Delayed recognition of an ipsilateral femoral neck and shaft fracture leading to preventable subsequent complications: a case report

Table 1 List of patient’s injuries and ISS

Region	Injury description	AIS score	top three²
Head or neck	diffuse intracerebral contusion	3
Head or neck	traumatic right parieto-occipital subrachnoid hemorrhage	4	16
Face	left zygomatic bone fracture	3
	right temporal fracture	3
	right orbital rim fracture	3
	right orbital floor fracture	3
Chest	mediastinal contusion	2
Chest	bilateral lung contusion	3	9
Abdomen or pelvis contents	no injury	0
Extremities or pelvic girdle	left femoral shaft fracture	3	9
Extremities or pelvic girdle	left patella fracture	2
External	alcohol intoxication	2
	traumatic rhabdomyolysis	3
	acute hemorrhagic anemia	3
	hypokalemia	3
ISS (Σ 3most AIS score) ²			34

Only the highest AIS score in each body region is used (highlighted in Bold). The 3 most severely injured body regions have their score squared and added together to produce the ISS score

ISSN: 1754-9493