function calculateISS() { const aisScores = [ parseInt(document.getElementById('traumacalc_head').value) || 0, parseInt(document.getElementById('traumacalc_face').value) || 0, parseInt(document.getElementById('traumacalc_chest').value) || 0, parseInt(document.getElementById('traumacalc_abdomen').value) || 0, parseInt(document.getElementById('traumacalc_extremity').value) || 0, parseInt(document.getElementById('traumacalc_external').value) || 0 ]; for (let score of aisScores) { if (score < 0 || score > 6) { alert("AIS scores must be between 0 and 6."); return 0; } } if (aisScores.includes(6)) return 75; const sortedScores = aisScores.sort((a, b) => b - a).slice(0, 3); return sortedScores[0] ** 2 + sortedScores[1] ** 2 + sortedScores[2] ** 2; } function calculateRTS() { const gcs = parseInt(document.getElementById('traumacalc_gcs').value) || 0; const sbp = parseInt(document.getElementById('traumacalc_sbp').value) || 0; const rr = parseInt(document.getElementById('traumacalc_rr').value) || 0; if (gcs < 3 || gcs > 15) { alert("GCS must be between 3 and 15."); return 0; } if (sbp < 0) { alert("Systolic BP must be non-negative."); return 0; } if (rr < 0) { alert("Respiratory Rate must be non-negative."); return 0; } const gcsValue = gcs >= 13 ? 4 : gcs >= 9 ? 3 : gcs >= 6 ? 2 : gcs >= 4 ? 1 : 0; const sbpValue = sbp > 89 ? 4 : sbp >= 76 ? 3 : sbp >= 50 ? 2 : sbp >= 1 ? 1 : 0; const rrValue = (rr >= 10 && rr <= 29) ? 4 : rr > 29 ? 3 : rr >= 6 ? 2 : rr >= 1 ? 1 : 0; const rts = (0.9368 * gcsValue) + (0.7326 * sbpValue) + (0.2908 * rrValue); return rts.toFixed(3); } function calculateTRISS(rts, iss) { const age = parseInt(document.getElementById('traumacalc_age').value) || 0; const coeffSet = document.getElementById('traumacalc_coeff').value; if (age < 0 || age > 120) { alert("Age must be between 0 and 120."); return { blunt: 0, penetrating: 0 }; } // Age index (A): 0 for ≤54, 1 for >54 const A = age > 54 ? 1 : 0; // Define coefficient sets const coefficients = { standard: { blunt: { b0: -1.2470, b1: 0.9544, b2: -0.0768, b3: -1.9052 }, penetrating: { b0: -0.6029, b1: 1.1430, b2: -0.1516, b3: -2.6676 } }, qmh: { blunt: { b0: -0.4499, b1: 0.8085, b2: -0.0835, b3: -1.7430 }, penetrating: { b0: -2.5355, b1: 0.9934, b2: -0.0651, b3: -1.1360 } } }; // Select coefficients based on user choice const selectedCoeffs = coefficients[coeffSet]; // Calculate b for blunt and penetrating trauma const bluntB = selectedCoeffs.blunt.b0 + (selectedCoeffs.blunt.b1 * rts) + (selectedCoeffs.blunt.b2 * iss) + (selectedCoeffs.blunt.b3 * A); const penB = selectedCoeffs.penetrating.b0 + (selectedCoeffs.penetrating.b1 * rts) + (selectedCoeffs.penetrating.b2 * iss) + (selectedCoeffs.penetrating.b3 * A); // Probability of survival = 1 / (1 + e^(-b)) const bluntProb = (1 / (1 + Math.exp(-bluntB)) * 100).toFixed(1); const penProb = (1 / (1 + Math.exp(-penB)) * 100).toFixed(1); return { blunt: bluntProb, penetrating: penProb }; } function calculateAll() { const iss = calculateISS(); if (iss === 0) return; document.getElementById('traumacalc_iss').value = iss; const rts = calculateRTS(); if (rts === 0) return; document.getElementById('traumacalc_rts').value = rts; const triss = calculateTRISS(rts, iss); document.getElementById('traumacalc_trissBlunt').value = triss.blunt + "%"; document.getElementById('traumacalc_trissPenetrating').value = triss.penetrating + "%"; } function clearAll() { document.querySelectorAll('.traumacalc select').forEach(select => select.value = '0'); document.querySelectorAll('.traumacalc input[type="text"]').forEach(input => input.value = ''); }