A New Resource-Constrained Triage Method Applied to Victims of Penetrating Injury

Abstract

Resource-constrained triage is modeled as an evidence-based, outcome-driven method (STM) that maximizes expected survivors in consideration of resources. STM offers lifesaving and operational advantages over current methods.

Simulation Training with Structured Debriefing Improves Residents’ Pediatric Disaster Triage Performance

“…24 The author of the JumpSTART algorithm has endorsed the Sacco method on her website. Several new algorithms have been suggested, including the Sacco Triage method, which assigns a numeric score to victims using a 15point scale, and takes into consideration the resource constraints imposed by the disaster.…”

A Better START for Low-acuity Victims: Data-driven Refinement of Mass Casualty Triage

“…16,18,29 STM uses pulse, respiration, and motor response to classify patients by mortality risk. This classification is then adjusted for age; older patients are given increased risk classification and pediatric patients are given decreased classification.…”

“…13,14 Among others, we have used this approach to assess disaster triage accuracy. [15][16][17][18][19][20][21][22] However, using such findings to improve triage algorithms is prone to limitations and is subject to obstacles. The entry point for most algorithms is geographic triage, whereby the casualties are first sorted by their ability to respond to verbal commands and/or ambulate, then systematically assessed.…”

Independent Application of the Sacco Disaster Triage Method to Pediatric Trauma Patients

“…10,11 Unadjusted Sacco Scores range from 0 to 12. Presumably, this unadjusted Sacco Score is less physiologically accurate, but easier for scene responders to calculate.…”

“…A variety of triage methods have been proposed-and used-in the two centuries since Napoleonic-era doctors first started large-scale sorting of battlefield casualties. For adult patients with either blunt 10 or penetrating 11 trauma, STM effectively sorts patients into groups by risk of death. [1][2][3][4] A criticism of most mass-casualty triage methods is their lack of rigorous evidence basis, often combined with less-than-ideal evaluations of their real-world performance.…”