Triage: Principles and Pressures

Ryan, James

doi:10.1007/s00068-008-8804-3

Cited by 14 publications

(9 citation statements)

References 6 publications

(5 reference statements)

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“…Triage, from the French ‘ trier ’, or sieve, was created for military purposes. It was invented by Dominique Jean Larrey, Napoleon’s surgeon general [ 11 , 12 ]. Soldier triage and evacuation was intended to select the lightly wounded casualties who could quickly return to duty [ 9 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…It was invented by Dominique Jean Larrey, Napoleon’s surgeon general [ 11 , 12 ]. Soldier triage and evacuation was intended to select the lightly wounded casualties who could quickly return to duty [ 9 , 12 ]. Modern-day triage has a different purpose: the greatest good for the greatest number , rather than prioritizing the sickest first [ 9 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

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A New Triage Method for Burn Disasters: Fast Triage in Burns (FTB)

2018

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BackgroundThere are few triage methods based on patient age and extent of burn. However, in case of mass casualties, age might be hard to define. Burn segregation in mass-casualty accidents requires an easy, fast, and effective method. Triage in burns should also segregate casualties requiring treatment in burn centers. The aim of this study was to create a proprietary segregation algorithm dedicated to mass-casualty incidents.Material/MethodsA retrospective analysis of 939 burned patients admitted to the Clinical Department of Burns, Plastic and Reconstructive Surgery, Military Institute of Medicine (MIM) in Warsaw and to the Center for the Treatment of Burns (CTB) in Siemianowice Śląskie in 2012 and 2013 was performed. The aim was to reveal which early factors could be used during segregation of burn victims in mass-casualty incidents on the battlefield and in civilian circumstances. Only easy and quick-to-evaluate factors that can be examined without medical equipment and laboratory tests were used in creating the proprietary triage algorithm.ResultsAs a result of our study, we created an algorithm for fast triage in mass-casualty situations. The algorithm is based on parameters that can be easily evaluated without additional equipment. To create the algorithm, we used factors that had the strongest impact on mortality prediction in severely burned patients, in multifactor analysis: advanced age (p<0.001. OR=1.04), extent of the deep burn (p<0.001. OR=1.1), and low systolic arterial pressure (p<0.001. OR=0.96).ConclusionsThe FTB (Fast Triage in Burns) algorithm is a new triage method dedicated for massive burn events in civilian circumstances. The FTB algorithm is a simple, quick, and credible means of segregating burn victims. The algorithm is dedicated to use in pre-hospital care, during mass-casualty events both in civilian and battlefield circumstances. The aim is to be able to evaluate burn victims immediately, without access to medical equipment or additional tests and to evaluate indications for burn center care. It is a unique method designed to be used during segregation in isolated burn mass-casualty incidents.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A New Triage Method for Burn Disasters: Fast Triage in Burns (FTB)

2018

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“…Guidelines published in 2010 recommend that triage should be based on a combination of physiologic and anatomic parameters, along with the mechanism of injury, comorbidities, and demographics [19]. By only using anatomic triage decisions based on the patient's visible injuries, there is a risk of failing to identify severe injuries such as cavity hemorrhage [7,20]. On the other hand, a trauma patient may display normal physiologic parameters but have visible signs (i.e., soot in the nostrils after exposure to fire) and be at potential risk of developing later complications [7].…”

Section: Anatomic and Physiologic 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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“…Kata "triage" berasal dari bahasa Perancis "trier" yang berarti menyaring atau untuk menyortir (Ryan, 2008). Lossius et al (2012)…”

Section: Abstrakunclassified

Pengaruh Aplikasi Paediatric Triage Metode Jumpstart Terhadap Kesiapan Penanganan Awal Kegawatdaruratan Pada Anak Di Sdn Purwosari I Kabupaten Pasuruan

Sutriningsih

Ardiyani

2018

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Kasus kegawatdaruratan yang sering terjadi pada anak di sekolah antara lain pingsan, tersedak, demam, epistaksis, luka robek, dan muntah. Kejadian kegawatdaruratan di sekolah dapat terjadi sewaktu-waktu sehingga perlu adanya kesiapan guru dan karyawan di sekolah dalam penanganan awal kegawatdaruratan sebelum anak dibawa ke fasilitas kesehatan. Metode penilaian kegawatan (triage) pada anak salah satunya adalah metode JumpSTART. Tujuan yang ingin dicapai dalam penelitian ini adalah untuk mengetahui pengaruh aplikasi Paediatric Triage metode JumpSTART terhadap kesiapan penanganan awal kegawatdaruratan pada anak di SDN Purwosari I Kabupaten Pasuruan. Penelitian mengggunakan desain penelitian eksperimentaldengan pendekatan the pretest and posttest one group design dimana pengukuran kesiapan penanganan awal kegawatdaruratan dilakukan di awal dan di akhir atau setelah pemberian perlakuan. Populasi meliputi seluruh guru dan karyawan yang bekerja di SDN Purwosari I Kabupaten Pasuruan sebanyak 21 orang dan teknik sampling menggunakan purposive sampling sebanyak 16 orang sesuai dengan kriteria inklusi.Instrumen yang digunakan untuk mengukur variable kesiapan menggunakan kuesioner dan lembar observasi yang disusun peneliti berdasarkan tinjauan pustaka. Hasil penelitian menggunakan Uji Marginal Homogenity untuk mengetahui pengaruh aplikasi Paediatric Triage metode JumpSTART terhadap kesiapan penanganan awal kegawatdaruratan pada anak menggunakan diperoleh p value sebesar 0.001

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Triage: Principles and Pressures

Cited by 14 publications

References 6 publications

A New Triage Method for Burn Disasters: Fast Triage in Burns (FTB)

A New Triage Method for Burn Disasters: Fast Triage in Burns (FTB)

TRIAGE : Management of the trauma patient

Pengaruh Aplikasi Paediatric Triage Metode Jumpstart Terhadap Kesiapan Penanganan Awal Kegawatdaruratan Pada Anak Di Sdn Purwosari I Kabupaten Pasuruan

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