NACA score

The NACA score , also known as the NACA scheme or NACA index , is a scoring system used to describe the severity of injuries , illnesses or poisoning in (emergency) medicine . It was originally developed by the eponymous National Advisory Committee for Aeronautics as an operational assessment with regard to accidents in aviation.

In Germany, the injury codes of the seven-degree NACA score were integrated into a nationwide emergency doctor deployment protocol.

The NACA scheme, which exists in two variants, is divided into the following categories, denoted by Roman numerals or zero .

The NACA-S score:

NACA 0	No injury or illness. This category is often either deleted without replacement or replaced by NACA I.	z. B. Misuse.
NACA I	Minor injury or malfunction. Usually no emergency medical intervention is required.	z. B. Bruise, slight abrasion of the skin.
NACA II	Mild to moderately severe dysfunction. Outpatient medical evaluation or therapy, but usually no emergency medical measures required.	z. B. Fracture of a finger bone, moderate cuts; Second degree burn.
NACA III	Moderate to severe but not life threatening disorder. Inpatient treatment required, often also emergency medical measures on site.	z. B. Open wounds; Thigh fracture; mild stroke ; Smoke poisoning .
NACA IV	Severe disorder in which the short-term development of a life threat cannot be excluded; In the majority of cases, emergency medical care is required.	z. B. Vertebral injury with neurological deficits; severe asthma attack ; Drug poisoning.
NACA V	Acute danger to life. Transport in readiness for resuscitation.	z. B. Third Degree Traumatic Brain Injury; severe heart attack ; significant opioid poisoning.
NACA VI	Respiratory and / or cardiac arrest (cardiopulmonary resuscitation required).	z. B. Cardiac arrest, ventricular fibrillation.
NACA VII	Fatal injury or illness.	Unsuccessful resuscitation or determination of death.

literature

Walied Abdulla: Interdisciplinary Intensive Care Medicine. Urban & Fischer, Munich a. a. 1999, ISBN 3-437-41410-0 , p. 469.