Splenic Injury Grading System

grade I o subcapsular haematoma <10% of surface area o capsular laceration <1 cm depth grade II o subcapsular haematoma 10-50% of surface area o intraparenchymal haematoma <5 cm in diameter o laceration 1-3 cm depth not involving trabecular vessels grade III o subcapsular haematoma >50% of surface area or expanding o intraparenchymal haematoma >5 cm or expanding o laceration >3 cm depth or involving trabecular vessels o ruptured subcapsular or parenchymal haematoma grade IV o laceration involving segmental or hilar vessels with ma or devasculari!ation ">#5% of spleen$ grade V o shattered spleen o hilar vascular in ury with devascularised spleen

Hepatic Injury Grading

grade I o haematoma% sub capsular& < 10% surface area o laceration% capsular tear& < 1cm depth grade II o haematoma% sub capsular& 10 - 50% surface area o haematoma% intraparenchymal < 10cm diameter o laceration% capsular tear& 1 - 3cm depth& < 10cm length grade III o haematoma% sub capsular& > 50% surface area& or ruptured with active bleeding o haematoma% intraparenchymal > 10 cm diameter o laceration% capsular tear& > 3 cm depth grade IV o haematoma% ruptured intraparenchymal with active bleeding o laceration% parenchymal distruption involving #5 - '5% hepatic lobes or involves 13 (ouinaud segments "within one lobe$ grade V o laceration% parenchymal distruption involving >'5% helpatic lobe or involves > 3 (ouinaud segments "within one lobe$ o vascular% uxtahepatic venous in uries ")*(& ma or hepatic vein$ grade VI o vascular% hepatic avulsion

Renal Injury Grading

grade I o contusion or non enlarging subcapsular haematoma& but no laceration grade II o superfical laceration <1cm depth and does not involve the collecting system+ non expanding perirenal haematoma grade III o laceration >1cm& without extension into the renal pelvis or collecting system and with no evidence of urine extravasation grade IV o laceration extends to renal pelvis or urinary extravasation o vascular % in ury to main renal artery or vein with contained haemorrhage grade V o shattered ,idney o avulsion of renal hilum - devascularisation of ,idney due to hilar in ury