Documentation and tagging of casualties in multiple casualty incidents

Garner, Alan

doi:10.1046/j.1442-2026.2003.00505.x

Cited by 22 publications

(21 citation statements)

References 18 publications

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“…The time used filling in tags soaked in blood may be better utilized caring for severely injured patients. If the situation allows documentation, existing ambulance reports should be utilized to ensure familiarity and avoidance of tags containing information of little value [23]. In our study only 27% had access to triage tagging equipment and only 48% confirmed the existence of a system for major incident triage.…”

Section: Discussionmentioning

confidence: 71%

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: 71%

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

et al. 2010

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“…Then red patients with solved ABC compromise. All these patients will have red tags [ 22 ]. Next will be patients with single neurological disability, and finally those needing hospital evaluation but without any of the mentioned situations (Fig.…”

Section: Resultsmentioning

confidence: 99%

The development and features of the Spanish prehospital advanced triage method (META) for mass casualty incidents

González

Delgado

Álvarez

et al. 2016

Scand J Trauma Resusc Emerg Med

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This text describes the process of development of the new Spanish Prehospital Advanced Triage Method (META) and explain its main features and contribution to prehospital triage systems in mass casualty incidents. The triage META is based in the Advanced Trauma Life Support (ATLS) protocols, patient’s anatomical injuries and mechanism of injury. It is a triage method with four stages including early identification of patients with severe trauma that would benefit from a rapid evacuation to a surgical facility and introduces a new patient flow by-passing the advanced medical post to improve evacuation. The stages of triage META are: I) Stabilization triage that classifies patients according to severity to set priorities for initial emergency treatment; II) Identifying patients requiring urgent surgical treatment, this is done at the same time than stage I and creates a new flow of patients with high priority for evacuation; III) Implementation of Advanced Trauma Life Support protocols to patients previously classified according to stablished priority; and IV) Evacuation triage, stablishing evacuation priorities in case of lacks of appropriate transport resources. The triage META is to be applied only by prehospital providers with advanced knowledge and training in advanced trauma life support care and has been designed to be implemented as prehospital procedure in mass casualty incidents (MCI).

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“…1 It has even been postulated that triage tags should be abandoned in favour of other triage methods. 8 However, this study only looked at comparing tags and determining whether any individual tag was superior to the others, not whether triage tags were useful in the triage process.…”

Section: Discussionmentioning

confidence: 99%