scholarly journals Triage protocol for taking over veterinary emergencies

2021 ◽  
Vol 1 (34) ◽  
pp. 4
Author(s):  
Ruxandra Costea
Keyword(s):  
Triage Protocol

Field Triage Protocol in Elderly Trauma Patients: What Level of Care?

2012 ◽  
Vol 215 (5) ◽  
pp. 740 ◽  
Author(s):  
Jean-Pierre Tourtier ◽  
Charles Pierret ◽  
Sylvain Vico ◽  
Daniel Jost ◽  
Laurent Domanski
Keyword(s):  
Level Of Care ◽  
Trauma Patients ◽  
Field Triage ◽  
Triage Protocol ◽  
Elderly Trauma Patients

scholarly journals Evidence-based improvement of the National Trauma Triage Protocol

2014 ◽  
Vol 77 (1) ◽  
pp. 95-102 ◽  
Author(s):  
Joshua B. Brown ◽  
Raquel M. Forsythe ◽  
Nicole A. Stassen ◽  
Andrew B. Peitzman ◽  
Timothy R. Billiar ◽  
...  
Keyword(s):  
Evidence Based ◽  
National Trauma ◽  
Triage Protocol ◽  
Trauma Triage

scholarly journals (A259) Objective Triage in the Disaster Setting: Will Children and Expecting Mothers be Triaged Like Others?

2011 ◽  
Vol 26 (S1) ◽  
pp. s71-s71
Author(s):  
T. Kouliev
Keyword(s):  
Clinical Outcomes ◽  
Efficient Algorithm ◽  
Emotional Response ◽  
Clinical Implementation ◽  
Triage Protocol ◽  
Emotional Bias

IntroductionThe study of disaster triage is made difficult by the complex emotional response of potentially lifesaving intervention that a triage officer must make decisions based on a succinct and efficient algorithm.MethodsWe designed a survey of triage professionals in Chicago, Philadelphia, and Beijing to identify sources of emotional bias that lead to failure of the START triage protocol that result in a lack of correlation between triage priority and clinical outcomes.Results and ConclusionsAmong our subjects, we observed that a pediatric victim is uniformly overtriaged when compared to less injured victims. We examine the possible reasons behind the consistency of this selection, explain the means we used to minimise bias, and propose avenues for further research and clinical implementation of better triage systems and guidelines.

Abstract P125: The First Year of Pre-Hospital Triage for Emergent Large Vessel Stroke Across a Large New York City Health System

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Brian D Kim ◽  
Jacob Morey ◽  
Naoum Fares Marayati ◽  
Danielle Wheelwright ◽  
Tara L Roche ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Los Angeles ◽  
Health System ◽  
York City ◽  
Large Vessel ◽  
Access Time ◽  
Hospital Arrival ◽  
Arterial Access ◽  
Triage Protocol

Introduction: On April 1 2019, New York City EMS began a triage protocol using a modified Los Angeles Motor Scale (S-LAMS for addition of speech) to identify potential endovascular thrombectomy (EVT) eligible patients in the field (S-LAMS 4-6 with last known well (LKW) <5 hours). These patients are routed to the nearest thrombectomy capable center, driving past potentially closer primary stroke centers. Methods: Patients brought by EMS to a large multicenter health system across NYC for the year following April 1, 2019 were extracted from a prospectively collected stroke database. S-LAMS triage positive (STP) patients were assessed for diagnostic accuracy and treatment times. They were compared with a cohort that underwent EVT during the same period, but triaged as S-LAMS triage negative (STN). Results: STP patients (N=145) were 56.6% women, mean age of 70, median baseline mRS of 0, S-LAMS score of 5, and arrival NIHSS of 13. Stroke was diagnosed in 110 (75.8%) patients, 32 intracerebral hemorrhage and 78 ischemic. Of the ischemic, 45 were large vessel occlusion stroke (ELVO) and 34 underwent EVT (PPV of 0.31 for ELVO). STN patients (N=65) with LKW of < 5 hours were brought by EMS and underwent EVT; 34 were brought directly to EVT capable centers, and 36 required transfer for EVT. Mean time to hospital arrival from EMS scene arrival was significantly longer for STP patients than STN patients (38 vs. 29 minutes, p<0.01). Mean ambulance travel time was significantly longer for STP patients than STN patients (10 vs. 7 minutes, p<0.01). Mean tPA administration time from EMS scene arrival was not significantly different between STP (N=41) and STN patients (N=40) (90 vs. 91 minutes, p=0.89). Mean arterial access time for EVT from EMS scene arrival was significantly shorter for STP patients than STN patients (137 vs. 200 minutes, p<0.01). Conclusions: Pre-hospital stroke triage using the streamlined S-LAMS scale is comparable with other pre-hospital scales in predictive value for ELVO. While pre-hospital evaluation and transport times are longer, they add minimal delay to the hospital arrival, do not affect tPA times, and improve times to EVT in a large, urban environment. Further analysis on effect of the triage protocol on patient outcomes is warranted.

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