SMJ articles in the category "triage"

Original Article

Developing a Mass Casualty Surge Capacity Protocol for Emergency Medical Services to Use for Patient Distribution

Objectives: Metropolitan areas must be prepared to manage large numbers of casualties related to a major incident. Most US cities do not have adequate trauma center capacity to manage large-scale mass casualty incidents (MCIs). Creating surge capacity requires the distribution of casualties to hospitals that are not designated as trauma…

Posted in: triage 4

Original Article

Two Types of Prehospital Systems Interventions that Triage Low-Acuity Patients to Alternative Sites of Care

Objectives: This study retrospectively compared alternatives for navigating low-acuity patients in two emergency medical services systems. System A involved a response to every 9-1-1 request with an “evaluate, treat, and refer” process, in which paramedics decided whether patients could be treated on-scene and referred to a primary care provider or…

Posted in: emergency medical services 6 prehospital 3 primary care 65 triage 4

Original Article

Evaluation of a New Elderly Trauma Triage Algorithm

Objectives: Undertriage is common in patients 55 years and older and is even worse for those 65 and older. In 1999, the Florida legislature implemented a statewide trauma system, including a new Florida trauma triage algorithm (FTTA). This study examines how the new system affected prehospital triage in younger versus…

Posted in: elderly adults 3 trauma 24 triage 4

Case Report

Disaster Management at the 1904 New Market, Tennessee Train Wreck: Role of a Surgeon

Abstract:Knowing the lessons of past disasters is necessary in disaster planning. Such knowledge paves the way for creating a plan that anticipates the patterns, as well as the impediments, of behavior and injuries encountered in most events. On September 4, 1904, a head-on “butting” collision of two Southern Railway passenger…

Posted in: triage 4
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