Rapid Emergency Medicine Score (REMS)
Predicts in-hospital mortality in nonsurgical adult patients presenting to the ED.
Advice
High risk (REMS ≥3): patient may need aggressive treatment.
Low risk (REMS <3): patient may be appropriate to triage for routine treatment (in Olsson 2004, all patients with REMS <3 survived).
Management
- Mortality rapidly increases above a score of 10. Consider more aggressive treatment in patients with higher scores (in conjunction with patient wishes and clinical judgment).
- Clinical judgment of a patient’s presentation should always be used to determine need for advanced interventions.