Prehospital Disaster Triage Does Not Predict Pediatric Outcomes: Comparing the Criteria Outcomes Tool to Three Mass-Casualty Incident Triage Algorithms

• 2021

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• Mark Cicero; Genevieve Santillanes; Keith Cross; Amy Kaji; J. Joelle Donofrio
PMID: 34392857DOI: https://doi.org/10.1017/s1049023x21000856

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This article describes a study comparing different triage tools used in emergencies to predict outcomes for injured children. The study looked at three tools: START, modified START, and CareFlight. Researchers used data from the National Trauma Data Bank to see how well these tools predicted hospital needs like surgery or admission. They found that none of the triage methods were very good at predicting what care kids would need, but CareFlight performed best overall. The results suggest that current triage systems may not be reliable for deciding treatment priorities in mass-casualty events involving children.

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Tags

Hazard: Trauma

Audiences: Emergency Managers; EMS Clinicians; Nurses; Physicians

Emergency Management Stage: Response

Collection: Disaster Research Literature Review

Keywords: Child; Pediatrics; Triage; Wounds and Injuries; Mass Casualty Incidents

Institutions: Yale University; Yale School of Medicine; University of Southern California; University of Buffalo; Harbor-UCLA Medical Center; Rady Children's Hospital San Diego; University of California, San Diego

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