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)