CRAMS ScaleMajor trauma requires transport to trauma centerLoading...SBP or Cap RefillUnder 85 mmHg, no cap refill086-100 mmHg, delayed cap refill+1Over 100 mmHg, nl cap refill+2RespirationsAbsent0Shallow or labored+1Normal+2Chest, AbdomenRigid abd,flail chest,penetr wound0Thorax or abdomen tender+1Thorax and abdomen nontender+2MotorNo intelligible words0Confused or combative+1Normal+2SpeechNo intelligible words0Confused+1Normal+2Indications for UseInsights & Cautions