TASH Score for Massive Transfusion
Estimates the probability of massive transfusion after severe trauma.
When to use
Adults with severe trauma and suspected hemorrhage, to support massive transfusion preparation.
Pearls and pitfalls
- Hemoglobin below 7 g/dL is the heaviest item, worth 8 points.
- An unstable pelvic fracture scores 6 points; an open or displaced femur fracture scores 3.
- Male sex adds 1 point and free fluid on ultrasound adds 3.
- The score was derived to predict massive transfusion and does not replace clinical assessment of bleeding.
- Reassess after resuscitation and bleeding control; values change with the course.
Fill in the fields to see the result.
Formula
Add male sex (1), systolic pressure (0 to 4), heart rate (0 to 2), hemoglobin (0 to 8), base deficit (0 to 4), free fluid (3), unstable pelvic fracture (6) and femur fracture (3).
Evidence
Score derived in patients with multiple trauma to estimate the probability of massive transfusion.
References
- Yucel N, Lefering R, Maegele M, et al. Trauma Associated Severe Hemorrhage (TASH)-Score: probability of mass transfusion as surrogate for life threatening hemorrhage after multiple trauma. J Trauma. 2006;60(6):1228-1236. doi:10.1097/01.ta.0000220386.84012.bf
Frequently asked questions
What is TASH Score for Massive Transfusion?
Estimates the probability of massive transfusion after severe trauma. Adults with severe trauma and suspected hemorrhage, to support massive transfusion preparation.
How is the result calculated?
Add male sex (1), systolic pressure (0 to 4), heart rate (0 to 2), hemoglobin (0 to 8), base deficit (0 to 4), free fluid (3), unstable pelvic fracture (6) and femur fracture (3).
How should the result be interpreted?
Score derived in patients with multiple trauma to estimate the probability of massive transfusion.
What are the sources?
Yucel N, Lefering R, Maegele M, et al. Trauma Associated Severe Hemorrhage (TASH)-Score: probability of mass transfusion as surrogate for life threatening hemorrhage after multiple trauma. J Trauma. 2006;60(6):1228-1236.