FRCA - Scoring Systems
Visual Analogue Pain Scoring
Paediatric Pain Scales
Complex Regional Pain Syndrome (CRPS)
ASA Physical Status Classification System
Glasgow Coma Scale
New York Heart Association Functional Classification
Lee’s Revised (Goldman) Cardiac Risk Index
Goldman Cardiac Risk Index - Non-Cardiac Surgery
World Federation of Neurosurgeons - Subarachnoid haemorrhage
Liver Failure (Child Pugh Score)
Encephalopathy Grade I:Euphoric/Depressed, II:Drowsy/Inappropriate, III:Sleeps/Incoherent,
IV:Unresponsive MELD (Model For End-Stage Liver Disease) Score: Dialysis x2/Week, Bilirubin, INR, Sodium
APACHE II
Sequential (Sepsis-related) organ failure assessment (SOFA)
The Ramsay Sedation Scale
ASA Sedation Continuum (2014)
RASS (Richmond agitation and sedation score)
CAM-ICU (Confusion assessment method in ICU) - For RASS >-3
Feature 1: Acute Onset or Fluctuating Course Patient different than baseline, pre-hospital mental status or Patient with fluctuating mental status in past 24 hours by fluctuation of level of consciousness/sedation
Continue if YES
Feature 2: Inattention Letters attention test with >2 errors Say C-A-S-A-B-L-A-N-C-A
Continue if >2 Errors
Feature 3: Altered Level of Consciousness RASS is not 0 (alert and calm)
Continue if No If YES = Delirium
Feature 4: Disorganized Thinking Will stone float on water? Are there fish in the sea?
If >2 = Delirium
Bromage scale (Motor Block)
Apgar score (At 1 & 5 Minutes)
Metabolic Equivalent Tasks (1 MET = 3.5ml/kg/min)
P-POSSUM
Rib Fracture Score
Step 1 (Score 3-6) Multi-modal (Paracetamol, Codeine +/- Oromorph/NSAID) ↓ Step 2 (Score 7-10) IV Morphine → MR Morphine Antiemetic Pain Team ↓ Step 3 (Score 11-15) PCAS Gabapentin Antiemetic ↓ Step 4 (>80 Years Old) Pain Team ?Regional (Epidural/Paravertebral/Serratus +/- Catheter) ?Rib Fixation
Clinical Frailty Scale (Canadian Study in Health and Ageing)
STOP BANG OSA Screening
Apnoea Hypopnea Index (>10s Pause and Desaturation)