Relevant bibliographies by topics / Emergency triage

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Emergency triage'

Author: Grafiati
Published: 4 June 2021
Last updated: 25 April 2022

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Journal articles on the topic "Emergency triage"

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Kumar, R., S. Bhoi, S. Chauhan, T. P. Sinha, G. Adhikari, G. Sharma, and K. Shyamla. "(A264) Does the Implementation of Start Triage Criteria in the Emergency Department Reduce Over- and under-Triage of Patients?" Prehospital and Disaster Medicine 26, S1 (May 2011): s72—s73. http://dx.doi.org/10.1017/s1049023x11002482.

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BackgroundAppropriate triage shortens the delay in definitive care. this study examined whether the implementation of START triage criteria in emergency departments (ED) reduces over- and under-triage of patients. The purpose of this study was to examine the impact of START triage criteria on over and under-triage subjects.MethodsThe study was performed between 01 January to 15 September 2008. All patients presenting to the ED were recruited. A triage nurse tagged the patients with a red, yellow, and or green wristband, as per START triage protocol. Over-triage was defined as patients who were re-triaged from red (R) to yellow (Y) or Y to green (G) within 30 minutes of arrival. Under-triage was defined as patients re-triaged from Y to R or G to Y within 30 minutes of arrival.ResultsOf 25,928 patients, triage was performed for 25,468 (98.2%) subjects. A total of 8,303 were triaged during the morning shift, 6,994 during the evening shift, and 9,978 during the night shift. A total of 1,431 (5.6%) subjects were tagged as R, 10,634 (41.7%) with Y, and 13,424 (52.7%) were tagged as G. Four hundred seventy-four (1.9%) patients were over-triaged. Two hundred twenty (0.9%) were under-triaged.ConclusionsThe START triage criteria reduce over- and under-triage of patients.
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Styrwoldt, E. "(P1-37) Over and Undertriage in Simulation Exercises." Prehospital and Disaster Medicine 26, S1 (May 2011): s110. http://dx.doi.org/10.1017/s1049023x11003694.

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Over and undertriage in simulation exercises Introduction The first healthcare personnel arriving at the scene of an accident or major incident is often an ambulance crew. It is therefore of importance that they are familiar with, and can practice triage during situations were there is a lack of resources. Overtriage, when a casualty is given a priority higher than motivated, may lead to inadequate use of resources, while undertriage can be seen as a risk for medical errors. There is a consensus that up to 50% overtriage is accepted in order to have an undertriage, which is less than 5%. The aim of this study was to increase knowledge regarding prehospital personnel's triage during standardized simulation exercises.Material and Method76 standardized simulation exercises where the triage of casualties was evaluated. The exercises were part of a training program for medical command and control at scene. The students trained were all professional ambulance crew. The scenario was a fire at a football stand with 50 causalities. All in all 3800 (76 x 50) triages were performed. The simulation system used was Emergo Train System. Prior to the exercises an expert group had triaged the causalities according to the MIMMS system (sieve). Of the 50 patients 15 were triaged as T1 by the expert group and the rest were not.ResultsOf the 3800 triages 37% (n = 410) were classified as undertriage and 13% (n = 134) as overtriage. The most frequently undertriage casualties had an airway and/or breathing problem that were not observed. The most frequently overtriage casualties had a burn injury involving 30% of body surface area or unconscious casualties.ConclusionsTriage in this simulation setting did not meet acceptable standards. More triage training for ambulance crew may improve outcome. More studies are needed regarding simulation exercises as a tool for evaluating results of triage.
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Hilmi, L. M., A. Heerboth, D. Anthony, C. Tedeschi, and S. Balsari. "(A167) Patient Tracking In Disaster Drills." Prehospital and Disaster Medicine 26, S1 (May 2011): s48. http://dx.doi.org/10.1017/s1049023x11001658.

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IntroductionDisaster Drills, the world over, test several aspects of disaster response encompassing inter-agency coordination, institutional response and individual proficiency. This abstract analyzes the efficiency and gaps in patient triage in a large inter-agency disaster drill conducted in Mumbai in December 2010.MethodsOver eighty simulated patients at the mock disaster site in Mumbai were triaged for transport to two hospitals via prioritized EMS vehicle and other modalities. Each patient was tagged with an identifier and his/her final destination compared to the intended destination to gauge accuracy of triage. Arrival and departure time-stamps at each location helped plot triage efficiency and variation in inter-group response times. EMS responders were trained in START triage during the preparatory phase.ResultsThere was no significant difference in time to transport “red” and “yellow” patients to the triage zone. Patients in the “accident buses” were triaged twice as slowly as those outside in spite of the zone being declared safe to enter, by the controlling authorities. 11% of “red patients” were down-triaged and 30% of yellows were “over-triaged.” A significant bottle-neck developed between field triage zone and transport zones.ConclusionsOur group has conducted disaster drills in several large cities in Sri Lanka, India and the Dominican Republic. Expanding focus to document time-stamps and triage accuracy highlighted need for more robust triage training, allowing local agencies to prioritize training for EMS responders in the coming months. Demonstrating how inaccurate triage could potentially overwhelm the system helped local agencies recognize the need to train first responders in START triage.
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Atmojo, Joko Tri, Aris Widiyanto, and Tri Yuniarti. "RELIABILITAS SISTEM TRIASE DALAM PELAYANAN GAWAT DARURAT : A REVIEW." Intan Husada Jurnal Ilmu Keperawatan 7, no. 2 (July 12, 2019): 23–31. http://dx.doi.org/10.52236/ih.v7i2.148.

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Pendahuluan.Triase dalam pelayanan gawat darurat adalah proses pengambilan keputusan yang diterapkan untuk mengidentifikasi pasien dan mengoptimalkan sumber daya. Sejak 1990 hingga tahun 2000 telah dirancang triase 5 skala diantaranya: Australian Triage Scale (ATS), Canadian Emergency Department Triage and Acuity Scale (CTAS), Manchester Triage Scale (MTS), dan Emergency Severity Index (ESI). Sehingga timbul pertanyaan tentang keandalan skala triase (reliabilitas). Pada review kali ini penulis akan fokus pada berbagai macam skala triase, penggunaannya di beberapa negara, dan reliabilitasnya. Penulis tidak akan menulis kembali pedoman/guideline dari triase yang telah secara resmi terpublikasikan. Metode. Penelusuran ini dilakukan mulai dari Januari hingga Maret 2019 dengan melakukan penelusuran database: PubMed, EMBASE, dan CINAHL. Kata kunci yang digunakan: ‘Triage in emergency 'ATAU' Canadian Triage and Acuity Scale’ ATAU ‘Emergency Severity Index’ ATAU ‘Manchester Triage Scale’ ATAU ‘Australasian Triage Scale’. Kriteria inklusi: uji acak terkendali (randomized controlled tria), studi retrospektif, observasional, studi kasus, review, systematc review, dan meta analisis. Hasil akhir review menemukan 12 artikel yang sesuai Hasil. Uji statistik Kappa menunjukan reliabilitas ATS 0,428 (95% CI 0,340-0,509), reliabilitas CTAS 0,871 (95% CI (0,840-0,897), reliabilitas ESI 0.730 (95% CI : 0.692 hingga 0.767), reliabilitas MTS 0,751 (CI 95%: 0,677 hingga 0,810). Kesimpulan. Berdasarkan hasil reliabilitas nilai ATS menunjukan realibilitas terkecil, realibilitas CTAS merupakan yang tertinggi, namun memiliki keterbatasan pada pelaksaan diluar Kanada. MTS merupakan skala yang reliabilitas dan juga penerapannya dianggap yang paling baik. Kata Kuci: Reliabilitas, Canadian Triage and Acuity Scale (CTAAS), Emergency Severity Index (ESI), Manchester Triage Scale (MTS), Australasian Triage Scale (ATS).
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Khorram- Manesh, A., A. Hedelin, and P. Ortenwall. "(A82) Triage in the Prehospital Setting." Prehospital and Disaster Medicine 26, S1 (May 2011): s23. http://dx.doi.org/10.1017/s1049023x11000872.

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IntroductionThe prehospital management of a patient starts with a telephone call to and triage by the ambulance dispatcher centre followed by continuous evaluations by ambulance crews and staff at emergency departments.AimThe aim of this study was to find out if these units have the same triage systems and if the initial evaluation matches the outcome at the hospital emergency departments.Method and MaterialOver 27000 ambulance transports within Gothenburg were studied by evaluating the ambulance medical records with regards to initial triage performed by the ambulance dispatcher centre using a medical index and triage performed by ambulance crews and staff at the emergency departments.ResultsThere was no common triage system between these units. We also found a discrepancy between the initial triage using the medical index and physiological-anatomical triage performed by ambulance crews and staff at the emergency departments. As an example 50% of all patients triaged as priority one by the ambulance dispatcher centre were down-graded to priority 2–4 by the other units involved.Discussion and ConclusionsA mutual and standardized system for triage is needed. Although over-triaged by ambulance dispatcher centre may be medically motivated, the difference between priorities should be minimized to a medically accepted level (25–35%).
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Poon, Wai Kwong. "TRIAGE! TRIAGE!! TRIAGE!!! (NOT TREATMENT!!)." Prehospital and Disaster Medicine 14, S1 (March 1999): S96—S97. http://dx.doi.org/10.1017/s1049023x0003497x.

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Marsden, Janet, Jill Windle, and Kevin Mackway-Jones. "Emergency triage." Emergency Nurse 21, no. 4 (July 2013): 11. http://dx.doi.org/10.7748/en2013.07.21.4.11.s11.

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McCallum Pardey, Toni G. "Emergency Triage." Australasian Emergency Nursing Journal 10, no. 2 (May 2007): 43–45. http://dx.doi.org/10.1016/s1574-6267(07)00054-7.

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O'Shea, Roseanne. "Emergency triage." Clinical Effectiveness in Nursing 1, no. 4 (December 1997): 225–26. http://dx.doi.org/10.1016/s1361-9004(97)80013-1.

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Sloan, J. "Emergency Triage." Emergency Medicine Journal 14, no. 3 (May 1, 1997): 191. http://dx.doi.org/10.1136/emj.14.3.191-b.

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Dissertations / Theses on the topic "Emergency triage"

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Vassallo, James M. A. "Major incident triage: development and validation of a modified primary triage tool." Doctoral thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29232.

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Introduction A key principle in the effective management of a major incident is triage, prioritising patients on the basis of their clinical acuity. However, existing methods of primary major incident triage demonstrate poor performance at identifying the Priority One patient in need of a life-saving intervention. The aim of this thesis was to derive an improved triage tool. Methods The first part of the thesis defined what constitutes a life-saving intervention. Then using a retrospective military cohort, the optimum physiological thresholds for identifying the need for life-saving intervention were determined; the combination of which was used to define the Modified Physiological Triage Tool (MPTT). The MPTT was validated using a large civilian trauma database and a prospective military cohort. Subsequently, to describe the safety profile of the MPTT, an analysis of the implications of under-triage was undertaken. Finally, pragmatic changes were made to the MPTT (MPTT-24) - in order to provide a more useable method of primary triage. Statistical analysis was conducted using sensitivities and specificities, with triage tool performance compared using a McNemar test. Results 32 interventions were considered life-saving and the optimum physiological thresholds to identify these were a GCS <14, 12 < RR <22 and a HR < 100. Within both the military and civilian populations, the MPTT outperformed all existing methods of triage with the greatest sensitivity and lowest rates of under-triage, but at the expense of over-triage. Applying pragmatic changes, the MPTT-24 had comparable performance to the MPTT and continued to outperform existing methods. Conclusion The priority of primary major incident triage is to identify patients in need of life-saving intervention and to minimise under-triage. Fulfilling these priorities, the MPTT-24 outperforms existing methods of triage and its use is recommended as an alternative to existing methods of primary major incident triage. The MPTT-24 also offers a theoretical reduction in time required to triage and uses a simplified conscious level assessment, thus allowing it to be used by less experienced providers.
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Martín, Campillo Abraham. "Triage applications and communications in emergency scenarios." Doctoral thesis, Universitat Autònoma de Barcelona, 2012. http://hdl.handle.net/10803/117616.

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El triatge de víctimes és una de les primeres i més importants tasques a realitzar en arribar a un escenari d'emergència. Aquest procés prioritza l'atenció mèdica a les víctima en base al nivell de les seves lesions. Aquest procés és molt important per a una assignació de recursos eficient i eficaç, sobretot en emergències de gran abast amb un gran nombre de víctimes. El procés de classificació de víctimes tradicional utilitza etiquetes de triatge com a indicador de l'estat de la víctima, una solució que comporta alguns inconvenients: Els metges han d'acostar-se a la víctima per veure el seu estat en l'etiqueta de paper, la pèrdua de l'etiqueta de triatge, etc. Avui dia, la informatització de les etiquetes de classificació és essencial per a una coordinació i atenció a les víctimes més ràpida. No obstant això, els escenaris d'emergència usualment es caracteritzen per la falta de xarxes sense fils disponibles per al seu ús. Xarxes sense fils basades en infraestructura com les xarxes de telefonia mòbil o les xarxes Wi-Fi solen destruir-se o saturar-se a causa d'un gran intent d'utilització o per la mateixa naturalesa de l'emergència. Algunes solucions proposen l'ús de sensors i la creació d'una xarxa de sensors sense fils per transmetre l'estat i la posició de les víctimes o el desplegament de repetidors per crear una MANET completament connectada. No obstant això, en grans emergències, això pot no ser possible a causa de l'extensió d'aquesta o pot no ser viable a causa del temps requerit per desplegar els repetidors. Aquesta tesi analitza les situacions d'emergència des del punt de vista de xarxes i comunicacions. Es proposa un sistema per a la classificació electrònica de víctimes fins i tot en casos sense cap tipus de xarxa disponible gràcies a la utilització de xarxes oportunistes i agents mòbils. També s'analitza el rendiment dels protocols de forwarding a les zones de desastre i es proposen algunes millores per reduir el consum d'energia.
El triaje de víctimas es una de las primeras y más importantes tareas al llegar a un escenario de emergencia. Este proceso prioriza la atención médica a las víctima en base al nivel de sus lesiones. Este proceso es muy importante para una asignación de recursos eficiente y eficaz, sobretodo en emergencias de gran abasto con un gran número de víctimas. El proceso de clasificación de víctimas tradicional utiliza etiquetas de triaje como indicador del estado de la víctima, una solución que con algunos inconvenientes: Los médicos tienen que acercarse a la víctima para ver su estado en la etiqueta de papel, la pérdida de la etiqueta de triaje, etc. Hoy en día, la informatización de las etiquetas de clasificación es esencial para una coordinación y atención a las víctimas más rápida. Sin embargo, los escenarios de emergencia usualmente se caracterizan por la falta de redes inalámbricas disponibles para su uso. Redes inalámbricas basadas en infraestructura como las redes de telefonía móvil o las redes Wi-Fi suelen destruirse o saturarse debido un gran intento de utilización o a la misma naturaleza de la emergencia. Algunas soluciones proponen el uso de sensores y la creación de una red de sensores inalámbricos para transmitir el estado y la posición de las víctimas o el despliegue de repetidores para crear una MANET completamente conectada. Sin embargo, en grandes emergencias, esto puede no ser posible debido a la extensión de esta o puede no ser viable debido al tiempo requerido para desplegar los repetidores. Esta tesis analiza las situaciones de emergencia desde el punto de vista de redes y comunicaciones. Se propone un sistema para la clasificación electrónica de víctimas incluso en casos sin ningún tipo de red disponible gracias a la utilización de redes oportunistas y agentes móviles. También se analiza el rendimiento de los protocolos de forwarding en las zonas de desastre y se proponen algunas mejoras para reducir el consumo de energía.
Triaging victims is the first and foremost task in an emergency scenario. This process priorizes victim's attention based on their injuries, very important for an efficient and effective resource allocation in mass casualty incidents which large amount of victims. Traditional triage process used paper triage tags as victim's injury level indicator, a solution that had some drawbacks: first responder had to go to the each victim to see their injury level on the paper triage tag, loss of the triage tag, etc. On today emergencies, an electronic triage tag is essential for a faster coordination and attention to victims. However, emergency scenarios are usually characterized by the lack of wireless networks to rely on. Infrastructure based wireless networks as mobile phone networks or Wi-Fi networks are usually destroyed or overused due to the very nature of the emergency. Some solutions propose the use of sensors, creating a wireless sensor networks to transmit the injury level and position of the victim or deploying repeaters to create a fully connected MANET. However, in large emergencies this may not be possible and the time required to deploy all the repeaters could be not worth. This thesis analyses emergencies from the communication point of view. It proposes a system for the electronic triage of victims and emergency management to work even in worst cases scenarios from the network communications perspective thanks to the use of opportunistic networks and mobile agents. It also analyses the performance of several forwarding protocols in disaster areas and proposes some improvements to reduce energy consumption.
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Wilson, Merna Akram. "Triage Template to Improve Emergency Department Flow." Kent State University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=kent1622280768033809.

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Zhao, Lijuan. "Advanced Triage Protocols in the Emergency Department." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3649.

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Overcrowded emergency departments (EDs) are a major problem in the United States resulting in inefficiency in operation and performance. A Southern California hospital ED was the site for this project because it had operated over its maximum capacity during the last decade. Advanced triage protocols integrating standard order sets were implemented to improve quality of care; however, no evaluation of the protocols had been done. The purpose of this project was to evaluate the effect of the advanced triage protocols. Two project questions determined whether advanced triage protocols reduced ED length of stay (LOS), number of patients who left without being seen (LWBS), and improved patient experience. The Lean Principles and the Plan-Do-Study-Act Model for Improvement were used to guide the project. A pre- and post-implementation design found that ED LOS had a significant 17-minute decrease for ESI Level 3 patients (225.7 -± 8.6 minutes vs. 208.8 -± 6.9 minutes, p = .002), and significant 13- minute decrease for ESI Level 4 patients (146.5 -± 1.6 minutes vs. 133.5 -± 1.5 minutes, p =.001). For the ED rate of patients who LWBS, no statistically significant difference was seen between pre- and post- implementation (41/575, 7.13% vs. 46/611, 7.52%). Satisfaction scores were improved by more than 10% after implementation. The advanced triage protocols enhanced front-end throughput operations and patient experience within the ED by allowing triage nurses to initiate orders and begin pain medication. Delivering timely and efficient care to meet various patients' needs has the potential for a positive social change through improved health care outcomes; perception of care; and trust between patients, providers, and the health care system.
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Sekandari, Zohib, and Shahin Saleh. "Emergency Department Triage Prediction of Emergency Severity Index using Machine Learning Models." Thesis, KTH, Skolan för elektroteknik och datavetenskap (EECS), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-259402.

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Study Objective: The emergency department (ED) in the United States strongly rely on subjective assessment of patients. This study seeks to evaluate an electronic triage system based on machine learning models that can predict the patients emergency severity index (ESI). Methods: A dataset containing 560 486 patients triage data was investigated.Three different machine learning models was tested and evaluated. A crossvalidation table and a confusion matrix was conducted from each of the models. The precision rate, recall rate and f1-score were calculated and reported. Result: The Gradient Boosting model returned an accuracy rate of 68%. The random forest model returned an accuracy rate of 66%. The Gaussian Naive Bayesmodel returned an accuracy rate of 25%. Conclusion: The model that best predicted the ESI-level is the GradientBoosting model. Further testing is needed with better computational power since we could not train our model with the whole dataset.
Syfte: Akutmottagningen i USA förlitar sig kraftigt på en subjektiv värdering av patienter. Denna studie söker efter att evaluera ett elektronisk triage systembaserad på maskininlärningsmodeller som kan förutse patienters ESI. Metod: Ett data set som innehåller 560 486 patienters triage data har undersökts. Tre olika maskininlärningsmodeller har testats och evaluerats. En cross validation tabell och en confusion matrix har skapats för varje modell. Precision, recall och f1 värde har kalkylerats och rapporterats. Resultat: Gradient Boosting modellen har returnerat ett accuracy värde av 68%. Random Forest modellen har returnerat ett accuracy värde av 66%. Gaussian Naive Bayes modellen har returnerat ett accuracy värde av 25%. Slutsats: Modellen som har bäst förutsett ESI nivåerna är Gradient Boostingmodellen. Flera tester behövs med starkare beräkningskraft då vi inte kunde träna vår modell med hela datasetet.
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Benner, Myron, and L. Lee Glenn. "Measurement Validity of Pediatric Emergency Department Rapid Triage." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/7481.

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Excerpt: The study by Doyle et al1 concluded that “Implementing rapid triage and fast track guidelines can affect nurse-sensitive patient outcomes related to safety and care delivery in a pediatric emergency department,” but the support for the conclusions was weak because of 2 shortcomings: (1) the authors did not use a side-by-side control group, and (2) the findings can be explained by the Hawthorne effect.
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Kamali, Behrooz. "Decision Support for Casualty Triage in Emergency Response." Diss., Virginia Tech, 2016. http://hdl.handle.net/10919/79817.

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Mass-casualty incidents (MCI) cause a sudden increase in demand of medical resources in a region. The most important and challenging task in addressing an MCI is managing overwhelmed resources with the goal of increasing total number of survivors. Currently, most of the decisions following an MCI are made in an ad-hoc manner or by following static guidelines that do not account for amount of available resources and number of the casualties. The purpose of this dissertation is to introduce and analyze sophisticated service prioritization and resource allocation tools. These tools can be used to produce service order strategies that increase the overall number of survivors. There are several models proposed that account for number and mix of the casualties, and amount and type of the resources available. Large number of the elements involved in this problem makes the model very complex, and thus, in order to gain some insights into the structure of the optimal solutions, some of the proposed models are developed under simplifying assumptions. These assumptions include limitations on the number of casualty types, handling of deaths, servers, and types of resources. Under these assumptions several characteristics of the optimal policies are identified, and optimal algorithms for various scenarios are developed. We also develop an integrated model that addresses service order, transportation, and hospital selection. A comprehensive set of computational results and comparison with the related works in the literature are provided in order to demonstrate the efficacy of the proposed methodologies.
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Östlund, Charlotte, and Ida Åhlin. "Triage på akutmottagning : Sjuksköterskors upplevelser av nuvarande triagemodell." Thesis, Uppsala University, Department of Public Health and Caring Sciences, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-112464.

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To sort, is the meaning of the word “triage”. Triage is used at emergency departments to facilitate prioritization of patients according to the urgency of the chief complaint. The aim of this study was to investigate how the nurses experience the triage model at the emergency department at Uppsala university hospital.

Twelve nurses were interviewed. The mean age was 40 years and the mean work experience was three years and four months. An interview guide was used, consisting of questions about triage, collaboration and work situation.

The nurses perceived that triage supports assessment and prioritization of patients. Different triage models were used depending on the nurses’ level of triage-education, which was perceived as problematic. The nurses perceived safety when triage was performed together with the physician. The level of collaboration, between the nurses and the physicians, was experienced to be person-dependent. The importance of good communication between nurses and physicians were highlighted.

Triage supports the assessment and prioritization of patients. A standardized triage model would increase the quality of care. The collaboration between nurses and physicians could be improved if they receive the same information and education about triage. Improved communication will facilitate the collaboration. Physicians should participate in the triage process.

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Göransson, Katarina. "Registered nurse-led emergency department triage : organisation, allocation of acuity ratings and triage decision making." Doctoral thesis, Örebro University, Department of Health Sciences, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-732.

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Successful triage is the basis for sound emergency department (ED) care, whereas unsuccessful triage could result in adverse outcomes. ED triage is a rather unexplored area in the Swedish health care system. This thesis contributes to our understanding of this complex nursing task. The main focus of this study has been on the organisation, performance, and decision making in Swedish ED triage. Specific aims were to describe the Swedish ED triage context, describe and compare registered nurses’ (RNs) allocation of acuity ratings, use of thinking strategies and the way they structure the ED triage process.

In this descriptive, comparative, and correlative research project quantitative and qualitative data were collected using telephone interviews, patient scenarios and think aloud method. Both convenience and purposeful sampling were used when identifying the participating 69 nurse managers and 423 RNs from various types of hospital-based EDs throughout the country.

The results showed national variation, both in the way triage was organised and in the way it was conducted. From an organisational perspective, the variation emerged in several areas: the use of various triageurs, designated triage nurses, and triage scales. Variation was also noted in the accuracy and concordance of allocated acuity ratings. Statistical methods provided limited explanations for these variations, suggesting that RNs’ clinical experience might have some affect on the RNs’ triage accuracy. The project identified several thinking strategies used by the RNs, indicating that the RNs, amongst other things, searched for additional information, generated hypotheses about the fictitious patients and provided explanations for the interventions chosen. The RNs formed relationships between their interventions and the fictitious patients’ symptoms. The RNs structured the triage process in several ways, beginning the process by searching for information, generating hypotheses, or allocating acuity ratings. Comparison of RNs’ use of thinking strategies and the structure of the triage process based on triage accuracy revealed only slight differences.

The findings in this dissertation indicate that the way a patient is triaged, and by whom, depends upon the particular organisation of the ED. Moreover, the large variation in RNs triage accuracy and the inter-rater agreement and concordance of the allocated acuity ratings suggest that the acuity rating allocated to a patient may vary considerably, depending on who does the allocation. That neither clinical experience nor the RNs’ decision-making processes alone can explain the variations in the RNs triage accuracy indicates that accuracy might be influenced by individual and contextual factors. Future studies investigating triage accuracy are recommended to be carried out in natural settings.

In conclusion, Swedish ED triage is permeated by diversity, both in its organisation and in its performance. The reasons for these variations are not well understood.

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Göransson, Katarina. "Registered nurse-led emergency department triage : organisation, allocation of acuity ratings and triage decision making /." Örebro : Hälsovetenskapliga institutionen, Örebro universitet, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-732.

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Books on the topic "Emergency triage"

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Manchester Triage Group, Kevin Mackway-Jones, Janet Marsden, and Jill Windle, eds. Emergency Triage. Oxford, UK: Blackwell Publishing Ltd, 2006. http://dx.doi.org/10.1002/9780470757321.

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Marsden, Janet, Mark Newton, Jill Windle, and Kevin Mackway-Jones, eds. Emergency Triage. Chichester, UK: John Wiley & Sons, Ltd, 2015. http://dx.doi.org/10.1002/9781118369401.

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Mackway-Jones, Kevin, Janet Marsden, and Jill Windle, eds. Emergency Triage. Chichester, UK: John Wiley & Sons Ltd, 2013. http://dx.doi.org/10.1002/9781118299029.

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Group, Manchester Triage, ed. Emergency triage: Telephone triage and advice. Chichester, West Sussex: John Wiley & Sons Inc., 2015.

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Triage emergency care handbook. Lancaster, Pa: Technomic Pub. Co., 1985.

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Emergency department triage handbook. Gaithersburg, Md: Aspen Publishers, 1992.

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Russell, Hanscom, ed. Triage in emergency practice. St. Louis: Mosby, 1996.

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Angelini, Diane J., Donna LaFontaine, Beth Cronin, and Elisabeth D. Howard, eds. Obstetric Triage and Emergency Care Protocols. New York, NY: Springer Publishing Company, 2017. http://dx.doi.org/10.1891/9780826133939.

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Angelini, Diane J., and Donna LaFontaine. Obstetric triage and emergency care protocols. New York: Springer, 2012.

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Quick reference to triage. Philadelphia: Lippincott, 1999.

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Book chapters on the topic "Emergency triage"

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Shirodkar, Amy-lee. "Triage." In Practical Emergency Ophthalmology Handbook, 183–87. Boca Raton : CRC Press, [2020]: CRC Press, 2019. http://dx.doi.org/10.1201/9780429024405-26.

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Sigrist, Nadja. "Triage." In Textbook of Small Animal Emergency Medicine, 6–10. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2018. http://dx.doi.org/10.1002/9781119028994.ch2.

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Patel, Hiren, and Scott M. Sasser. "Field trauma triage." In Emergency Medical Services, 289–96. Chichester, UK: John Wiley & Sons, Ltd, 2015. http://dx.doi.org/10.1002/9781118990810.ch39.

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Allen, Matthew B., and John Jesus. "Disaster Triage." In Ethical Problems in Emergency Medicine, 221–36. Chichester, UK: John Wiley & Sons, Ltd, 2012. http://dx.doi.org/10.1002/9781118292150.ch21.

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ten Have, Henk, and Maria do Céu Patrão Neves. "Triage (See Emergency Medicine)." In Dictionary of Global Bioethics, 1015–16. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-54161-3_501.

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ten Have, Henk, and Maria do Céu Patrão Neves. "Emergency Medicine (See Triage)." In Dictionary of Global Bioethics, 457. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-54161-3_224.

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Davis, Harold. "Triage." In Advanced Monitoring and Procedures for Small Animal Emergency and Critical Care, 1–10. Chichester, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118997246.ch1.

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Snape, Michelle. "Triage Cueing Error." In Decision Making in Emergency Medicine, 363–69. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-16-0143-9_57.

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Lerner, E. Brooke, Richard B. Schwartz, and Joanne E. McGovern. "Prehospital triage for mass casualties." In Emergency Medical Services, 288–91. Chichester, UK: John Wiley & Sons, Ltd, 2015. http://dx.doi.org/10.1002/9781118990810.ch105.

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Grossmann, Florian F., and Christian Nickel. "Triage of Older ED Patients." In Geriatric Emergency Medicine, 17–22. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-19318-2_2.

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Conference papers on the topic "Emergency triage"

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Herron, John M., and Howard Yonas. "Multilocation teleradiology system for emergency triage consultation." In Medical Imaging 1996, edited by R. Gilbert Jost and Samuel J. Dwyer III. SPIE, 1996. http://dx.doi.org/10.1117/12.239275.

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Padmanabhan, N., F. Burstein, L. Churilov, J. Wassertheil, B. Hornblower, and N. Parker. "A Mobile Emergency Triage Decision Support System Evaluation." In Proceedings of the 39th Annual Hawaii International Conference on System Sciences (HICSS'06). IEEE, 2006. http://dx.doi.org/10.1109/hicss.2006.17.

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Hook-Podhorniak, Gretchen, and Subrata Acharya. "Effectual Emergency Severity Adaptation for Improved Triage Care Operations." In 2019 IEEE International Conference on Bioinformatics and Biomedicine (BIBM). IEEE, 2019. http://dx.doi.org/10.1109/bibm47256.2019.8983027.

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Chong, H. A., and K. B. Gan. "Development of automated triage system for emergency medical service." In 2016 International Conference on Advances in Electrical, Electronic and Systems Engineering (ICAEES). IEEE, 2016. http://dx.doi.org/10.1109/icaees.2016.7888125.

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Rahmat, Mohammad Hafidz, Muthukkaruppan Annamalai, Shamimi A. Halim, and Rashidi Ahmad. "Agent-based modelling and simulation of emergency department re-triage." In 2013 IEEE Business Engineering and Industrial Applications Colloquium (BEIAC). IEEE, 2013. http://dx.doi.org/10.1109/beiac.2013.6560119.

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Inoue, Alexandre, Marcus Prado, and Fábio Cozman. "Automated Emergency Room Triage: Helping Patients Get the Best Treatment." In Encontro Nacional de Inteligência Artificial e Computacional. Sociedade Brasileira de Computação - SBC, 2020. http://dx.doi.org/10.5753/eniac.2020.12162.

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We describe an intelligent triage system for emergency rooms; the system interacts with patients and classifies them by priority level and with respect to medical specialty. The system consists of a conversational interface, coupled with sensors and a physical robot-like platform, and classifiers that operate on symptoms and measurements so as to select a medical specialty and to output a priority level. Tests with human subjects demonstrated that our Healthbot system was well received and in fact preferred to alternatives by most people. Tests have also shown that the classifiers reached accuracy consistent with a doctor's output.
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Ghanes, Karim, Oualid Jouini, Mathias Wargon, and Zied Jemai. "Modeling and analysis of triage nurse ordering in emergency departments." In 2015 International Conference on Industrial Engineering and Systems Management (IESM). IEEE, 2015. http://dx.doi.org/10.1109/iesm.2015.7380163.

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Pribulova, Denisa, Charlotte Durand, Lindafrances Amu, and Shrouk Messahel. "1348 Triage challenges of neonates in the paediatric emergency department." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference–Online, 15 June 2021–17 June 2021. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2021. http://dx.doi.org/10.1136/archdischild-2021-rcpch.576.

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Miseljic, S., H. Gamst-Jensen, F. Folke, and T. Møller. "75 Triage of elderly citizens calling a danish medical helpline." In Meeting abstracts from the second European Emergency Medical Services Congress (EMS2018). British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjopen-2018-ems.75.

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Kaddu-Mulindwa, D., M. von Martial, A. Thiel-Bodenstaff, V. Lesan, S. Ewen, F. Mahfoud, F. Lammert, and M. Krawczyk. "LIVER STIFFNESS MEASUREMENTS IN EMERGENCY TRIAGE PREDICT INPATIENT HEALTH CARE UTILIZATION." In 37. Jahrestagung der Deutschen Arbeitsgemeinschaft zum Studium der Leber. Georg Thieme Verlag KG, 2021. http://dx.doi.org/10.1055/s-0040-1722004.

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Reports on the topic "Emergency triage"

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Casscells, S. W. Disaster Relief and Emergency Medical Services (DREAMS TM): Science, Triage and Treatment (STAT). Addendum. Fort Belvoir, VA: Defense Technical Information Center, August 2006. http://dx.doi.org/10.21236/ada572439.

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Hess, Erik, Judd Hollander, Jason Schaffer, Jeffrey Kline, Carlos Torres, Deborah Diercks, Russell Jones, et al. Shared Decision Making in the Emergency Department: The Chest Pain Choice Trial. Patient-Centered Outcomes Research Institute (PCORI), March 2018. http://dx.doi.org/10.25302/3.2018.cer.952.

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Mudge, Christopher R., and Kurt D. Getsinger. Comparison of Generic and Proprietary Aquatic Herbicides for Control of Invasive Vegetation : Part 2. Emergent Plants. Engineer Research and Development Center (U.S.), November 2021. http://dx.doi.org/10.21079/11681/39679.

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Aquatic herbicides are one of the most effective and widespread ways to manage nuisance vegetation in the US After the active ingredient is selected, often there are numerous proprietary and generic branded products to select from. To date, limited efforts have been made to compare the efficacy of brand name and generic herbicides head to head; therefore, at tot al of 20 mesocosm trials were conducted to evaluate various 2,4 -D, glyphosate, imazapyr, and triclopyr products against alligatorweed (Alternanthera philoxeroides (Mart.) Griseb.), southern cattail (hereafter referred to as cattail, Typha domingensis Pers.), and creeping water primrose (hereafter referred as primrose, Ludwigia peploides (Kunth) P.H. Raven). All active ingredients were applied to foliage at broadcast rates commonly used in applications to public waters. Proprietary and generic 2,4 -D, glyphosate, imazapyr, and triclopyr were efficacious and provided 39 to 99% control of alligatorweed, cattail and primrose in 19 of the 20 trials. There were no significant differences i n product performance except glyphosate vs. alligatorweed (trial 1, Rodeo vs. Roundup Custom) and glyphosate vs. cattail (trial 1, Rodeo vs. Glyphosate 5.4). These results demonstrate under small -scale conditions, the majority of the generic and proprietary herbicides provided similar control of emergent vegetation, regardless of active ingredient
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Mudge, Christopher, and Kurt Getsinger. Comparison of generic and proprietary aquatic herbicides for control of invasive vegetation; part 3 : submersed plants. Engineer Research and Development Center (U.S.), September 2021. http://dx.doi.org/10.21079/11681/42061.

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Herbicide selection is key to efficiently managing nuisance vegetation in our nation’s waterways. After selecting the active ingredient, there still remains multiple proprietary and generic products to choose from. Recent small-scale research has been conducted to compare the efficacy of these herbicides against floating and emergent species. Therefore, a series of mesocosm and growth chamber trials were conducted to evaluate subsurface applications of the following herbicides against submersed plants: diquat versus coontail (Ceratophyllum demersum L.), hydrilla (Hydrilla verticillata L.f. Royle), southern naiad (Najas guadalupensis (Sprengel) Magnus), and Eurasian watermilfoil (Myriophyllum spicatum L.); flumioxazin versus coontail, hydrilla, and Eurasian watermilfoil; and triclopyr against Eurasian watermilfoil. All active ingredients were applied at concentrations commonly used to manage these species in public waters. Visually, all herbicides within a particular active ingredient performed similarly with regard to the onset and severity of injury symptoms throughout the trials. All trials, except diquat versus Eurasian watermilfoil, resulted in no differences in efficacy among the 14 proprietary and generic herbicides tested, and all herbicides provided 43%–100% control, regardless of active ingredient and trial. Under mesocosm and growth chamber conditions, the majority of the generic and proprietary herbicides evaluated against submersed plants provided similar control.
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Gamerl, James M. A Comparative Analysis of Emergency Room Utilization Before and After TRICARE Implementation at Reynolds Army Community Hospital Fort Sill, Oklahoma. Fort Belvoir, VA: Defense Technical Information Center, May 1996. http://dx.doi.org/10.21236/ada324269.

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Krishnan, Jerry, Joel Africk, Michael Berbaum, Christopher Codispoti, Kim Erwin, Joenell Henry-Tanner, Stacy Ignoffo, et al. Comparing Three Ways to Prepare Children and Caregivers to Manage Asthma after an Emergency Room Visit – The CHICAGO Trial. Patient-Centered Outcomes Research Institute® (PCORI), February 2020. http://dx.doi.org/10.25302/01.2020.as.130705420.

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Yang, Yong, Lin Feng, Chengcheng Ji, Kaizhi Lu, Yang Chen, and Bing Chen. Inhalational versus Intravenous Maintenance of Anesthesia for Emergence Delirium in Adults: A Meta-analysis and Trial Sequential Analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, July 2020. http://dx.doi.org/10.37766/inplasy2020.7.0089.

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Infante, Vittorio. Transforming the Systems that Contribute to Fragility and Humanitarian Crises: Programming across the triple nexus. Oxfam, July 2021. http://dx.doi.org/10.21201/2021.7659.

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Conflicts and shocks linked to climate change are more frequent and intense, leading to poverty and inequality, exacerbating these phenomena and people’s vulnerability. In this context, humanitarian relief, development programmes and peacebuilding are not serial processes; they are all needed at the same time to tackle the systemic inequalities that trap people in poverty and expose them to risk. The triple nexus, or programming across humanitarian-development-peace pillars, thus means creating synergies and common goals across short-term emergency response programmes and longer-term social change processes in development, as well as enhancing opportunities for peace so that individuals can enjoy the full spectrum of human rights. This briefing paper aims to identify the tensions and dilemmas that Oxfam faces when programming across the nexus and sets out new policy to address these dilemmas, building upon Oxfam’s 2019 discussion paper on the triple nexus.
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Carney, Nancy, Tamara Cheney, Annette M. Totten, Rebecca Jungbauer, Matthew R. Neth, Chandler Weeks, Cynthia Davis-O'Reilly, et al. Prehospital Airway Management: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), June 2021. http://dx.doi.org/10.23970/ahrqepccer243.

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Objective. To assess the comparative benefits and harms across three airway management approaches (bag valve mask [BVM], supraglottic airway [SGA], and endotracheal intubation [ETI]) by emergency medical services in the prehospital setting, and how the benefits and harms differ based on patient characteristics, techniques, and devices. Data sources. We searched electronic citation databases (Ovid® MEDLINE®, CINAHL®, the Cochrane Central Register of Controlled Trials, the Cochrane Database of Systematic Reviews, and Scopus®) from 1990 to September 2020 and reference lists, and posted a Federal Register notice request for data. Review methods. Review methods followed Agency for Healthcare Research and Quality Evidence-based Practice Center Program methods guidance. Using pre-established criteria, studies were selected and dual reviewed, data were abstracted, and studies were evaluated for risk of bias. Meta-analyses using profile-likelihood random effects models were conducted when data were available from studies reporting on similar outcomes, with analyses stratified by study design, emergency type, and age. We qualitatively synthesized results when meta-analysis was not indicated. Strength of evidence (SOE) was assessed for primary outcomes (survival, neurological function, return of spontaneous circulation [ROSC], and successful advanced airway insertion [for SGA and ETI only]). Results. We included 99 studies (22 randomized controlled trials and 77 observational studies) involving 630,397 patients. Overall, we found few differences in primary outcomes when airway management approaches were compared. • For survival, there was moderate SOE for findings of no difference for BVM versus ETI in adult and mixed-age cardiac arrest patients. There was low SOE for no difference in these patients for BVM versus SGA and SGA versus ETI. There was low SOE for all three comparisons in pediatric cardiac arrest patients, and low SOE in adult trauma patients when BVM was compared with ETI. • For neurological function, there was moderate SOE for no difference for BVM compared with ETI in adults with cardiac arrest. There was low SOE for no difference in pediatric cardiac arrest for BVM versus ETI and SGA versus ETI. In adults with cardiac arrest, neurological function was better for BVM and ETI compared with SGA (both low SOE). • ROSC was applicable only in cardiac arrest. For adults, there was low SOE that ROSC was more frequent with SGA compared with ETI, and no difference for BVM versus SGA or BVM versus ETI. In pediatric patients there was low SOE of no difference for BVM versus ETI and SGA versus ETI. • For successful advanced airway insertion, low SOE supported better first-pass success with SGA in adult and pediatric cardiac arrest patients and adult patients in studies that mixed emergency types. Low SOE also supported no difference for first-pass success in adult medical patients. For overall success, there was moderate SOE of no difference for adults with cardiac arrest, medical, and mixed emergency types. • While harms were not always measured or reported, moderate SOE supported all available findings. There were no differences in harms for BVM versus SGA or ETI. When SGA was compared with ETI, there were no differences for aspiration, oral/airway trauma, and regurgitation; SGA was better for multiple insertion attempts; and ETI was better for inadequate ventilation. Conclusions. The most common findings, across emergency types and age groups, were of no differences in primary outcomes when prehospital airway management approaches were compared. As most of the included studies were observational, these findings may reflect study design and methodological limitations. Due to the dynamic nature of the prehospital environment, the results are susceptible to indication and survival biases as well as confounding; however, the current evidence does not favor more invasive airway approaches. No conclusion was supported by high SOE for any comparison and patient group. This supports the need for high-quality randomized controlled trials designed to account for the variability and dynamic nature of prehospital airway management to advance and inform clinical practice as well as emergency medical services education and policy, and to improve patient-centered outcomes.
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Joyce, Charles L. The National Study of Water Management During Drought; The New England Drought Study: Trigger Planning: Intergrating Strategic, Tactical, and Emergency Planning into a Single Water Resources Management Process. Fort Belvoir, VA: Defense Technical Information Center, October 1994. http://dx.doi.org/10.21236/ada336662.

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