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.
Scott Weingart
An ED Intensivist from NY.
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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
Love it!
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.
Excellent use. Now we just need to do the validation trial.
Fantastic….I’d love to adapt it for prehospital use.
Oh, wait….. 🙂
Most Excellent! A clinical scoring system I can actually understand/remember.
……Though I do wonder what Ron has to say about the acronym.
If it barks like a dog, it’s a dog!
True…funny but very true. As each of us as log more miles as practioners this simple scoring tool has been verbalized countless times.
True Donnie, I agree with you. Do you have time to mob another guy or you’re busy these days?
Interpretation please? Mob??
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.
Those guys scare the hell out of me
fantastic!
[…] 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 […]
[…] LLS-score me convient. Il s’appelle également le […]
What if the intensivist (i.e. me) has a positive LLS score ?