Burkle F M
Department of Surgery, John A. Burns School of Medicine, University of Hawaii.
Emerg Med Clin North Am. 1991 Feb;9(1):87-105.
Existing triage algorithms consider, for the most part, only the primary casualty with physical trauma. Algorithms fail to appreciate the primary, secondary, or tertiary neuropsychiatric casualty. Research advances on neuropsychiatric casualties must link with the mandates of emergency medical services and disaster management to improve triage sensitivity and specificity. Early recognition and management of neuropsychiatric casualties will diminish the potential for long-term consequences. Expanded triage algorithm supplements are proposed to improve the recognition of those victims at risk.
现有的分诊算法在很大程度上只考虑有身体创伤的主要伤员。这些算法未能认识到主要、次要或三级神经精神伤员。神经精神伤员方面的研究进展必须与紧急医疗服务和灾害管理的要求相结合，以提高分诊的敏感性和特异性。对神经精神伤员的早期识别和处理将减少长期后果的可能性。建议扩展分诊算法补充内容，以提高对那些有风险受害者的识别。
