Lerner E Brooke, Schwartz Richard B, Coule Phillip L, Weinstein Eric S, Cone David C, Hunt Richard C, Sasser Scott M, Liu J Marc, Nudell Nikiah G, Wedmore Ian S, Hammond Jeffrey, Bulger Eileen M, Salomone Jeffrey P, Sanddal Teri L, Markenson David, O'Connor Robert E
Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Disaster Med Public Health Prep. 2008 Sep;2 Suppl 1:S25-34. doi: 10.1097/DMP.0b013e318182194e.
Mass casualty triage is a critical skill. Although many systems exist to guide providers in making triage decisions, there is little scientific evidence available to demonstrate that any of the available systems have been validated. Furthermore, in the United States there is little consistency from one jurisdiction to the next in the application of mass casualty triage methodology. There are no nationally agreed upon categories or color designations. This review reports on a consensus committee process used to evaluate and compare commonly used triage systems, and to develop a proposed national mass casualty triage guideline. The proposed guideline, entitled SALT (sort, assess, life-saving interventions, treatment and/or transport) triage, was developed based on the best available science and consensus opinion. It incorporates aspects from all of the existing triage systems to create a single overarching guide for unifying the mass casualty triage process across the United States.
大规模伤亡事件分流是一项关键技能。尽管存在许多系统来指导医护人员做出分流决策，但几乎没有科学证据能证明任何现有系统已得到验证。此外，在美国，大规模伤亡事件分流方法在不同司法管辖区的应用缺乏一致性。没有全国统一认可的类别或颜色标识。本综述报告了一个共识委员会的工作过程，该过程用于评估和比较常用的分流系统，并制定一项拟议的国家大规模伤亡事件分流指南。拟议的指南名为SALT（分类、评估、救生干预、治疗和/或转运）分流，是基于现有最佳科学和共识意见制定的。它融合了所有现有分流系统的各个方面，以创建一个统一的总体指南，用于统一美国各地的大规模伤亡事件分流流程。
