38: Does the Simple Triage and Rapid Treatment Method Appropriately Triage Patients Based On Trauma Injury Severity Score?

Hong, Rick; Sierzenski, Paul; O’Connor, Robert E.; Bollinger, M.; Durie, C.

doi:10.1016/j.annemergmed.2007.06.069

Cited by 10 publications

(13 citation statements)

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“…To evaluate illness severity and determine the differential diagnoses, a triage system using BLL measurement would be useful. In support of this notion, BLL has been reported to be a predictor of the severity of sepsis, trauma, and infection and the need for intensive care . The lactate level in venous blood is a sensitive and specific parameter to triage severely injured patients.…”

Section: Discussionmentioning

confidence: 87%

“…Triage is the process used to decide treatment priority on the basis of the severity of the patient's condition . In particular, at the scene of major disasters, medical personnel need to decide how to rescue as many casualties as possible with limited medical resources.…”

Section: Discussionmentioning

confidence: 99%

“…Simple Triage and Rapid Treatment (START) is commonly used at disaster scenes . It is a simple triage system that can be used by lightly trained laypeople and emergency department (ED) personnel .…”

Section: Introductionmentioning

confidence: 99%

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Utility of blood lactate level in triage

Fukumoto

Inoue

Takeuchi

et al. 2015

Acute Medicine & Surgery

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Aim: Simple Triage and Rapid Treatment (START) is commonly used at disaster scenes. The Canadian Emergency Department Triage and Acuity Scale (CTAS) is used in urban and rural emergency departments (ED). However, triage is not always accurate or appropriate. The blood lactate level (BLL) is a major biomarker of physical status. We measured BLL using the Lactate Pro-1710 Test Meter in all patients transported to our ED and assessed their correlation with the triage level determined using START and the CTAS.Methods: This retrospective study included 510 patients admitted to our ED between January 2011 and July 2012 whose BLL was measured. The patients were classified into triage divisions (green, yellow, red, and black) according to vital signs and chief complaints, and correlations among BLL, triage level, and prognosis were assessed in all groups.Results: Of the total, 62 patients had cardiopulmonary arrest (CPA), 262 had internal pathologies, and 186 had external pathologies.Significant correlations were observed between BLL and both START and CTAS triage. Also BLL was significantly higher in severe patients categorized with START and CTAS (P < 0.0001), especially in the death group when the patients were divided into two groups according to prognosis (P < 0.0001). Two patients categorized yellow with START died during the hospitalization, however BLL of these two patients were high on admission at the ED.Conclusion: BLL could be used to correct the triage level, and decide the priority of treatment and transportation even within the same triage level, thereby avoiding under-triage.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

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Utility of blood lactate level in triage

Fukumoto

Inoue

Takeuchi

et al. 2015

Acute Medicine & Surgery

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“…The victims were designed especially for the survey, and their predicted calculated probability of survival was devised using the Revised Trauma Score (RTS), a validated clinical outcome prediction tool 12,13. The victims were designed to have a predicted survival to be in the range of 36%–40%, based on the criteria described by RTS.…”

Section: Methodsmentioning

confidence: 99%

Objective triage in the disaster setting: will children and expecting mothers be treated like others?

Kouliev

2016

OAEM

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The study of disaster triage is made difficult by the complex emotional response of potentially lifesaving intervention that a triage officer must make basing decisions on a succinct and efficient algorithm. A survey of triage professionals in international settings was designed to identify possible emotionally led bias that affects objective decision making in identifying victims most likely to benefit from immediate life support intervention. This survey suggests a lack of correlation between triage priority and predictable clinical outcomes as predicted by the Revised Trauma Score tool. Among the subjects, it was observed that a pediatric victim is uniformly overtriaged when compared to less injured victims.

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“…A numerical system is used so as not to be confused with color-coded based triage systems used in emergency departments, on the battlefield, and in other situations when there are insufficient resources available to treat all who simultaneously need medical care. 84 A color-coded triage status can co-exist with a dialysis triage category because a color and dialysis triage number can be both assigned to the same individual. Red color coding in color-based systems ordinarily indicates that one cannot survive without immediate treatment and that would also correspond to dialysis triage level 1 or 2.…”

Section: Recommended Approachesmentioning

confidence: 99%

Renal Failure Patients in Disasters

Lempert

Kopp

2019

Disaster med. public health prep.

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Disasters occur regularly, and frequently large numbers of patients treated with maintenance dialysis or with the recent onset of acute kidney injury are put at risk owing to the lack of access to dialysis care precipitating also a kidney failure disaster. The absence of necessary dialysis treatments can result in excessive emergency department visits, hospitalizations, morbidity, or an early death. Those with kidney failure are often evaluated in disaster medical locations or hospitals without nephrologists in attendance. Here we offer guidance for medical personnel evaluating such patients so that dialysis-dependent individuals can be properly assessed and managed with the need for urgent dialysis recognized. A disaster dialysis triage system is proposed. (Disaster Med Public Health Preparedness. 2019;13:782–790)

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38: Does the Simple Triage and Rapid Treatment Method Appropriately Triage Patients Based On Trauma Injury Severity Score?

Cited by 10 publications

References 0 publications

Utility of blood lactate level in triage

Utility of blood lactate level in triage

Objective triage in the disaster setting: will children and expecting mothers be treated like others?

Renal Failure Patients in Disasters

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