The LLS Score

MDCalc is where I go when I need to remember a clinical scoring system. I was thus quite pleased to find one of the scores I use every shift appear on the site. The LLS score is how I determine the need for many interventions, but especially to decide who needs massive transfusion.

LLS Sign

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Comments

  1. John Hinds says:

    For ICU prognostiaction, I favour the R.O.P.E. score – Ratio of Optimism to Pumps and Equipment.

    Eyeball score out of ten, divided by total number of pumps and equipment at the bed space.

    Mortality increases as score approached zero

    -John

  2. Used my first WALLS Score today. Was a xxx yo xxx female who had anaphylaxis who had already used her EpiPen and taken benadryl and steriods. I thought she was going to be a talk and die for a while. Her total WALLS Score was 5. Each time I looked at her I thought “She looks like s#*t” so I added another point to her total score.

  3. Ben Dowdy says:

    Fantastic….I’d love to adapt it for prehospital use.

    Oh, wait….. :)

  4. Dean Smith says:

    Most Excellent! A clinical scoring system I can actually understand/remember.
    ……Though I do wonder what Ron has to say about the acronym.

  5. Don Diakow says:

    True…funny but very true. As each of us as log more miles as practioners this simple scoring tool has been verbalized countless times.

  6. Mike Jasumback says:

    I would like to coin the I-walls score. This is when the pt looks well but all other parameters look like shit.
    My most recent case was a hypotensive pt with renal failure and a gi bleed with severe metabolic acidosis (60/38, Cr 4.2, Hgb 6, BE -16). Who looked nearly completely well.

  7. Joe Bellezzo says:

    fantastic!

Trackbacks

  1. […] cool case. A 42-yo otherwise healthy male came in complaining of indigestion. First impression: LLS score of 1! I certainly wasn’t buying into his “occasional GERD” story, especially […]

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