2014
DOI: 10.5055/ajdm.2014.0150
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A review of the literature on the validity of mass casualty triage systems with a focus on chemical exposures

Abstract: Introduction: Mass casualty incidents (MCIs) include natural (eg, earthquake) or human (eg, terrorism or technical) events. They produce an imbalance between medical needs and resources necessitating the use of triage strategies. Triage of casualties must be performed accurately and efficiently if providers are to do the greatest good for the greatest number. There is limited research on the validation of triage system efficacy in determining the priority of care for victims of MCI, particularly those involvin… Show more

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Cited by 30 publications
(11 citation statements)
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“… 30 In agreement with the results, Culley et al. 31 show that there is an imbalance in chemical crises between the number of the wounded and the medical facilities. Many of the wounded do not need special medical activities.…”
Section: Discussionsupporting
confidence: 77%
“… 30 In agreement with the results, Culley et al. 31 show that there is an imbalance in chemical crises between the number of the wounded and the medical facilities. Many of the wounded do not need special medical activities.…”
Section: Discussionsupporting
confidence: 77%
“…However, the simplistic nature of these triage systems is not a reflection of their ability to optimize patient outcome. In fact, the effectiveness of these triage models to accurately triage patients in an MCI is widely unproven [11-13]. …”
Section: Methodsmentioning
confidence: 99%
“…2,21-23 Although these algorithms are well established, a recent review reported only moderate accuracy. 24 All existing algorithms do produce a considerable rate of undertriage (falsely lower category) and overtriage (falsely higher category). 23,25,26 Frykberg 27 analysed overtriage rates and mortality in several MCIs and found an almost linear positive correlation between the overtriage rate and mortality.…”
Section: Role Of Imagingmentioning
confidence: 98%