Use and analysis of field triage criteria for mass gatherings.
Use and analysis of field triage criteria for mass gatherings.
复制标题
群众集会现场分类标准的使用和分析。
DOI：
10.1017/s1049023x00001308
复制
发表时间：
2003
影响因子：
2.2
通讯作者：
Bazarian,JeffreyJ
中科院分区：
文献类型：
--
作者：
Salhanick,StevenD;Sheahan,William;Bazarian,JeffreyJ
IntroductionMass gatherings may result in an acute increase in the number of people seeking medical care potentially causing undue stress to local emergencymedical services (EMS) and hospitals. Often, temporary medical facilities are established within the mass gathering venue. Emergency Medical Services providers encountering patients in the field should be equipped with effective protocols to determine transport destination (venue facility vs. hospital).HypothesisParamedics are capable of appropriately using triage criteria written specifically for a particular mass gathering. The use of triage criteria, when appliedcorrectly, decreases over-triage to the venue facility and under-triage to the hospital.MethodsParamedics triaged patients at a mass gathering to a temporary venue facility or to a single emergency department using criteria specific for the event. Cases were reviewed to determine if the patients transported went to an appropriate facility and if the triage criteria were applied appropriately.ResultsTransport destination was consistent with that dictated by the criteria for 78% of cases. Analysis of these cases shows that the criteria had a sensitivity of 100% (95% CI = 58–100%) and a specificity of 90% (95% CI = 73–98%) for predicting which patients needed hospital services and which could be cared for safely in the temporary clinic setting.ConclusionsTriage by paramedics at the point of patient contact may reduce transporting of patients to hospitals unnecessarily. Patients in need of hospital services were identified. Point-of-contact triage should be applied in mass gatherings.
