TASH Score (Trauma Associated Severe Hemorrhage)

Why Use

Providers may wait too long to begin massive transfusion, thus increasing a patient’s morbidity and mortality by not transfusing early enough, or may increase morbidity and mortality by transfusing blood products unnecessarily.

When to Use

Determining when to initiate massive transfusion protocols on trauma patients.

Formula

Advice

Massive transfusion protocols are institution-specific, but often are 1:1:1 or 1:1:2 for fresh frozen plasma, platelets, and packed red blood cells ( JAMA, 2015 ). Remember, the TASH Score does not indicate if trauma patients should receive blood, only if they should receive blood through a massive transfusion protocol.

More Information

The Trauma Associated Severe Hemorrhage (TASH) Score is a derived (and then validated) score from a database of over 35,000 German trauma patients to predict the need for massive transfusion.