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Rethinking Mass-Casualty Triage

Published online by Cambridge University Press:  31 March 2023

Derrick Tin Open the ORCID record for Derrick Tin [Opens in a new window] ,
Fredrik Granholm Open the ORCID record for Fredrik Granholm [Opens in a new window] ,
Ryan Hata  and
Gregory Ciottone
Derrick Tin*
Affiliation:
Faculty, BIDMC Disaster Medicine Fellowship, Department of Emergency Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts USA; Associate Professor Critical Care Medicine, University of Melbourne, Melbourne, Australia
Fredrik Granholm
Affiliation:
Department of Emergency Medicine and EMS, Sundsvall County Hospital, Sundsvall, Sweden
Ryan Hata
Affiliation:
Fellow, BIDMC Disaster Medicine Fellowship, Department of Emergency Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts USA
Gregory Ciottone
Affiliation:
Director, BIDMC Disaster Medicine Fellowship, Department of Emergency Medicine, Beth Israel Deaconess Medical Center; Associate Professor, Harvard Medical School, Boston, Massachusetts USA
*
Correspondence: Derrick Tin, Faculty, BIDMC Disaster Medicine Fellowship, Department of Emergency Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School Boston, Massachusetts USA, Associate Professor Critical Care Medicine, University of Melbourne, Melbourne, Australia. E-mail: dtin@bidmc.harvard.edu
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Abstract

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Keywords

disaster triagemass-casualty incidentstriage tools
Type
Article Commentary
Information
Prehospital and Disaster Medicine , Volume 38 , Issue 3 , June 2023 , pp. 424 - 425
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Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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References

Van Rein, EAJ, Houwert, RM, Gunning, AC, Lichtveld, RA, Leenen, LPH, van Heijl, M. Accuracy of prehospital triage protocols in selecting severely injured patients. J Trauma Acute Care Surg. 2017;83(2):328–339.CrossRefGoogle ScholarPubMed
Bazyar, J, Farrokhi, M, Khankeh, H. Triage systems in mass casualty incidents and disasters: a review study with a worldwide approach. Open Access Maced J Med Sci. 2019;7(3):482–494.CrossRefGoogle ScholarPubMed
Lerner, EB, Cone, DC, Weinstein, ES, et al. Mass casualty triage: an evaluation of the science and refinement of a national guideline. Disaster Med Public Health Prep. 2011;5(2):129–137.CrossRefGoogle ScholarPubMed
US Department of Health and Human Services (HHS), Office of the Assistant Secretary for Preparedness and Response (ASPR), Technical Resources, Assistance Center, and Information Exchange (TRACIE). Mass Casualty Trauma Triage-Paradigms and Pitfalls. Washington, DC USA: ASPR TRACIE; 2019.Google Scholar
Kahn, CA, Schultz, CH, Miller, KT, Anderson, CL. Does START triage work? An outcomes assessment after a disaster. Ann Emerg Med. 2009;54(3):424–430.CrossRefGoogle Scholar
Gianola, S, Castellini, G, Biffi, A, et al. Accuracy of pre-hospital triage tools for major trauma: a systematic review with meta-analysis and net clinical benefit. World J Emerg Surg. 2021;16(1):31.CrossRefGoogle ScholarPubMed
Voskens, FJ, van Rein, EAJ, van der Sluijs, R, et al. Accuracy of prehospital triage in selecting severely injured trauma patients. JAMA Surg. 2018;153(4):322–327.CrossRefGoogle ScholarPubMed
Granholm, F, Tin, D, Ciottone, GR. Mass casualty CPR: flawed, futile or a first responder mandate? Resuscitation. 2022;181:132.CrossRefGoogle ScholarPubMed
Romero Pareja, R, Castro Delgado, R, Turégano Fuentes, F, Jhon Thissard-Vasallo, I, Sanz Rosa, D, Arcos González, P. Prehospital triage for mass casualty incidents using the META method for early surgical assessment: retrospective validation of a hospital trauma registry. Eur J Trauma Emerg Surg. 2020;46(2):425–433.CrossRefGoogle ScholarPubMed
Boulton, AJ, Peel, D, Rahman, U, Cole, E. Evaluation of elderly specific pre-hospital trauma triage criteria: a systematic review. Scand J Trauma Resusc Emerg Med. 2021;29(1):127.CrossRefGoogle ScholarPubMed
Pepper, M, Archer, F, Moloney, J. Triage in complex, coordinated terrorist attacks. Prehosp Disaster Med. 2019;34(4):442–448.CrossRefGoogle ScholarPubMed
Eyal, N. Ethical Issues in Disaster Medicine. In: Ciottone’s Disaster Medicine. Amsterdam, The Netherlands: Elsevier Inc.; 2016:67–74.CrossRefGoogle Scholar
Weisberg, EM, Chu, LC, Fishman, EK. The first use of artificial intelligence (AI) in the ER: triage not diagnosis. Emerg Radiol. 2020;27(4):361–366.CrossRefGoogle Scholar
Farahmand, S, Shabestari, O, Pakrah, M, Hossein-Nejad, H, Arbab, M, Bagheri-Hariri, S. Artificial Intelligence-based triage for patients with acute abdominal pain in emergency department: a diagnostic accuracy study. Adv J Emerg Med. 2017;1(1):e5.Google ScholarPubMed
Considine, J, Botti, M, Thomas, S. Do knowledge and experience have specific roles in triage decision-making? Acad Emerg Med. 2007;14(8):722–726.CrossRefGoogle ScholarPubMed