Table 1 FORTIS system (Table 37—values for parametrization of head injuries)
Group | Injury type | Description of injury | FORTIS |
|---|---|---|---|
I | Contusion | Blunt injury to the skin and subcutaneous tissues for each 100 cm2 | 0.3 |
Rupture | Blunt injury to the muscle tissues for each 10 cm2 | 0.2 | |
Laceration of the muscle tissues for each 10 cm2 | 0.3 | ||
The skin and subcutaneous tissue, according to extent | 1–2 | ||
II | Fracture | Traumatic loss of the teeth (except for dentures), for each tooth, depending on the degree of damage to tooth socket | 0.05–0.1 |
Nondisplaced fracture of face | 1–2 | ||
III | Fracture | Rupture of vertebral joint at the C-spine | |
Blunt injury | Undisplaced fracture of the cervical vertebra | 2–3 | |
Eye contusion | 2–3 | ||
IV | Fracture | Nondisplaced fracture of the skull base | 3–4 |
Rupture | Disrupted integrity of meninges | 3–4 | |
Blunt injury | Diffuse axonal brain damage (by extent) | 3–5 | |
Hematoma | Brain contusion (according to location, extent) | 3–5 | |
Subarachnoid hemorrhage (according to extent) | 2–4 | ||
Subdural or intradural hemorrhage | 3 | ||
+ each 50 ml (50 g) of blood in excess of 100 g | +1 | ||
V | Devastating damage | Rupture of junctions between individual parts of the brain | 6 |
Extrusion of the brain | 6 |