Validation of The Resuscitation Management (THERM) score in the emergency department

Many tools have been developed to predict outcomes for emergency department (ED) patients.1 2 We have previously derived and validated a simple prediction tool, The Resuscitation Management (THERM) score, in critically ill patients in the resuscitation room.1 THERM is scored by adding the bicarbonate level (in mmol/L, up to a maximum of 22 mmol/L) to the total Glasgow Coma Scale, and subtracting 4 if the systolic blood pressure is <100 mm Hg. The maximum score is therefore 37, and the cut-offs for medium and high risk were defined similar to the Celsius values for hypothermia, ≤35 and ≤30, respectively.