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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  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


  2. says

    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. 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.

  4. 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.

  5. 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.


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