The implication of a translational triage tool in mass casualty incidents: part three: a multinational study, using validated patient cards.

Autor: Khorram-Manesh A; Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, 405 30, Gothenburg, Sweden. amir.khorram-manesh@surgery.gu.se.; Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, 413 45, Gothenburg, Sweden. amir.khorram-manesh@surgery.gu.se.; Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg University, 405 30, Gothenburg, Sweden. amir.khorram-manesh@surgery.gu.se.; Center for Disaster Medicine, Gothenburg University, 405 30, Gothenburg, Sweden. amir.khorram-manesh@surgery.gu.se., Carlström E; Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, 413 45, Gothenburg, Sweden.; Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg University, 405 30, Gothenburg, Sweden.; USN School of Business, University of South-Eastern Norway, 3199, Borre, Norway., Burkle FM; Woodrow Wilson International Center for Scholars, Washington, DC, USA., Goniewicz K; Department of Security, Polish Air Force University, Dęblin, Poland., Gray L; Department of Primary Health Care & General Practice, University of Otago, Wellington, New Zealand.; Joint Centre for Disaster Research, Massey University, Wellington, New Zealand., Ratnayake A; Sri Lanka Army Hospital, Narahenpita, Colombo, 08, Sri Lanka., Faccincani R; Emergency Department, Humanitas Mater Domini, 210 53, Castellanza, Italy., Bagaria D; Division of Trauma Surgery & Critical Care, J.P.N. Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India., Phattharapornjaroen P; Department of Emergency Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 10400, Bangkok, Thailand., Sultan MAS; Emergency Department, King Khalid Hospital, Narjan, Saudi Arabia., Montán C; Karolinska MRMID-International Association for Medical Response to Major Incidents, Stockholm, Sweden.; Disasters, and Vascular Surgery, Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden., Nordling J; Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, 413 45, Gothenburg, Sweden., Gupta S; Division of Trauma Surgery & Critical Care, J.P.N. Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India., Magnusson C; Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, 413 45, Gothenburg, Sweden.; Department of Molecular and Clinical Medicine, Sahlgrenska Academy, Gothenburg University, 405 30, Gothenburg, Sweden.
Jazyk: angličtina
Zdroj: Scandinavian journal of trauma, resuscitation and emergency medicine [Scand J Trauma Resusc Emerg Med] 2023 Nov 28; Vol. 31 (1), pp. 88. Date of Electronic Publication: 2023 Nov 28.
DOI: 10.1186/s13049-023-01128-3
Abstrakt: Background: Mass casualty incidents (MCI) pose significant challenges to existing resources, entailing multiagency collaboration. Triage is a critical component in the management of MCIs, but the lack of a universally accepted triage system can hinder collaboration and lead to preventable loss of life. This multinational study uses validated patient cards (cases) based on real MCIs to evaluate the feasibility and effectiveness of a novel Translational Triage Tool (TTT) in primary triage assessment of mass casualty victims.
Methods: Using established triage systems versus TTT, 163 participants (1575 times) triaged five patient cases. The outcomes were statistically compared.
Results: TTT demonstrated similar sensitivity to the Sieve primary triage method and higher sensitivity than the START primary triage system. However, the TTT algorithm had a lower specificity compared to Sieve and higher over-triage rates. Nevertheless, the TTT algorithm demonstrated several advantages due to its straightforward design, such as rapid assessment, without the need for additional instrumental interventions, enabling the engagement of non-medical personnel.
Conclusions: The TTT algorithm is a promising and feasible primary triage tool for MCIs. The high number of over-triages potentially impacts resource allocation, but the absence of under-triages eliminates preventable deaths and enables the use of other personal resources. Further research involving larger participant samples, time efficiency assessments, and real-world scenarios is needed to fully assess the TTT algorithm's practicality and effectiveness in diverse multiagency and multinational contexts.
(© 2023. The Author(s).)
Databáze: MEDLINE
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