Abbreviated Injury Scale (AIS)Ankle-Brachial Index (ABI) in Trauma Base Deficit in Trauma Brain Injury Guidelines (BIG) Score Cardiac Wound Index Chest Trauma Score (CTS)Damage Control Decision Score (DCDS)Denver Criteria (BCVI)Esophageal Perforation Severity Score (PSS)Expanded Denver Criteria (BCVI)Flint Colon Injury Scale Frailty Index in Trauma (mFI-5)Geriatric Trauma Outcome Score (GTOS)Hard Signs of Vascular Injury Checklist Hemorrhage Control Decision Aid (Wound Packing vs. Tourniquet)ICP-based Cerebral Perfusion Pressure (CPP) Calculator Injury Severity Score (ISS)Injury Severity Score — Age-adjusted (ISS-Age)Lethal Triad / Trauma Triad of Death Calculator Limb Salvage Index (LSI)Mangled Extremity Severity Score (MESS)Mechanism, Glasgow Coma Scale, Age, and Arterial Pressure (MGAP)Memphis Criteria (BCVI)Modified Shock Index (MSI)Nerve Injury, Ischemia, Soft-tissue, Skeletal Injury, Shock, Age (NISSSA)New Injury Severity Score (NISS)Open Abdomen Classification (Björck)Pediatric Trauma Score (PTS)Pelvic Trauma Hemorrhage Risk Score Penetrating Abdominal Trauma Index (PATI)Physiologic Extreme Emergency in Trauma (FEET)Predictive Salvage Index (PSI)REBOA Zone Selection Guide Resuscitative Thoracotomy Indications (EAST/WTA Guidelines)Revised Trauma Score (RTS)RibScore Shock Index (SI)TASH Score TRISS Index Thoracic Trauma Severity Score (TTS)Tile Classification of Pelvic Fractures Trauma and Injury Severity Score — Pediatric (PTS)Young–Burgess Pelvic Fracture Classification

Recent Journal Updates

British J Clinical PharmacologyApr 30, 2026

Multifactorial attribution for vancomycin‐associated acute kidney injury

Clinical Context

We think this might be relevant to the clinical guidance for AAST Splenic Injury Scale.

Intensive Care MedicineApr 27, 2026

Non-invasive intracranial pressure estimation in the intensive care unit: narrative review of methods and clinical applications

Clinical Context

We think this might be relevant to the clinical guidance for AAST Splenic Injury Scale.

Intensive Care MedicineApr 27, 2026

Risk heterogeneity within hypoinflammatory acute respiratory failure: continuous probabilities identify high-risk patients masked by binary classification

Clinical Context

We think this might be relevant to the clinical guidance for AAST Splenic Injury Scale.

AAST Splenic Injury Scale

AASTSplenic Injury Scale

Highest Finding (Imaging/OR)

Spleen Injury Grading

Select the highest radiologic or operative finding to determine the AAST severity grade.

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

Blunt abdominal trauma (most common cause of splenic injury)

Penetrating trauma involving left upper quadrant

Left lower rib fractures (9th–11th ribs)

Hemodynamic instability with suspected intra-abdominal bleeding

Positive FAST exam showing free fluid in LUQ

CT findings of splenic hematoma, laceration, or vascular injury

Clinical Utility

Guides non-operative management (NOM) vs operative intervention

Determines need for angioembolization in stable patients

Predicts risk of delayed rupture and hemorrhage

Standardizes injury description across trauma systems

Supports trauma registry classification and outcome prediction

Comparison with Related Tools

Tool	Focus	Use Case	Limitation
AAST Splenic Scale	Anatomic grading	Management decisions	No physiology included
Shock Index	Hemodynamic status	Early instability detection	Non-specific
ISS	Global trauma burden	Prognosis	Not organ-specific
AAST Vascular Scale	Vascular injury detail	Adjunct classification	Separate system

Limitations

Does not incorporate hemodynamic status

Does not directly include active bleeding or contrast blush in older versions

Limited predictive value in polytrauma patients

Inter-observer variability in CT grading

Last Comprehensive Review: 2026

Related Trauma Surgery Tools

AAST Kidney Injury Scale

Abbreviated Injury Scale

Base Deficit in Trauma

Mechanism, Glasgow Coma Scale, Age, and Arterial Pressure

TRISS Index

AAST Lung Injury Scale

REBOA Zone Selection Guide

ACS COT Field Triage Guidelines

AAST Rectal Injury Scale

Geriatric Trauma Outcome Score

Trauma Surgery Calculators Internal Medicine Calculators Emergency Medicine Calculators

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