Medical Emergency Triage and Treatment System (METTS): A New Protocol in Primary Triage and Secondary Priority Decision in Emergency Medicine

Widgren, Bengt R.; Jourak, Majid

doi:10.1016/j.jemermed.2008.04.003

Cited by 200 publications

(198 citation statements)

References 13 publications

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“…The second study population included patients from the Sahlgrenska University Hospital ER, who were asked to participate in the study from March 2010 to September 2010 if they were triaged to levels "yellow" (level 3) or "orange" (level 4) according to the 5 levels of the Medical Emergency Triage and Treatment System (METTS)-A triage algorithm (16 ). The METTS-A triage tool combines vital signs and 43 categorized symptoms, such as chest pain, dyspnea, and vertigo, to prioritize patients to different levels of attendance.…”

Section: Study Design and Populationsmentioning

confidence: 99%

Troponin T Percentiles from a Random Population Sample, Emergency Room Patients and Patients with Myocardial Infarction

Hammarsten¹,

Fu²,

Sigurjónsdóttir³

et al. 2012

Clinical Chemistry

130

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BACKGROUND:High-sensitivity cardiac troponin T (cTnT) assays detect small clinically important myocardial infarctions (MI) but also yield higher rates of false-positive results owing to increased concentrations sometimes present in patients without MI. Better understanding is needed of factors influencing the 99th percentile of cTnT concentrations across populations and the frequency of changes in cTnT concentrations Ͼ20% often used in combination with increased cTnT concentrations for diagnosis of MI.

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Section: Study Design and Populationsmentioning

confidence: 99%

Troponin T Percentiles from a Random Population Sample, Emergency Room Patients and Patients with Myocardial Infarction

Hammarsten¹,

Fu²,

Sigurjónsdóttir³

et al. 2012

Clinical Chemistry

130

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“…In developing countries, including Brazil, this problem becomes even more serious because emergency services represent the main access route to the health care system (1)(2)(3) . Previous studies have shown that overcrowding leads to increased health costs, decreased efficiency and quality of care, and increased incidence of adverse events and mortality, all of which culminate in poor performance of the health care system (4)(5)(6)(7) . To prioritize health care for severely ill patients, hospitals have instituted triage systems in recent decades with the aim of identifying patients with more severe conditions and with increased risk of death, thereby ensuring faster service with minimal waiting time (1,(8)(9)(10)(11)(12) .…”

Section: Introductionmentioning

confidence: 99%

Triage at the Emergency Department: association between triage levels and patient outcome

Becker

Lopes

Pinto

et al. 2015

Rev. esc. enferm. USP

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Objective: Identify association between sociodemographic, clinical and triage categories with protocol outcomes developed at Hospital São Paulo (HSP). Method: Retrospective cohort study conducted with patients older than 18 years submitted to the triage protocol in August 2012. Logistic regression was used to associate the risk categories to outcomes (p-value ≤0,05). Results: Men with older age and those treated in clinical specialties had higher rates of hospitalization and death. Patients in the high-priority group had hospitalization and mortality rates five and 10.6 times, respectively (p < 0.0001). Conclusion:The high-priority group experienced higher hospitalization and mortality rates. The protocol was able to detect patients with more urgent conditions and to identify risk factors for hospitalization and death.

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“…In Sweden, Rapid Emergency Triage and Treatment System (RETTS) is the most frequently implemented system (table 1). During an initial period, RETTS changed its name to the Medical and Emergency Triage and Treatment System (METTS) [50], and thereafter changed the name again to RETTS. …”

Section: In-hospital Triagementioning

confidence: 99%

TRIAGE : Management of the trauma patient

Lampi¹

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Triage, derived from the French word for sorting, aims to assess and prioritize injured patients, regardless of whether the injuries are sustained from everyday road traffic accident with few injured or a mass casualty incident. Triage seeks to provide the greatest benefit to the largest number of casualties in order to minimize morbidity and mortality. Triage in a pre-hospital setting entails management and sorting of patients according to an assessment of medical need, prioritization, and evacuation. In-hospital triage aims to rapidly identify the most injured and ensure timely and appropriate treatment according to the patient's clinical urgency. A number of different systems for performing triage have been established and implemented globally. The methodology is recognized and utilized but there is still a need for an evidence-based strategy to optimize training and the efficacy of the different systems.The main aim of this thesis was to determine triage performance among prehospital personnel and investigate the potential advantage of a triage system for trauma patients. The papers included in this thesis evaluated the triage skills of physicians, pre-hospital personnel, and rescue services personnel by testing their performance before and after an educational intervention. The last paper evaluated potential benefits of using a triage system for trauma patients admitted to the emergency department at MOI Teaching and Referral Hospital in Eldoret, Kenya.The results presented in this thesis illustrate that triage skills are lacking among physicians. Experienced pre-hospital personnel are more skilled in performing triage than physicians. The triage skills of the rescue services personnel improved significantly after the educational intervention. Moreover, the potential benefit to trauma patients of implementing an in-hospital triage system in a resource-poor environment was shown. In conclusion, health care personnel, especially physicians without experience but highly involved in trauma patient management, seem to be in need of triage training. How to train, how to implement, and how to evaluate triage skills must be considered in order to develop effective training. POPULÄRVETENSKAPLIG SAMMANFATTNINGOrdet triage kommer från franskans "sortera" och är ett av det första stegen i omhändertagandet av skadade när det råder resursbrist. Från 1800-talets blodiga slagfält, till dagens skadeplats och akutmottagningar har sättet att triagera patienter utvecklats. Men då, som nu, är grundtanken den samma, att sortera och prioritera de skadade utifrån tillgängliga resurser och patienternas vårdbehov. Följaktligen har begreppet kommit att bli centralt inom ämnet katastrofmedicin. Att avlida till följd av skador i samband med allvarliga händelser men också skador i till exempel vardagstrafiken är ett globalt hälsoproblem. Tiden från olycka till sjukhusbehandling är en viktig och ofta avgörande överlevnadsfaktor för en patient. I det här sammanhanget talas det om "den gyllene timmen", som påvisar vikten av att få ...

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Medical Emergency Triage and Treatment System (METTS): A New Protocol in Primary Triage and Secondary Priority Decision in Emergency Medicine

Cited by 200 publications

References 13 publications

Troponin T Percentiles from a Random Population Sample, Emergency Room Patients and Patients with Myocardial Infarction

Troponin T Percentiles from a Random Population Sample, Emergency Room Patients and Patients with Myocardial Infarction

Triage at the Emergency Department: association between triage levels and patient outcome

TRIAGE : Management of the trauma patient

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