Indications for the surgical management of pancreatic trauma: An update

Table 1 Pancreatic injury scale

Grade	Type of injury	Description of injury	Abbreviated injury score
I	Hematoma	Minor contusion without duct injury	2
	Laceration	Superficial laceration without duct injury	2
II	Hematoma	Major contusion without duct injury or tissue loss	2
	Laceration	Major laceration without duct injury or tissue loss	3
III	Laceration	Distal transection or parenchymal injury with duct injury	3
IV	Laceration	Proximal transection or parenchymal injury involving the ampulla	4
V	Laceration	Massive disruption of the pancreatic head	5

Table 2 Modification of the revised trauma score

Revised trauma score				New trauma score
Glasgow coma scale	Systolic blood pressure (mmHg)	Respiratory rate	Coded value	Glasgow coma scale	Systolic blood pressure (mmHg)	Oxygen saturation (%)
13-15	> 89	10-29	4	3-15	110-149	≥ 94
9-12	76-89	> 29	3		≥ 150	80-93
6-8	50-75	6-9	2		90-109	60-79
4-5	1-49	1-5	1		70-89	40-59
3	0	0	0		< 70	< 40