Simple Triage Algorithm and Rapid Treatment and Sort, Assess, Lifesaving, Interventions, Treatment, and Transportation mass casualty triage methods for sensitivity, specificity, and predictive values

The American Journal of Emergency Medicine
Mary Colleen BhallaMitch Hegerhorst

Abstract

Two common mass casualty triage algorithms are Simple Triage Algorithm and Rapid Treatment (START) and Sort, Assess, Lifesaving, Interventions, Treatment, and Transportation (SALT). We sought to determine the START and SALT efficacy in predicting clinical outcome by appropriate triage. We performed a retrospective chart review of trauma registry of patients from our emergency department (ED). We applied the triage algorithms to 100 patient charts. The end points categories were defined by patient outcomes and the need for intervention: minor/green, discharged without intervention other than minor ED procedure; delayed/yellow, patients get an intervention more than 12 hours after arrival to the ED; immediate/red, patients get an intervention less than 12 hours after arrival; dead/expectant/black, patients die within 48 hours after arrival. The mean age was 47 years (range, 17-92 years), and 72% were male. The mechanism of injury was 41% motor vehicle collision, 32% fall, and 16% penetrating trauma. Hospital outcome was 60% minor/green, 5% delayed/yellow, 29% immediate/red, and 6% dead/black. The SALT method resulted in 5 patients overtriaged (95% confidence interval [CI], 1.6-11.2), 30 undertriaged (95% CI, 21.2-40), and 65 met ...Continue Reading

References

Aug 28, 2007·Disaster Management & Response : DMR : an Official Publication of the Emergency Nurses Association·Mark E Gebhart, Robert Pence
Feb 7, 2009·Annals of Emergency Medicine·Christopher A KahnCraig L Anderson
Aug 26, 2014·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Keith P CrossMark X Cicero

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Citations

Nov 21, 2017·Disaster Medicine and Public Health Preparedness·Youichi YanagawaHiromichi Osaka
Jul 14, 2018·Prehospital and Disaster Medicine·Brian N FinkCarolina Wishner
Mar 6, 2018·Military Medical Research·Zhao-Wen ZongUNKNOWN representing the PLA Professional Committee and Youth Committee on Disaster Medicine
Feb 23, 2019·Military Medical Research·Zhao-Wen ZongUNKNOWN Disaster Medicine Branch of the Chongqing Association of Integrative Medicine
Mar 7, 2020·Prehospital and Disaster Medicine·Jafar BazyarHamid Reza Khankeh
Apr 12, 2020·Neurosurgery·Timothy Lucas
Aug 8, 2019·Revista do Colégio Brasileiro de Cirurgiões·Daniel Souza LimaJulyana Gomes Freitas
Jun 9, 2021·Disaster Medicine and Public Health Preparedness·Jafar BazyarHamidreza Khankeh

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