Teaching triage in disaster medicine - same subject, but different approach.

Amir Khorram-Manesh
Author Information
  1. Amir Khorram-Manesh: Department of Surgery, Institute for Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden. amir.khorram-manesh@surgery.gu.se.

Abstract

BACKGROUND: Disaster management is an inter-, intra-, and cross-disciplinary task in which different specialties partake. Triage is a crucial part of disaster education. A synchronized approach and mutual understanding of triaging and agreement on priorities are essential for saving lives.
CASE STUDY: Educational initiatives in disaster medicine aim to address issues that highlight the differences between more routine multi-casualty incidents and rarer mass casualty incidents. These differences are characterized by the number of victims, available resources, and environmental factors that may jeopardize the safety of victims and healthcare providers. While routine triage algorithms are often used in multiple casualty emergencies, considering environmental factors in mass casualty incidents caused by natural or human-made hazards should be equally important.
CONCLUSIONS: The impacts of environmental factors are usually not discussed in disaster medicine education, resulting in professionals having difficulties understanding the limitations of implementing routine triage algorithms during disaster response.

Keywords

References

  1. J Multidiscip Healthc. 2019 Dec 10;12:1013-1021 [PMID: 31849477]
  2. Crit Care Clin. 2019 Oct;35(4):575-589 [PMID: 31445606]
  3. Anaesth Crit Care Pain Med. 2017 Feb;36(1):43-51 [PMID: 27481690]
  4. Scand J Trauma Resusc Emerg Med. 2024 Oct 18;32(1):103 [PMID: 39425214]
  5. J Trauma Acute Care Surg. 2022 Aug 1;93(2S Suppl 1):S160-S164 [PMID: 35583968]
  6. Am J Disaster Med. 2020 Winter;15(1):33-41 [PMID: 32804384]
  7. Disaster Med Public Health Prep. 2018 Feb;12(1):76-85 [PMID: 28427481]
  8. J Emerg Nurs. 2023 Nov;49(6):814-825 [PMID: 37925222]
  9. Scand J Trauma Resusc Emerg Med. 2021 Aug 17;29(1):119 [PMID: 34404443]
  10. Open Access Maced J Med Sci. 2019 Feb 12;7(3):482-494 [PMID: 30834023]

MeSH Term

Triage
Humans
Disaster Medicine
Mass Casualty Incidents
Disaster Planning

Word Cloud

Created with Highcharts 10.0.0disastercasualtymedicineroutineincidentsenvironmentalfactorstriageDisasterdifferentTriageeducationapproachunderstandingdifferencesmassvictimsalgorithmsBACKGROUND:managementinter-intra-cross-disciplinarytaskspecialtiespartakecrucialpartsynchronizedmutualtriagingagreementprioritiesessentialsavinglivesCASESTUDY:Educationalinitiativesaimaddressissueshighlightmulti-casualtyrarercharacterizednumberavailableresourcesmayjeopardizesafetyhealthcareprovidersoftenusedmultipleemergenciesconsideringcausednaturalhuman-madehazardsequallyimportantCONCLUSIONS:impactsusuallydiscussedresultingprofessionalsdifficultieslimitationsimplementingresponseTeaching-subjectEducationEmergencyMassMulticasualty

Similar Articles

Cited By