Institute of Clinical Sciences, Department of Surgery, Sahlgrenska Academy, Gothenburg University, 413 45, Gothenburg, Sweden.
Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, 413 45, Gothenburg, Sweden.
Scand J Trauma Resusc Emerg Med. 2022 Jul 30;30(1):48. doi: 10.1186/s13049-022-01035-z.
There are different prehospital triage systems, but no consensus on what constitutes the optimal choice. This heterogeneity constitutes a threat in a mass casualty incident in which triage is used during multiagency collaboration to prioritize casualties according to the injuries' severity. A previous study has confirmed the feasibility of using a Translational Triage Tool consisting of several steps which translate primary prehospital triage systems into one. This study aims to evaluate and verify the proposed algorithm using a panel of experts who in their careers have demonstrated proficiency in triage management through research, experience, education, and practice.
Several statements were obtained from earlier reports and were presented to the expert panel in two rounds of a Delphi study.
There was a consensus in all provided statements, and for the first time, the panel of experts also proposed the manageable number of critical victims per healthcare provider appropriate for proper triage management.
The feasibility of the proposed algorithm was confirmed by experts with some minor modifications. The utility of the translational triage tool needs to be evaluated using authentic patient cards used in simulation exercises before being used in actual triage scenarios.
有不同的院前分诊系统，但对于什么是最佳选择还没有共识。这种异质性构成了大规模伤亡事件中的威胁，在这种事件中，分诊在多机构合作中根据伤害的严重程度对伤员进行优先排序。先前的一项研究已经证实了使用包含几个步骤的转化分诊工具的可行性，该工具可以将主要的院前分诊系统转化为一个系统。本研究旨在使用一个专家小组来评估和验证该算法，这些专家在其职业生涯中通过研究、经验、教育和实践证明了在分诊管理方面的熟练程度。
从早期的报告中获得了几个陈述，并在两轮德尔菲研究中向专家小组提出。
所有提供的陈述都达成了共识，专家组首次还提出了每个医疗保健提供者可管理的危重患者数量，这对于适当的分诊管理是合适的。
专家们确认了所提出算法的可行性，只做了一些小的修改。在实际分诊场景中使用之前，需要使用模拟练习中使用的真实患者卡片来评估转化分诊工具的实用性。
