Clinical Practice Procedures: Assessment/COAST score · QUEENSLAND AMBULANCE SERVICE 422 COAST...
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Clinical Practice Procedures: Assessment/COAST score Disclaimer and copyright ©2016 Queensland Government All rights reserved. Without limiting the reservation of copyright, no person shall reproduce, store in a retrieval system or transmit in any form, or by any means, part or the whole of the Queensland Ambulance Service (‘QAS’) Clinical practice manual (‘CPM’) without the priorwritten permission of the Commissioner. The QAS accepts no responsibility for any modification, redistribution or use of the CPM or any part thereof. The CPM is expressly intended for use by QAS paramedics whenperforming duties and delivering ambulance services for, and on behalf of, the QAS. Under no circumstances will the QAS, its employees or agents, be liable for any loss, injury, claim, liability or damages of any kind resulting from the unauthorised use of, or reliance upon the CPM or its contents. While effort has been made to contact all copyright owners this has not always been possible. The QAS would welcome notification from any copyright holder who has been omitted or incorrectly acknowledged. All feedback and suggestions are welcome, please forward to: [email protected] This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/. Date October, 2016 Purpose To ensure a consistent procedural approach to determining the COAST score. Scope Applies to all QAS clinical staff. Author Clinical Quality & Patient Safety Unit, QAS Review date October, 2018 URL https://ambulance.qld.gov.au/clinical.html
Transcript of Clinical Practice Procedures: Assessment/COAST score · QUEENSLAND AMBULANCE SERVICE 422 COAST...
Clinical Practice Procedures: Assessment/COAST score
Disclaimer and copyright©2016 Queensland Government
All rights reserved. Without limiting the reservation of copyright, no person shall reproduce, store in a retrieval system or transmit in any form, or by any means, part or the whole of the Queensland Ambulance Service (‘QAS’) Clinical practice manual (‘CPM’) without the priorwritten permission of the Commissioner.
The QAS accepts no responsibility for any modification, redistribution or use of the CPM or any part thereof. The CPM is expressly intended for use by QAS paramedics whenperforming duties and delivering ambulance services for, and on behalf of, the QAS.
Under no circumstances will the QAS, its employees or agents, be liable for any loss, injury, claim, liability or damages of any kind resulting from the unauthorised use of, or reliance upon the CPM or its contents.
While effort has been made to contact all copyright owners this has not always been possible. The QAS would welcome notification from any copyright holder who has been omitted or incorrectly acknowledged.
All feedback and suggestions are welcome, please forward to: [email protected]
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.
Date October, 2016
Purpose To ensure a consistent procedural approach to determining the COAST score.
Scope Applies to all QAS clinical staff.Author Clinical Quality & Patient Safety Unit, QAS
Review date October, 2018
URL https://ambulance.qld.gov.au/clinical.html
422QUEENSLAND AMBULANCE SERVICE
COAST score
The coagulopathy of severe trauma (COAST) score is a rapid and highly specific predictor of acute traumatic coagulopathy (ATC) in blunt trauma.[1]
It is determined by assessing five objective descriptors based on physical entrapment, systolic blood pressure, temperature, chest decompression and abdominal or pelvic content injury. All descriptors may be assessed using pre-hospital variables without the use of pathology or radiological testing.
The purpose of the COAST score is to accurately identify patients likely to develop ATC.
Indications
Contraindications
• Nil in this setting
Complications
• History of blunt or penetrating trauma
• To assess P.A.T.C.H. / PROPHIICY enrolment
eligibility
• Nil in this setting
• Allocate the appropriate COAST score (0 to 7) by determining the
value and score associated with each of the five variables.
Additional information
• A COAST score or ≥ 3 is a good predictor of patients requiring tranexamic acid.
e
COAST SCORECOAST SCORECOAST SCORE
Variable Value Score
Entrapment (e.g. in vehicle) YesNo
10
Systolic blood pressure (mmHg ) > 10090 − 100
< 90
012
Temperature (0C ) > 3532 − 35
< 32
012
Major chest injury likely to require intervention (e.g. decompression, chest tube)
YesNo
10
Likely intra-abdominal or pelvic injury YesNo
10
October, 2016
Figure 3.22
UNCONTROLLED WHEN PRINTED UNCONTROLLED WHEN PRINTED UNCONTROLLED WHEN PRINTED UNCONTROLLED WHEN PRINTED
