Cargando…

The implication of a translational triage tool in mass casualty incidents: part three: a multinational study, using validated patient cards

BACKGROUND: Mass casualty incidents (MCI) pose significant challenges to existing resources, entailing multiagency collaboration. Triage is a critical component in the management of MCIs, but the lack of a universally accepted triage system can hinder collaboration and lead to preventable loss of li...

Descripción completa

Detalles Bibliográficos
Autores principales: Khorram-Manesh, Amir, Carlström, Eric, Burkle, Frederick M., Goniewicz, Krzysztof, Gray, Lesley, Ratnayake, Amila, Faccincani, Roberto, Bagaria, Dinesh, Phattharapornjaroen, Phatthranit, Sultan, Mohammed A. S., Montán, Carl, Nordling, Johan, Gupta, Shailly, Magnusson, Carl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10683288/
https://www.ncbi.nlm.nih.gov/pubmed/38017553
http://dx.doi.org/10.1186/s13049-023-01128-3
_version_ 1785151162149765120
author Khorram-Manesh, Amir
Carlström, Eric
Burkle, Frederick M.
Goniewicz, Krzysztof
Gray, Lesley
Ratnayake, Amila
Faccincani, Roberto
Bagaria, Dinesh
Phattharapornjaroen, Phatthranit
Sultan, Mohammed A. S.
Montán, Carl
Nordling, Johan
Gupta, Shailly
Magnusson, Carl
author_facet Khorram-Manesh, Amir
Carlström, Eric
Burkle, Frederick M.
Goniewicz, Krzysztof
Gray, Lesley
Ratnayake, Amila
Faccincani, Roberto
Bagaria, Dinesh
Phattharapornjaroen, Phatthranit
Sultan, Mohammed A. S.
Montán, Carl
Nordling, Johan
Gupta, Shailly
Magnusson, Carl
author_sort Khorram-Manesh, Amir
collection PubMed
description BACKGROUND: Mass casualty incidents (MCI) pose significant challenges to existing resources, entailing multiagency collaboration. Triage is a critical component in the management of MCIs, but the lack of a universally accepted triage system can hinder collaboration and lead to preventable loss of life. This multinational study uses validated patient cards (cases) based on real MCIs to evaluate the feasibility and effectiveness of a novel Translational Triage Tool (TTT) in primary triage assessment of mass casualty victims. METHODS: Using established triage systems versus TTT, 163 participants (1575 times) triaged five patient cases. The outcomes were statistically compared. RESULTS: TTT demonstrated similar sensitivity to the Sieve primary triage method and higher sensitivity than the START primary triage system. However, the TTT algorithm had a lower specificity compared to Sieve and higher over-triage rates. Nevertheless, the TTT algorithm demonstrated several advantages due to its straightforward design, such as rapid assessment, without the need for additional instrumental interventions, enabling the engagement of non-medical personnel. CONCLUSIONS: The TTT algorithm is a promising and feasible primary triage tool for MCIs. The high number of over-triages potentially impacts resource allocation, but the absence of under-triages eliminates preventable deaths and enables the use of other personal resources. Further research involving larger participant samples, time efficiency assessments, and real-world scenarios is needed to fully assess the TTT algorithm's practicality and effectiveness in diverse multiagency and multinational contexts.
format Online
Article
Text
id pubmed-10683288
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-106832882023-11-30 The implication of a translational triage tool in mass casualty incidents: part three: a multinational study, using validated patient cards Khorram-Manesh, Amir Carlström, Eric Burkle, Frederick M. Goniewicz, Krzysztof Gray, Lesley Ratnayake, Amila Faccincani, Roberto Bagaria, Dinesh Phattharapornjaroen, Phatthranit Sultan, Mohammed A. S. Montán, Carl Nordling, Johan Gupta, Shailly Magnusson, Carl Scand J Trauma Resusc Emerg Med Original Research BACKGROUND: Mass casualty incidents (MCI) pose significant challenges to existing resources, entailing multiagency collaboration. Triage is a critical component in the management of MCIs, but the lack of a universally accepted triage system can hinder collaboration and lead to preventable loss of life. This multinational study uses validated patient cards (cases) based on real MCIs to evaluate the feasibility and effectiveness of a novel Translational Triage Tool (TTT) in primary triage assessment of mass casualty victims. METHODS: Using established triage systems versus TTT, 163 participants (1575 times) triaged five patient cases. The outcomes were statistically compared. RESULTS: TTT demonstrated similar sensitivity to the Sieve primary triage method and higher sensitivity than the START primary triage system. However, the TTT algorithm had a lower specificity compared to Sieve and higher over-triage rates. Nevertheless, the TTT algorithm demonstrated several advantages due to its straightforward design, such as rapid assessment, without the need for additional instrumental interventions, enabling the engagement of non-medical personnel. CONCLUSIONS: The TTT algorithm is a promising and feasible primary triage tool for MCIs. The high number of over-triages potentially impacts resource allocation, but the absence of under-triages eliminates preventable deaths and enables the use of other personal resources. Further research involving larger participant samples, time efficiency assessments, and real-world scenarios is needed to fully assess the TTT algorithm's practicality and effectiveness in diverse multiagency and multinational contexts. BioMed Central 2023-11-28 /pmc/articles/PMC10683288/ /pubmed/38017553 http://dx.doi.org/10.1186/s13049-023-01128-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Original Research
Khorram-Manesh, Amir
Carlström, Eric
Burkle, Frederick M.
Goniewicz, Krzysztof
Gray, Lesley
Ratnayake, Amila
Faccincani, Roberto
Bagaria, Dinesh
Phattharapornjaroen, Phatthranit
Sultan, Mohammed A. S.
Montán, Carl
Nordling, Johan
Gupta, Shailly
Magnusson, Carl
The implication of a translational triage tool in mass casualty incidents: part three: a multinational study, using validated patient cards
title The implication of a translational triage tool in mass casualty incidents: part three: a multinational study, using validated patient cards
title_full The implication of a translational triage tool in mass casualty incidents: part three: a multinational study, using validated patient cards
title_fullStr The implication of a translational triage tool in mass casualty incidents: part three: a multinational study, using validated patient cards
title_full_unstemmed The implication of a translational triage tool in mass casualty incidents: part three: a multinational study, using validated patient cards
title_short The implication of a translational triage tool in mass casualty incidents: part three: a multinational study, using validated patient cards
title_sort implication of a translational triage tool in mass casualty incidents: part three: a multinational study, using validated patient cards
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10683288/
https://www.ncbi.nlm.nih.gov/pubmed/38017553
http://dx.doi.org/10.1186/s13049-023-01128-3
work_keys_str_mv AT khorrammaneshamir theimplicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT carlstromeric theimplicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT burklefrederickm theimplicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT goniewiczkrzysztof theimplicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT graylesley theimplicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT ratnayakeamila theimplicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT faccincaniroberto theimplicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT bagariadinesh theimplicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT phattharapornjaroenphatthranit theimplicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT sultanmohammedas theimplicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT montancarl theimplicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT nordlingjohan theimplicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT guptashailly theimplicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT magnussoncarl theimplicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT khorrammaneshamir implicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT carlstromeric implicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT burklefrederickm implicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT goniewiczkrzysztof implicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT graylesley implicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT ratnayakeamila implicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT faccincaniroberto implicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT bagariadinesh implicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT phattharapornjaroenphatthranit implicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT sultanmohammedas implicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT montancarl implicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT nordlingjohan implicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT guptashailly implicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards
AT magnussoncarl implicationofatranslationaltriagetoolinmasscasualtyincidentspartthreeamultinationalstudyusingvalidatedpatientcards