Modified Injury Severity Score

Age of patient

Glasgow Coma Score (enter from 3 to 15)

Are there abrasions and contusions of ocular apparatus (lids, conjunctivae, cornea, uveal injuries)?

Are there vitreous or retinal hemorrhages?

Is there a laceration of the eye and appendages?

Does the patient have a retinal detachment?

Is there loss of an eye?

Does the patient have an avulsion of optic nerve?

Are there fractures and/or dislocation of teeth?

Are disfiguring facial, scalp or skin lacerations?

Are there undisplaced facial bone fractures or compound fracture of the nose?

Is there a displaced facial bone fracture or a facial fracture with antral or orbital involvement?

Is there trauma to mouth or neck with major airway obstruction?

Does the patient have muscle ache or stiffness in the chest wall ?

Are there simple rib or sternal fractures?

Is therea major contusion of chest wall without hemothorax or pneumothorax or respiratory embarassment?

Are there multiple rib fractures without respiratory embarassment?

Is there rupture of the diaphragm?

Is there an open chest wound?

Is there flail chest?

Is there myocardial contusion without circulatory embarassment?

Are there pericardial injuries?

Is there a aortic laceration?

Is there myocardial rupture or contusion, with circulatory embarassment?

Is there a hemothorax?

Is there pneumothorax?

Is there a lung contusion?

Is there pneumomediastinum?

Is there myocardial contusion without circulatory embarassment?

Are there chest injuries with major respiratory embarassment (laceration of trachea, hemomediastinum, etc.)?

Does the patient have muscle ache or stiffness over the abdomen?

Does the patient have a seat belt abrasion?

Does the patient have a major contusion of abdominal wall?

Is there contusion of abdominal organs?

Is there retroperitoneal hemorrhage?

Is there a minor laceration of intra-abdominal contents (to include ruptured spleen, kidney and injuries to tail of pancreas)?

Is there rupture, avulsion or severe laceration of intra-abdominal vessels or organs, except kidney, spleen or ureter?

Is there a thoracic or lumbar spine fracture without neurological involvement?

Is there a thoracic and/or lumbar spine fracture with paraplegia?

Is there an extraperitoneal bladder rupture?

Is there avulsion of a ureter?

Is there a laceration of the urethra?

Is there an intraperitoneal bladder rupture?

Is there avulsion of the genitals?

Does the patient show minor sprains and/or a simple fracture?

Are there undisplaced long bone or pelvic fractures?

Are there serious sprains of the major joints?

Does the patient have any displaced simple long bone fractures?

Is there a displaced pelvic fracture?

Is there dislocation of a major joint?

Are there any lacerations of the major nerves or vessels of the extremities?

Are there multiple closed long-bone fractures?

Is there an amputation of a limb?

Are there multiple open limb fractures?

Are fingers or toes dislocated?

Are there compound fracture of fingers or toes?

Are there multiple hand or foot fractures?

Are there multiple amputations of toes or fingers?