Traumatic injury varies so widely between patients that it becomes critical to have a basis
for standardizing care and quality outcome efforts. Methods to describe severity of traumatic injuries
have been in evolution over the past 60 years, and have led the development of other scoring systems
which now are used across all medical specialties. A variety of scoring systems have been developed,
based on anatomic and/or physiologic grading. Anatomic grading has been found useful in helping
determine management of abdominal injuries, but are not discrete enough to manage chest injuries on
a real-time basis. However, they are vital for assessing treatment outcomes, and are the basis for
quality improvement programs.