The Need for Trauma Management Training and Evaluation on a Prehospital Setting

Larraga-García, Blanca; Quintana-Díaz, Manuel; Gutiérrez, Álvaro

doi:10.3390/ijerph192013188

Cited by 7 publications

(3 citation statements)

References 51 publications

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“…A cutoff score of 15 on the ISS is typically used to differentiate between mild and severe injury. 18 When comparing SALT and META to the ISS using the Spearman correlation coefficient, SALT triage reveals a higher correlation relationship (META 0.222, SALT 0.304), though neither had a high correlation with the ISS. When analyzing the subgroup of the Immediate category, both triage methods had statistically significant higher proportions with an ISS of 15 or above compared to an ISS below 15.…”

Section: Discussionmentioning

confidence: 98%

“…A cutoff score of 15 is typically used to differentiate mild from severe trauma. 18 The Consensus-Based Gold Standard for the Evaluation of Mass-Casualty Triage Systems (Lerner, et al) listed multiple criteria related to patient clinical findings and diagnoses to assign a patient's "true" category. 1 Not all criteria could be used due to the trauma registry's data limitations.…”

Section: Data Gatheringmentioning

confidence: 99%

Section: Using Iss For Comparisonmentioning

confidence: 99%

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Comparative Analysis of META and SALT Disaster Triage in an Adult Trauma Population: A Retrospective Observational Study

Tiyawat,

Liu,

Huabbangyang

et al. 2024

Prehosp. Disaster med.

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Background: Medical professionals can use mass-casualty triage systems to assist them in prioritizing patients from mass-casualty incidents (MCIs). Correct triaging of victims will increase their chances of survival. Determining the triage system that has the best performance has proven to be a difficult question to answer. The Advanced Prehospital Triage Model (Modelo Extrahospitalario de Triaje Avanzado; META) and Sort, Assess, Lifesaving Interventions, Treatment/Transport (SALT) algorithms are the most recent triage techniques to be published. The present study aimed to evaluate the META and SALT algorithms’ performance and statistical agreement with various standards. The secondary objective was to determine whether these two MCI triage systems predicted patient outcomes, such as mortality, length-of-stay, and intensive care unit (ICU) admission. Methods: This retrospective study used patient data from the trauma registry of an American College of Surgeons Level 1 trauma center, from January 1, 2018 through December 31, 2020. The sensitivity, specificity, and statistical agreement of the META and SALT triage systems to various standards (Revised Trauma Score [RTS]/Sort Triage, Injury Severity Score [ISS], and Lerner criteria) when applied using trauma patients. Statistical analysis was used to assess the relationship between each triage category and the secondary outcomes. Results: A total of 3,097 cases were included in the study. Using Sort triage as the standard, SALT and META showed much higher sensitivity and specificity in the Immediate category than for Delayed (Immediate sensitivity META 91.5%, SALT 94.9%; specificity 60.8%, 72.7% versus Delayed sensitivity 28.9%, 1.3%; specificity 42.4%, 28.9%). With the Lerner criteria, in the Immediate category, META had higher sensitivity (77.1%, SALT 68.6%) but lower specificity (61.1%) than SALT (71.8%). For the Delayed category, SALT showed higher sensitivity (META 61.4%, SALT 72.2%), but lower specificity (META 75.1%, SALT 67.2%). Both systems showed a positive, though modest, correlation with ISS. For SALT and META, triaged Immediate patients tended to have higher mortality and longer ICU and hospital lengths-of-stay. Conclusion: Both META and SALT triage appear to be more accurate with Immediate category patients, as opposed to Delayed category patients. With both systems, patients triaged as Immediate have higher mortality and longer lengths-of-stay when compared to Delayed patients. Further research can help refine MCI triage systems and improve accuracy.

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Section: Discussionmentioning

confidence: 98%

Section: Data Gatheringmentioning

confidence: 99%

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Comparative Analysis of META and SALT Disaster Triage in an Adult Trauma Population: A Retrospective Observational Study

Tiyawat,

Liu,

Huabbangyang

et al. 2024

Prehosp. Disaster med.

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Translating training to medical practice in trauma care, a literature review

Haută,

Iacobescu,

Corlade-Andrei

et al. 2024

Eur J Trauma Emerg Surg

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Trauma, a global health challenge, remains a significant cause of mortality despite advances in trauma management. The establishment of trauma teams has revolutionized care in trauma resuscitation. The training of these teams is designed to promote self-trust and empower trainees in trauma care, enhance performance, and improve patient outcomes. Various training curricula have been developed, utilizing a plethora of teaching methods such as lectures, simulations, debriefings, skill workshops, and demonstrations. However, a universally accepted gold standard curriculum in trauma training is yet to be defined, and there is no standard method for delivering education in injury care teaching. In this review, we have examined relevant literature data on standard teaching programs, the educational delivery methods used, and their impact on adult trauma patients’ outcomes and trained team-related outcomes. While most studies indicate improved trained team performance, they consistently show no improvement in patient-specific outcomes such as mortality, morbidity, and length of stay. However, data hints at optimal educational delivery and the role that technology may play in the future of trauma training development.

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Phase change materials for a blood transport container to support long-term storage and transportation of red blood cells in extreme conditions

Wang,

Fu,

et al. 2023

Journal of Energy Storage

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The Need for Trauma Management Training and Evaluation on a Prehospital Setting

Cited by 7 publications

References 51 publications

Comparative Analysis of META and SALT Disaster Triage in an Adult Trauma Population: A Retrospective Observational Study

Comparative Analysis of META and SALT Disaster Triage in an Adult Trauma Population: A Retrospective Observational Study

Translating training to medical practice in trauma care, a literature review

Phase change materials for a blood transport container to support long-term storage and transportation of red blood cells in extreme conditions

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