+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

The trauma triage rule a new resource based approach to the prehospital identification of major trauma victims



The trauma triage rule a new resource based approach to the prehospital identification of major trauma victims



Annals of Emergency Medicine 19(12): 1401-1406



Study objective: To develop a new trauma decision rule. Design: Retrospective clinical review. Setting: Level I trauma center. Type of participants: 1,000 injured adults. Measurements and main results: A new trauma decision rule was derived from 1,004 injured adult patients using a new operational definition of major trauma. The rule, termed the Trauma Triage Rule, defines a major trauma victim as any injured adult patient whose systolic blood pressure is less than 85 mm Hg; whose motor component of the Glasgow Coma Score is less than 5; or who has sustained penetrating trauma of the head, neck, or trunk. Using the operational definition of major trauma, the rule had a sensitivity of 92% and a specificity of 92% when tested on the 1,004-patient cohort. Conclusion: The Trauma Triage Rule may significantly reduce overtriage while only minimally increasing undertriage. This approach must be validated prospectively before it can be used in the prehospital setting.

(PDF emailed within 1 workday: $29.90)

Accession: 007940838

Download citation: RISBibTeXText

PMID: 2240753


Related references

Effectiveness of prehospital trauma triage guidelines for the identification of major trauma in elderly motor vehicle crash victims. Journal of Emergency Nursing: Jen 29(2): 109-115, 2003

Do prehospital trauma center triage criteria identify major trauma victims?. Archives of Surgery 130(2): 171-176, 1995

Prehospital triage and survival of major trauma patients in a Dutch regional trauma system: relevance of trauma registry. Langenbeck's Archives of Surgery 391(4): 343-349, 2006

Field trauma triage Will the addition of mechanism of injury criteria to the prehospital index yield a definitive trauma triage tool?. Journal of Trauma 39(1): 176, 1995

Field trauma triage: combining mechanism of injury with the prehospital index for an improved trauma triage tool. Journal of Trauma 43(2): 283-287, 1997

Prehospital index a scoring system for field triage of trauma victims. Annals of Emergency Medicine 14(5): 518-0, 1985

Prehospital Index: a scoring system for field triage of trauma victims. Annals of Emergency Medicine 15(2): 178-182, 1986

A Prospective Comparison of Paramedic Judgment and the Trauma Triage Rule in the Prehospital Setting. Annals Of Emergency Medicine. 24(5): 885-889, 1994

Compliance with prehospital triage protocols for major trauma patients. Journal of Trauma 46(1): 168-175, 1999

Evaluation of the Pediatric Trauma Triage Checklist as a Prehospital Pediatric Trauma Triage Tool for the State of Florida. Prehospital and Disaster Medicine 11(1): 20-26, 1996

Evaluation of the Pediatric Trauma Triage Checklist as a prehospital pediatric trauma triage tool for the state of Florida. Prehospital and Disaster Medicine 11(1): 20-5; Discussion 25-6, 1995

Improving the field triage of major trauma victims. Journal of Trauma 28(5): 602-606, 1988

Refining the trauma triage algorithm at an Australian major trauma centre: derivation and internal validation of a triage risk score. European Journal of Trauma and Emergency Surgery 40(1): 67-74, 2014

Prehospital triage of trauma patients: a trauma surgeon's perspective. Prehospital Emergency Care 10(3): 311-313, 2006

High-Risk Prehospital Mechanisms in Tier II Trauma Codes: An Analysis of Under-Triage at a Level II Trauma Center. American Surgeon 83(10): 1080-1084, 2018