72: A Method for Review of Accuracy and Reliability of Canadian Emergency Department Triage Acuity Scale-Based Triage Process in a Community Emergency Department Setting: Starting the QI Process
0
Citation
0
Reference
10
Related Paper
Keywords:
Triage
Triage
Cite
Citations (0)
Triage
Disaster Response
Cite
Citations (0)
Introduction The prehospital management of a patient starts with a telephone call to and triage by the ambulance dispatcher centre followed by continuous evaluations by ambulance crews and staff at emergency departments. Aim The aim of this study was to find out if these units have the same triage systems and if the initial evaluation matches the outcome at the hospital emergency departments. Method and Material Over 27000 ambulance transports within Gothenburg were studied by evaluating the ambulance medical records with regards to initial triage performed by the ambulance dispatcher centre using a medical index and triage performed by ambulance crews and staff at the emergency departments. Results There was no common triage system between these units. We also found a discrepancy between the initial triage using the medical index and physiological-anatomical triage performed by ambulance crews and staff at the emergency departments. As an example 50% of all patients triaged as priority one by the ambulance dispatcher centre were down-graded to priority 2–4 by the other units involved. Discussion and Conclusions A mutual and standardized system for triage is needed. Although over-triaged by ambulance dispatcher centre may be medically motivated, the difference between priorities should be minimized to a medically accepted level (25–35%).
Triage
Cite
Citations (0)
Traditional triage could not meet the needs of battlefield casualties’ care in modern warfare. This paper designs of triage and medical evacuation system for casualties at sea that can quickly address mass-casualty triage, and store and transmit medical information during battlefield treatment and medical evacuation. This system consists of a high-capacity medical information card, a simulated patient generator, a triage classifier and a multifunctional airbag triage vest.
Triage
Battlefield
Medical evacuation
Mass Casualty
Modern warfare
Medical information
Military medicine
Cite
Citations (5)
Polyembolokoilamania in the Emergency Department Polyembolokoilamania is a rare but serious medical condition that involves the presence of multiple foreign bodies in the patient's body [1]. This condition can be challenging to diagnose and manage in the emergency department. In this chapter, we will discuss the presentation, diagnosis, and management of polyembolokoilamania in the emergency department.
Presentation (obstetrics)
Cite
Citations (0)
Not everyone who uses the prehospital system needs ambulance transportation, but triaging patients is fraught with pitfalls. These authors evaluated whether emergency medical technicians in Portland, Oregon could apply prehospital triage protocols appropriately.
Emergency medicine experts developed a set of triage protocols to stratify patients into 1 of …
Triage
Cite
Citations (0)
A key aim in any mass disaster event is to avoid diverting resources by overwhelming specialized tertiary centers with minor casualties. The most crucial aspect of an effective disaster response is pre-hospital triage at the scene. Unfortunately, many triage systems have serious shortcomings in their methodologies and no existing triage system has enough scientific evidence to justify its universal adoption. Moreover, it is observed that the optimal approach to planning is by no means clear-cut and that each new incident involving burns appears to produce its own unique problems not all of which were predictable. In most major burns disasters, victims mostly have combined trauma burn injuries and form a heterogeneous group with a broad range of devastating injuries. Are these victims primarily burn patients or trauma patients? Should they be taken care of in a burn center or in a trauma center or only in a combined burns-trauma center? Who makes the decision? The present review is aimed at answering some of these questions. Un objectif clé après les désastres de masse de tous les types est d’éviter le détournement des ressources submergeant les centres tertiaires spécialisés de patients atteints de lésions mineures. L’aspect le plus crucial d’une réponse efficace aux catastrophes est le triage préhospitalier à la scène de l’accident. Malheureusement, de nombreux systèmes de triage présentent de sérieuses lacunes dans leurs méthodologies et aucun système de triage actuellement utilisé ne démontre de posséder les qualités scientifiques suffisantes pour justifier son adoption universelle. Par ailleurs, on observe que l’approche optimale pour la planification n’est pas nullement claire et que tous les cas de désastre par feu présentent des aspects particuliers non tous prévisibles. Dans la plupart des grands désastres par feu, la majorité des victimes présentent une association de brûlures et d’autres traumatismes et constituent un groupe hétérogène atteint d’une large gamme de lésions dévastatrices. Ces victimes sont-elles principalement des patients brûlés ou des patients traumatisés? Faut-il les prendre en charge dans un centre des brûlés ou un centre des traumatisés ou seulement dans un centre dédié aux soins des deux catégories de patients? Qui prend la décision? Les Auteurs de cette étude mirent à répondre à certaines de ces questions.
Triage
Mass-casualty incident
Mass Casualty
Trauma Center
Burn center
Major trauma
Tertiary care
Cite
Citations (23)
Abstract Purpose: This study is an evaluation of the ability of medically trained and controlled emergency medical dispatchers to use telephone triage techniques to direct the appropriate prehospital unit to an emergency scene. Methods: Emergency dispatchers, educated in a formal emergency medical dispatch program, were assigned one of four triage priorities to incoming 9-1-1 calls. The actual field management delivered for each patient was compared with the dispatcher's triage to determine the appropriateness of triage. Results: A total of 1,045 consecutive calls were reviewed with 74.4% sorted as needing advanced life support (ALS) units on scene; 65.3% (95% CI, 61.9 to 68.6%) of these calls required ALS intervention. A total of 3.4% of the runs sorted to the non-ALS response groups were identified to have required ALS intervention. Comparing the need for ALS intervention, a significant difference was found between the triage groups. Conclusion: Emergency medical dispatchers, using a formal system for telephone triage, are able to direct appropriate prehospital resources to the emergency scene.
Triage
Advanced Life Support
Cite
Citations (35)
This article discusses the use of triage by the emergency medical technician when responding to a multiple casualty incident. It describes the START system, a commonly used system of triage, and notes difficulties EMS technicians frequently have when first using triage. It also relates the troubling emotions that one can experience while executing triage systems.
Triage
Technician
Mass-casualty incident
Cite
Citations (0)
When there are a lot of injured people at a large-scale disaster site, medical staff first do triage. Triage is to decide the priority for treatment depending on the degree of severity or urgency of injured people. Paper triage tags are used now to show their condition and to record information on injuries. We do research that collect information of injured people by using electronic triage tags which replace the current paper tags. To do prompt and accurate emergency medical services with electronic tags at a disaster site, it is important for medical staff to engage in a disaster-relief training using them on a daily basis. So we propose the disaster-relief training system using the electronic triage tag. This system supports to develop the scenarios of injured people information and transport information. We let the electronic triage tag generate vital signs of injured people constantly. By collecting and monitoring those data at regular intervals, we aim to conduct a more practical disaster-relief training considering the change in symptoms of injured people.
Triage
Vital signs
Disaster Medicine
Disaster Response
Cite
Citations (3)