The trauma score and its later revision were developed as a triage index which could be readily calculated and interpreted in the prehospital environment. This paper aims to critically examine the available literature to determine if the Revised Trauma Score actually measures what it is intended to measure.


A thorough Medline literature search was undertaken of the OVID database. All available journal articles which addressed reliability and validity testing of the Revised Trauma Score were reviewed. Each of the instrument's clinimetric properties are described and critically appraised.


As a predictive instrument, the Revised Trauma Score has been shown to have a moderate to high ability to accurately predict survival. In its secondary role discrimination, it has been shown to have equivocal 'between-person' sensitivity.

Author Biography

Qualifications BN GradCertAdvNur ADHS(Ambulance Paramedic) AdvDipMICAStudies GradDipClinEpi MClinEpi (candidate)

Previous Appointments Registered Nurse - Emergency and Forensic Health (Correctional) Nursing Current

Mobile Intensive Care Ambulance (MICA) Paramedic - Clinical Specialist, Rural Ambulance Victoria

Lecturer - Research Methods, Victoria University Member of Australian College of Ambulance Professionals Member of Australasian Trauma Society

Interests Clinical Education, Clinical Epidemiology and Pre-Hospital Evidence Based Practice

Other Articles by this Author:

A Critical Appraisal of the Revised Trauma Score The development of a prehospital search filter for the Cochrane Library