2013, Number 4
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Rev Cub Med Mil 2013; 42 (4)
Use of the triage
Hernández SH
Language: Spanish
References: 20
Page: 472-483
PDF size: 63.68 Kb.
ABSTRACT
An assessment is presented of the most recent trends in the use of prehospital triage as a crucial procedure to ensure survival in situations where many people are injured. A review was conducted of abstracts and full-text papers from PubMed database using Procite bibliographic reference manager, as well as full-text papers from Ebsco database. Google search engine was used to find references to the topic available on the Internet. It was found that despite the time elapsed from the Napoleonic Wars to the present, the use of triage has preserved its currency by updating its procedures and stating the need of reaching an international consensus on the introduction of a fifth classification category, that of "expectant", as well as the color identifying it. Evidence is also provided of the importance of appropriate training of triage personnel, the gradual introduction of computerized support systems, and the usefulness of triage despite its occasional ethical implications. It was confirmed that triage is a current procedure under permanent revision and updating which requires analysis on an international level to gather criteria and reach a consensus on recent proposals about categories, colors and classification tags, with the purpose of setting up a uniform international standard.
REFERENCES
Méndez CR, González ES. Triage. Rev Cubana Med Milit. 1998;27(1):49-53.
Álvarez L.C, Macías S.J. Triage: generalidades. Emergencia y Catástrofes. 2001:2(3);125-33.
Montán KL. Triage. In: Lennquist S (editor), Medical Response to Major Incidents and Disasters. Berlin: Springer-Verlag; 2012. p. 63-73. DOI 10.1007/978-3-642-21895-8_4
Kenneth VI, John CM. Triage in Medicine, Part I: Concept, History, and Types. Ann Emerg Med. 2007;49(3):276-8.
Vicente MA, Muñoz JS, Pardo VT, Yáñez RF. Triage in situ extrahospitalario. Semergen. 2011:37(4):195-8.
Ryan J, Doll D. Mass Casualties and Triage. In: Velmahos GC (editor), Penetrating Trauma. Berlin: Springer-Verlag; 2012. p. 153. DOI 10.1007/978-3-642-20453-1_21
Chu K, Stokes C, Trelles M, Ford N. Improving Effective Surgical Delivery in Humanitarian Disasters: Lessons from Haiti. PLoS Med. 2011;8(4):e1001-25.
Martín MS. Triage en situaciones de desastre. Cirujano General. 2010;32 (Supl. 1):35.
Illescas FG. Triage: atención y selección de pacientes. Trauma. 2006:9(2):54.
Fernández FJ, Alarcón OA, Palmer AJ. Asistencia sanitaria inicial en catástrofes. Med Clin (Barc). 2006:127(1):14.
Varshney K, Mallows J, Hamd M. Disaster triage tags: Is one better than another? Emerg Med Austr. 2012;24:187-93.
Navarro MV. La necesidad de simulacros en la preparación contra desastres. Rev Cubana Med Int Emerg [Internet]. 2010 [citado 13 Feb 2010];9(1). Disponible en: http://bvs.sld.cu/revistas/mie/vol9_1_10/mie06110.htm
Knight JF. Serious gaming technology in major incident triage training: A pragmatic controlled trial. Resuscitation. 2010;81:1175-9.
Andreatta P, Maslowski E, Petty S, Shim W, Marsh M, Frankel J, et al. Virtual reality triage training provides a viable solution for disaster-preparedness. Acad Emerg Med. 2010 Aug;17(8):870-6.
Kurenov S, Cance W, Noel B, Mozingo D. Game-based mass casualty burn training. Stud Health Tech Inform. 2009;142;142-4.
Van der Spek E, Wouters P, van Oostendorp H. Code Red: Triage Or COgnition-based DEsign Rules Enhancing Decisionmaking TRaining In A Game Environment. Br J Educ Technol. 2011 May;42(3):441-55.
Grigsby S, Burstein F, Parker N. Context Modelling in Time-Critical Decision Support for Medical Triage. In: Burstein F(editor). Supporting Real Time Decision-Making. New York: Springer ; 2011. p. 287-300. DOI 10.1007/978-1-4419-7406-8_14
Amram O, Schuurman N, Hameed S. Mass casualty modelling: a spatial tool to support triage decision making. Int J Health Geographics. 2011;10:40.
Scott RL, France DJ, Aronsky D. Implementing a Computerized Triage System in the Emergency Department. In: Einbinder L (editor). Transforming Health Care Through Information: Case Studies, Health Informatics. New York: Springer; 2010. p. 135-52. DOI 10.1007/978-1-4419-0269-6_13
Adams M. Triage Priorities and Military Physicians. Netherlannds: Physicians at War; 2008. p. 215.