Field-Triage, Hospital-Triage and Triage-Assessment: A Literature Review of the Current Phases of Adult Trauma Triage. J Trauma Acute Care Surg 2021 Jun 01;90(6):e138-e145
Date
02/20/2021Pubmed ID
33605709DOI
10.1097/TA.0000000000003125Scopus ID
2-s2.0-85107086785 (requires institutional sign-in at Scopus site) 11 CitationsAbstract
Despite major improvements in the United States trauma system over the past two decades, prehospital trauma triage is a significant challenge. Undertriage is associated with increased mortality, and overtriage results in significant resource overuse. The American College of Surgeons Committee on Trauma benchmarks for undertriage and overtriage are not being met. Many barriers to appropriate field triage exist, including lack of a formal definition for major trauma, absence of a simple and widely applicable triage mode, and emergency medical service adherence to triage protocols. Modern trauma triage systems should ideally be based on the need for intervention rather than injury severity. Future studies should focus on identifying the ideal definition for major trauma and creating triage models that can be easily deployed. This narrative review article presents challenges and potential solutions for prehospital trauma triage.
Author List
Morris RS, Karam BS, Murphy PB, Jenkins P, Milia DJ, Hemmila MR, Haines KL, Puzio TJ, de Moya MA, Tignanelli CJAuthors
Marc Anthony De Moya MD Chief, Professor in the Surgery department at Medical College of WisconsinDavid J. Milia MD Associate Professor in the Surgery department at Medical College of Wisconsin
Rachel S. Morris MD Assistant Professor in the Surgery department at Medical College of Wisconsin
Patrick Murphy MD Assistant Professor in the Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Emergency Medical ServicesGuideline Adherence
Humans
Injury Severity Score
Practice Guidelines as Topic
Triage
United States
Wounds and Injuries
