Adverse lighting condition effects on the assessment of capillary refill

Brown, Lawrence H.; Prasad, N. Heramba; Whitley, Theodore W.

doi:10.1016/0735-6757(94)90196-1

Cited by 46 publications

(26 citation statements)

References 8 publications

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“…We decided to omit capillary refill from our modified triage Sieve as decreased temperature and dark conditions significantly impairs the field assessment of capillary refill time [19,20]. As a second modification, we renamed the "dead category" to "lifeless" as jurisdictional restrictions apply to defining death in Norway.…”

Section: Discussionmentioning

confidence: 99%

A concept for major incident triage: full-scaled simulation feasibility study

et al. 2010

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BackgroundEfficient management of major incidents involves triage, treatment and transport. In the absence of a standardised interdisciplinary major incident management approach, the Norwegian Air Ambulance Foundation developed Interdisciplinary Emergency Service Cooperation Course (TAS). The TAS-program was established in 1998 and by 2009, approximately 15 500 emergency service professionals have participated in one of more than 500 no-cost courses. The TAS-triage concept is based on the established triage Sieve and Paediatric Triage Tape models but modified with slap-wrap reflective triage tags and paediatric triage stretchers. We evaluated the feasibility and accuracy of the TAS-triage concept in full-scale simulated major incidents.MethodsThe learners participated in two standardised bus crash simulations: without and with competence of TAS-triage and access to TAS-triage equipment. The instructors calculated triage accuracy and measured time consumption while the learners participated in a self-reported before-after study. Each question was scored on a 7-point Likert scale with points labelled "Did not work" (1) through "Worked excellent" (7).ResultsAmong the 93 (85%) participating emergency service professionals, 48% confirmed the existence of a major incident triage system in their service, whereas 27% had access to triage tags. The simulations without TAS-triage resulted in a mean over- and undertriage of 12%. When TAS-Triage was used, no mistriage was found. The average time from "scene secured to all patients triaged" was 22 minutes (range 15-32) without TAS-triage vs. 10 minutes (range 5-21) with TAS-triage. The participants replied to "How did interdisciplinary cooperation of triage work?" with mean 4,9 (95% CI 4,7-5,2) before the course vs. mean 5,8 (95% CI 5,6-6,0) after the course, p < 0,001.ConclusionsOur modified triage Sieve tool is feasible, time-efficient and accurate in allocating priority during simulated bus accidents and may serve as a candidate for a future national standard for major incident triage.

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Section: Discussionmentioning

confidence: 99%

A concept for major incident triage: full-scaled simulation feasibility study

et al. 2010

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“…Capillary refill time is influenced by ambient temperature, 25 site, and age and its interpretation can be influenced by lighting. 26 • Tachycardia is a common sign of shock, but it can also result from other causes, such as pain, anxiety, and fever.…”

Section: Shockmentioning

confidence: 99%

Part 14: Pediatric Advanced Life Support

Kleinman¹,

Chameides²,

Schexnayder³

et al. 2010

Circulation

913

304

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“…It has been shown that CRT in either adults or children is influenced by temperature [6,7,9,11], age [9,11], sex [9,11], repeated measurements [7], anatomical place of testing [6,12] and lighting conditions [13]. These factors make the use of CRT complicated, and measurement difficult.…”

Section: Discussionmentioning

confidence: 99%