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Adoption of the 2006 field triage decision scheme for injured patients.

Sasser SM, Ossmann E, Wald MM, Lerner EB, Hunt RC - West J Emerg Med (2011)

Bottom Line: State Public Health departments' and EMS' external websites were evaluated to ascertain the current status of implementation of the 2006 Field Triage Decision Scheme.Many states have adopted the 2006 Decision Scheme (full or partial).Further investigation is needed to determine the reasons why some states do not adopt the guidelines.

View Article: PubMed Central - PubMed

Affiliation: Emory University School of Medicine, Department of Emergency Medicine, Atlanta, GA.

ABSTRACT

Background: When emergency medical services (EMS) providers respond to the scene of an injury, they must decide where to transport the injured patients for further evaluation and treatment. This is done through a process known as "field triage", whereby a patient's injuries are matched to the most appropriate hospital. In 2005-2006 the National Expert Panel on Field Triage, convened by the Centers for Disease Control and Prevention and the National Highway Traffic Safety Administration, revised the 1999 American College of Surgeons Committee on Trauma Field Triage Decision Scheme. This revision, the 2006 Field Triage Decision Scheme, was published in 2006.

Methods: State Public Health departments' and EMS' external websites were evaluated to ascertain the current status of implementation of the 2006 Field Triage Decision Scheme.

Results: Information regarding field triage was located for 41 states. In nine states no information regarding field triage was available on their websites. Of the 41 states where information was located, seven were classified as "full adopters" of the 2006 Field Triage Decision Scheme; nine were considered "partial adopters"; 17 states were found to be using a full version or modification of the 1999 Field Triage Decision Scheme; and eight states were considered to be using a different protocol or scheme for field triage.

Conclusion: Many states have adopted the 2006 Decision Scheme (full or partial). Further investigation is needed to determine the reasons why some states do not adopt the guidelines.

No MeSH data available.


Related in: MedlinePlus

The 2006 field triage decision scheme. Footnote: Reproduced with permission from Morbidity and Mortality Weekly Report. Jan 23, 2009;58. 10The 2006 field triage decision scheme.
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f1-wjem12_3p0275: The 2006 field triage decision scheme. Footnote: Reproduced with permission from Morbidity and Mortality Weekly Report. Jan 23, 2009;58. 10The 2006 field triage decision scheme.

Mentions: In 2005, the National Expert Panel on Field Triage was established to guide the 2006 revision of the field triage scheme. This group was formed by the Centers for Disease Control and Prevention (CDC) in collaboration with ACS-COT and the National Highway Traffic Safety Administration (NHTSA). The group sought to bring additional disciplines into the revision process (e.g., emergency medicine, EMS, public health, the automotive industry and additional federal agencies). The goals of the panel were to provide a thorough review of the 1999 field triage scheme, examine and consider new and existing evidence, and assist with the dissemination and implementation of any revisions. The 2006 Field Triage Decision Scheme (Figure 1) was published by the ACS-COT in 2006 and was subsequently endorsed by 17 national organizations representing the spectrum of public health and acute injury care, with concurrence from NHTSA.9–10 A description of the process of revision and the detailed rationale behind deleted, modified, and new triage criteria in the scheme was published in the CDC Morbidity and Mortality Weekly Report (MMWR) Recommendations and Reports in January 2009.10


Adoption of the 2006 field triage decision scheme for injured patients.

Sasser SM, Ossmann E, Wald MM, Lerner EB, Hunt RC - West J Emerg Med (2011)

The 2006 field triage decision scheme. Footnote: Reproduced with permission from Morbidity and Mortality Weekly Report. Jan 23, 2009;58. 10The 2006 field triage decision scheme.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3117601&req=5

f1-wjem12_3p0275: The 2006 field triage decision scheme. Footnote: Reproduced with permission from Morbidity and Mortality Weekly Report. Jan 23, 2009;58. 10The 2006 field triage decision scheme.
Mentions: In 2005, the National Expert Panel on Field Triage was established to guide the 2006 revision of the field triage scheme. This group was formed by the Centers for Disease Control and Prevention (CDC) in collaboration with ACS-COT and the National Highway Traffic Safety Administration (NHTSA). The group sought to bring additional disciplines into the revision process (e.g., emergency medicine, EMS, public health, the automotive industry and additional federal agencies). The goals of the panel were to provide a thorough review of the 1999 field triage scheme, examine and consider new and existing evidence, and assist with the dissemination and implementation of any revisions. The 2006 Field Triage Decision Scheme (Figure 1) was published by the ACS-COT in 2006 and was subsequently endorsed by 17 national organizations representing the spectrum of public health and acute injury care, with concurrence from NHTSA.9–10 A description of the process of revision and the detailed rationale behind deleted, modified, and new triage criteria in the scheme was published in the CDC Morbidity and Mortality Weekly Report (MMWR) Recommendations and Reports in January 2009.10

Bottom Line: State Public Health departments' and EMS' external websites were evaluated to ascertain the current status of implementation of the 2006 Field Triage Decision Scheme.Many states have adopted the 2006 Decision Scheme (full or partial).Further investigation is needed to determine the reasons why some states do not adopt the guidelines.

View Article: PubMed Central - PubMed

Affiliation: Emory University School of Medicine, Department of Emergency Medicine, Atlanta, GA.

ABSTRACT

Background: When emergency medical services (EMS) providers respond to the scene of an injury, they must decide where to transport the injured patients for further evaluation and treatment. This is done through a process known as "field triage", whereby a patient's injuries are matched to the most appropriate hospital. In 2005-2006 the National Expert Panel on Field Triage, convened by the Centers for Disease Control and Prevention and the National Highway Traffic Safety Administration, revised the 1999 American College of Surgeons Committee on Trauma Field Triage Decision Scheme. This revision, the 2006 Field Triage Decision Scheme, was published in 2006.

Methods: State Public Health departments' and EMS' external websites were evaluated to ascertain the current status of implementation of the 2006 Field Triage Decision Scheme.

Results: Information regarding field triage was located for 41 states. In nine states no information regarding field triage was available on their websites. Of the 41 states where information was located, seven were classified as "full adopters" of the 2006 Field Triage Decision Scheme; nine were considered "partial adopters"; 17 states were found to be using a full version or modification of the 1999 Field Triage Decision Scheme; and eight states were considered to be using a different protocol or scheme for field triage.

Conclusion: Many states have adopted the 2006 Decision Scheme (full or partial). Further investigation is needed to determine the reasons why some states do not adopt the guidelines.

No MeSH data available.


Related in: MedlinePlus