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The main parameters of the Triage Sieve are the ability to walk, the respiratory rate (RR) and the heart rate (HR). The military version of the Triage Sieve adds an assessment of consciousness: Glasgow Coma Scale (GCS). The cut-offs of RR, HR and GCS that best predict first priority (P1) patients were identified. In this retrospective study of 1213 cases extracted from the Joint Theatre Trauma Registry from 2005 to 2010, adding an assessment of consciousness in the Military version of the Triage Sieve increases the sensitivity for patients in need of immediate life saving intervention by at least 5% (p?[https://en.wikipedia.org/wiki/Glafenine Glafenine] important question as far as the most substantial clinical problem facing physicians on the battlefield [http://www.selleckchem.com/products/E7080.html Lenvatinib] is the identification of combat casualties at risk for continued haemorrhage and the potential for subsequent mortality. Current trauma triage relies on abnormal physiological criteria to determine the patient's mode of transport, priority of treatment, destination for treatment, injury severity, mortality, and need for possible life-saving interventions. The absence or inability to obtain physiologic measurements, especially in a military environment, necessitates that prehospital providers make rapid decisions about priority of care, application of interventions, and transport destinations on the basis of isolated [http://www.selleckchem.com/pharmacological_MAPK.html p38 MAPK apoptosis] physiologic data points (e.g., arterial pressure, HR, and RR) without the benefit of observing dynamic trends inherent to trauma physiology. Furthermore, the military environment is often characterized by lack of supplies and equipment, delayed or prolonged evacuation times and distances, devastating injuries, provider inexperience, and dangerous tactical situations. In fact, we do not totally agree with the authors when they consider that the ��systolic blood pressure is the gold standard�� in the choice of cardiovascular assessment in trauma, although its measurement is not practical in the early stages of a mass casualty incident. Actually, calculation of shock index (SI) may be more useful for caregivers than the ��gold-standard�� systolic blood pressure (SBP) measurement toward the identification of combat casualties in the compensatory phase of shock. SI is defined as the ratio of HR to systolic blood pressure (SBP). This easily calculable score has been demonstrated to be a pragmatic and useful guide for diagnosing acute hypovolemia in the presence of normal HR and blood pressure. SI has been shown to correlate with other indices of end-organ perfusion such as central venous oxygen saturation and arterial lactic acid concentration.2 Compared with HR or SBP alone, SI has been suggested to be a better measure of hemodynamic stability.