Vayer J S, Ten Eyck R P, Cowan M L
Ann Emerg Med. 1986 Aug;15(8):927-30. doi: 10.1016/s0196-0644(86)80677-1.
The triage process is a valid concept in the initial approach to multiple casualties. Triage tags are, in theory, a reasonable adjunct to the process, but have proved to be a failure in practice. Based on the historical perspective and on the authors' experience with approximately 180 mass casualty drills and incidents, it is recommended that the "daily routine doctrine" be applied and that conventional, color-coded triage tags be replaced by a process of "geographical triage." A valid model for disaster planning is needed, and organizers must conduct drills that are based on the actual threat to the community in order to determine the most efficacious way to manage medical response.
在处理多名伤员的初始阶段，分诊流程是一个有效的概念。理论上，分诊标签是该流程合理的辅助工具，但在实践中已被证明是失败的。基于历史视角以及作者参与约180次大规模伤亡演练和事件的经验，建议采用“日常规程原则”，并用“地理分诊”流程取代传统的彩色编码分诊标签。需要一个有效的灾难规划模型，组织者必须开展基于对社区实际威胁的演练，以确定管理医疗应对的最有效方式。
