Acknowledgments

Ciottone, Gregory R.; Biddinger, Paul D.; Darling, Robert G.; Fares, Saleh; Keim, Mark; Molloy, Michael; Suner, Selim

doi:10.1016/b978-0-323-28665-7.09991-x

Cited by 21 publications

(33 citation statements)

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“…The triage system is used by individuals to determine which groups of the patients should receive treatment and care services based on their clinical status, the prognosis of disease and available resources [6].…”

Section: Introductionmentioning

confidence: 99%

Triage Systems in Mass Casualty Incidents and Disasters: A Review Study with A Worldwide Approach

Bazyar

Farrokhi

Khankeh

2019

Open Access Maced J Med Sci

121

104

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BACKGROUND: Injuries caused by emergencies and accidents are increasing in the world. To prioritise patients to provide them with proper services and to optimally use the resources and facilities of the medical centres during accidents, the use of triage systems, which are one of the key principles of accident management, seems essential. AIM: This study is an attempt to identify available triage systems and compare the differences and similarities of the standards of these systems during emergencies and disasters through a review study. METHODS: This study was conducted through a review of the triage systems used in emergencies and disasters throughout the world. Accordingly, all articles published between 1990 and 2018 in both English and Persian journals were searched based on several keywords including Triage, Disaster, Mass Casualty Incidents, in the Medlib, Scopus, Web of Science, Pubmed, Cochrane Library, Science Direct, Google scholar, Irandoc, Magiran, Iranmedex, and SID databases in isolation and in combination using both and/ or conjunctions. RESULTS: Based on the search done in these databases, twenty different systems were identified in the primary adult triage field including START, Homebush triage Standard, Sieve, Care Flight, STM, Military, CESIRA Protocol, MASS, Revers, CBRN Triage, Burn Triage, META Triage, Mass Gathering Triage, SwiFT Triage, MPTT, TEWS Triage, Medical Triage, SALT, mSTART and ASAV. There were two primary triage systems including Jump START and PTT for children, and also two secondary triage systems encompassing SAVE and Sort identified in this respect. ESI and CRAMS were two other cases distinguished for hospital triage systems. CONCLUSION: There are divergent triage systems in the world, but there is no general and universal agreement on how patients and injured people should be triaged. Accordingly, these systems may be designed based on such criteria as vital signs, patient's major problems, or the resources and facilities needed to respond to patients’ needs. To date, no triage system has been known as superior, specifically about the patients’ clinical outcomes, improvement of the scene management or allocation of the resources compared to other systems. Thus, it is recommended that different countries such as Iran design their triage model for emergencies and disasters by their native conditions, resources and relief forces.

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Section: Introductionmentioning

confidence: 99%

Triage Systems in Mass Casualty Incidents and Disasters: A Review Study with A Worldwide Approach

Bazyar

Farrokhi

Khankeh

2019

Open Access Maced J Med Sci

121

104

View full text Add to dashboard Cite

show abstract

“…[ 14 ] Due to the late presence of EDMRTs outside the affected area, especially the international teams, providing an efficient response, based on the local capacity and capability is vital within the first 72 h after the occurrence of a disaster. [ 15 ] According to Ian Norton, “only if the national capacities are not sufficient to respond to an emergency, the need to move international teams towards the affected country is felt.”[ 36 ] Therefore, it is necessary to develop capacity and ability at the local level, through strengthening the EMS and other sources of the health system distributed in the provinces and counties, to respond to medical emergencies in an effort to properly intervene in the golden time after the disaster, which can subsequently reduce the amount of deaths, patients, and injured people. [ 40 41 ]…”

Section: Discussionmentioning

confidence: 99%

“…In most countries, the National Disaster Medical System (NDMS), as a part of the National Disaster Risk Management System (NDRMS), plays an important role in protecting human lives, reducing illnesses and injuries though providing proper medical services. [ 15 ] One of the subsets of this system is the Disaster Medical Response Teams (DMRTs), which are established at the local, regional, and national levels. [ 16 ] Team-based care is an important and integral part of medical response to disasters.…”

Section: Introductionmentioning

confidence: 99%

What structural factors influencing emergency and disaster medical response teams? A comparative review study

Shahrestanaki

Khankeh

Masoumi

et al. 2019

J Edu Health Promot

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“…-Gregory R. Ciottone, Disaster Medicine 2nd Edition [4] Disaster medicine as a field represents all the components of possible disasters. It is a clinical subspecialty encompassing a combination of medical aspects of care in disasters and elements of other non-medical fields [5].…”

Section: Disaster Medicine Overview 31 Disaster Medicine As a Field mentioning

confidence: 99%

Resilient Health System and Hospital Disaster Planning

Morris¹

2022

Contemporary Developments and Perspectives in International Health Security - Volume 3

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Disaster planning is integral component of hospital operations and management, and hospital resiliency is critical to society and health systems following a disaster. Additionally, hospitals, like all public institutions have significant risk of security incidents including terrorism, isolated and mass violence, social unrest, theft and vandalism, natural and human made disasters. Security and disaster planning are cumbersome, expensive and easy to deprioritize. When a hospital disaster is defined as anything that exceeds the limits of the facility to function at baseline, disasters and security incidents are intertwined: disasters create security problems and vice-versa. Hospital resiliency to disasters and security incidents stems from a systems-based approach, departmental and administrative participation, financial investment and flexibility. Significant best practices and lessons learned exist regarding disaster and security planning and ignorance or lack of adoption is tantamount to dereliction of duty on the part of responsible entities. This chapter consists of a review of the concepts of hospital disaster and security planning, response and recovery, as well as hospital specific disaster and security threats (risk) and their associated mitigations strategies. Risks will be presented follow a hazard vulnerability analysis (HVA), a common framework in emergency management, disaster planning and disaster medicine. As such, each element of risk is defined in terms of likelihood and impact of an event. Concepts of disaster medicine that are also addressed, as are administrative concerns, these elements are designed to be applicable to non-experts with an emphasis on cross disciplinary understanding. Additionally, elements are presented using incident and hospital incident command terminology and those not familiar should learn these concepts though free online training on the incident command system provided by several sources including The United States Federal Emergency Management Agency (FEMA), prior to reading.

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Acknowledgments

Cited by 21 publications

References 0 publications

Triage Systems in Mass Casualty Incidents and Disasters: A Review Study with A Worldwide Approach

Triage Systems in Mass Casualty Incidents and Disasters: A Review Study with A Worldwide Approach

What structural factors influencing emergency and disaster medical response teams? A comparative review study

Resilient Health System and Hospital Disaster Planning

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