New concepts in triage

Vayer, Joshua S.; Eyck, Raymond P. Ten; Cowan, M. L.

doi:10.1016/s0196-0644(86)80677-1

Cited by 75 publications

(34 citation statements)

References 3 publications

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“…Such a system is advocated by some multiple casualty incident training schemes, for example, Major Incident Medical Management and Support (MIMMS) 1 . In these systems, either tags or suitable substitute, such as pieces of coloured aluminium, 2 lengths of fluorescent flagging ribbon, or coloured chemical light sticks 3 are attached to patients. Although in theory this seems a reasonable and logical approach resulting in an improvement of the management of multiple casualty incidents, they have proved a failure in practice 3 …”

Section: Rationale and Utility In The Fieldmentioning

confidence: 99%

“…Triage tags used on only a portion of patients at an incident 6 Time wasted filling in triage tags on patients with minor injuries that would be better utilized caring for the severely injured 2,3 Triage tags representing a major departure from standard operating procedures at a time when stress and disorder are highest, so they are not used or completed illegibly 3 …”

Section: Rationale and Utility In The Fieldmentioning

confidence: 99%

“…Time wasted filling in triage tags on patients with minor injuries that would be better utilized caring for the severely injured 2,3 Triage tags representing a major departure from standard operating procedures at a time when stress and disorder are highest, so they are not used or completed illegibly 3 Triage tags discouraging repeat assessment of casualties and thorough secondary assessments 3 …”

Section: Rationale and Utility In The Fieldmentioning

confidence: 99%

“…Triage tags representing a major departure from standard operating procedures at a time when stress and disorder are highest, so they are not used or completed illegibly 3 Triage tags discouraging repeat assessment of casualties and thorough secondary assessments 3 Triage tags leading to organizational uncertainty through use of an unfamiliar tool 3 …”

Section: Rationale and Utility In The Fieldmentioning

confidence: 99%

“…Triage tags discouraging repeat assessment of casualties and thorough secondary assessments 3 Triage tags leading to organizational uncertainty through use of an unfamiliar tool 3 Triage tag design only able to reflect deterioration in patient condition and not improvement 3,7 …”

Section: Rationale and Utility In The Fieldmentioning

confidence: 99%

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Documentation and tagging of casualties in multiple casualty incidents

Garner¹

2003

Emergency Medicine

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The use of triage tags is widely advocated as a tool to improve the management of multiple casualty incident scenes. However, there are no published reports to suggest that triage tags have improved the management of incidents involving more than 24 persons, and a number of reports have detailed problems associated with triage tag use. Alternative systems of scene management such as geographical triage have been successfully used in very large incidents, and are recommended as an alternative to triage tags. Documentation cards attached to casualties may be of use in situations where casualties will pass through an extended evacuation chain, and clear labels for deceased casualties are of benefit as they discourage repeat assessments. Adoption of an evidence‐based approach to multiple casualty incident scene management will require a paradigm shift in the thinking of ambulance services. A broad‐based educational approach that encourages critical reappraisal of existing procedures is recommended.

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Section: Rationale and Utility In The Fieldmentioning

confidence: 99%