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Table 1 Red Cross wound classification [11]

From: Using the Red Cross wound classification to predict treatment needs in children with conflict-related limb injuries: a retrospective database study

Wound feature Definition
E (entry) Estimate the maximum diameter of the entry wound in cm
X (exit) Estimate the maximum diameter of the exit wound in cm (X = 0 if no exit)
C (cavity) Can the “cavity” of the wound take two fingers (finger width) before surgery?
C = 0, no
C = 1, yes
F (fracture) F = 0, no fracture
F = 1, simple fracture, hole, or insignificant comminution
F = 2, clinically significant comminution
V (vital structure) Is the brain, viscera, or major vessels injured?
V = 0, no vital structure injured
V = N (neurological), penetration of the dura of the brain or spinal cord (includes penetrating injuries of the head or paraplegia due to projectiles)
V = T (thorax or trachea), penetration of the pleura or of the trachea in the neck
V = A (abdomen), penetration of the peritoneum
V = H (hemorrhage), injury of a major peripheral blood vessel, down to the brachial artery in the arm or the popliteal in the leg
M (metallic body) Bullet or fragments visible on X ray?
M = 0, none
M = 1, one metallic body
M = 2, multiple metallic bodies
  1. V = N, T, and A are subcategories of central wounds; V = H is a subcategory of wounds of the limbs