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The journal of trauma and acute care surgery
06 01, 2021;90 (6): e138-e145.

Field-Triage, Hospital-Triage and Triage-Assessment: A Literature Review of the Current Phases of Adult Trauma Triage.

Rachel S Morris, Basil S Karam, Patrick B Murphy, Peter Jenkins, David J Milia, Mark R Hemmila, Krista L Haines, Thaddeus J Puzio, Marc A de Moya, Christopher J Tignanelli
Author Information
  1. Rachel S Morris: From the Department of Surgery (R.M., B.S.K., P.M., D.M., M.d.M.), Medical College of Wisconsin, Milwaukee, Wisconsin; Department of Surgery (P.J.), Indiana University, Indianapolis, Indiana; Department of Surgery (M.H.), University of Michigan, Ann Arbor, Michigan; Department of Surgery (K.H.), Duke University, Durham, North Carolina; Department of Surgery (T.P.), University of Texas Health Science Center, Houston, Texas; Department of Surgery (C.T.), and Institute for Health Informatics (C.T.), University of Minnesota, Minneapolis; and Department of Surgery (C.T.), North Memorial Health Hospital, Robbinsdale, Minnesota.
PMID: 33605709 DOI: 10.1097/TA.0000000000003125

Abstract

ABSTRACT: Despite major improvements in the United States Trauma system over the past two decades, prehospital Trauma triage is a significant challenge. Undertriage is associated with increased mortality, and overtriage results in significant resource overuse. The American College of Surgeons Committee on Trauma benchmarks for undertriage and overtriage are not being met. Many barriers to appropriate field triage exist, including lack of a formal definition for major Trauma, absence of a simple and widely applicable triage mode, and emergency medical service adherence to triage protocols. Modern Trauma triage systems should ideally be based on the need for intervention rather than injury severity. Future studies should focus on identifying the ideal definition for major Trauma and creating triage models that can be easily deployed. This narrative review article presents challenges and potential solutions for prehospital Trauma triage.

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MeSH Term

Emergency Medical Services
Guideline Adherence
Humans
Injury Severity Score
Practice Guidelines as Topic
Triage
United States
Wounds and Injuries
Journal Article Review
Article has an altmetric score of 32

Word Cloud

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