Comparing the Accuracy of Mass Casualty Triage Systems in a Pediatric Population

• 2019

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• Robert Heffernan; E. Brooke Lerner; Courtney McKee; Lorin Browne; M. Riccardo Colella; J. Marc Liu
PMID: 30196737DOI: https://doi.org/10.1080/10903127.2018.1520946

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About

This observational study compared the accuracy of 4 mass casualty triage systems (SALT, JumpSTART, Triage Sieve, and CareFlight) in a pediatric hospital's emergency department in Wisconsin. SALT had the highest accuracy rate, lowest under-triage rate, and highest over-triage rate. However, all systems had overlapping confidence intervals for accuracy and under-triage rates. The main error was misclassifying patients as "minimal" instead of "delayed." Overall, the 4 triage systems performed similarly with room for improvement in accurately categorizing patients.

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Tags

Focus Areas: Trauma; Violence

Audiences: Emergency Managers; EMS Clinicians

Emergency Management Stage: Response

Bundles: Disaster Research Literature Review

Keywords: Emergency Medical Services; Hospitals, Pediatric; Pediatrics; Trauma Centers; Triage; Wisconsin; Emergency Service, Hospital; Mass Casualty Incidents

Institutions: Medical College of Wisconsin; Augusta University

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