Development of a Pediatric Mass Casualty Triage Algorithm Validation Tool

• 2016

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• J. Joelle Donofrio; Amy Kaji; Ilene Claudius; Todd Chang; Genevieve Santillanes; Mark Cicero
PMID: 26808000DOI: 10.3109/10903127.2015.1111476

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This article discusses the development of a Criteria Outcomes Tool (COT) for validating the effectiveness of a mass casualty incident (MCI) algorithm in correctly triaging pediatric trauma patients. The background emphasizes the importance of accurate triage to prevent over-triage and under-triage in MCIs. The COT, consisting of 47 outcomes and interventions, categorizes patients based on resource utilization and clinical outcomes. Through an anatomic approach and a modified-Delphi method, the COT was formulated and reviewed by experts. Applying the COT to a cohort of 25 pediatric victims showed 100% agreement between reviewers for Red, Yellow, Green, and Black triage outcomes, indicating good reproducibility.

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Tags

Hazard: Trauma

Audiences: Emergency Managers; Physicians

Emergency Management Stages: Response; Preparedness (Prevention / Protection)

Collection: Disaster Research Literature Review

Keywords: Algorithms; Triage; Mass Casualty Incidents

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

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