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1

Neal, Daniel J., Joseph A. Barbera, and John R. Harrald. "-PLUS Prehospital Mass-Casualty Triage: A Strategy for Addressing Unusual Injury Mechanisms." Prehospital and Disaster Medicine 25, no. 3 (2010): 227–36. http://dx.doi.org/10.1017/s1049023x00008086.

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AbstractIntroduction:Simple Triage and Rapid Treatment (START) and more recently developed prehospital casualty triage algorithms are widely used, in part because they are easy to teach and learn, and can be performed rapidly. Every rapid triage protocol has inherent, significant limitations: (1) no mechanism of injury (MOI) considerations; (2) limited assessment points; and (3) no refinement in truly mass-casualty situations where transport of “minor” or “moderate” patients may be delayed.Hypothesis:When rapid initial triage protocols are utilized, a significant triage deficiency (“under-tria
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Jeavons, I. P. "Triage protocols." British Dental Journal 200, no. 4 (2006): 183–84. http://dx.doi.org/10.1038/sj.bdj.4813275.

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3

George, James E., Madelyn S. Quatrone, and Marc Goldstone. "Triage protocols." Journal of Emergency Nursing 21, no. 1 (1995): 65–66. http://dx.doi.org/10.1016/s0099-1767(95)80022-0.

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Abdolrahimzadeh Fard, Hossein, Roham Borazjani, Golnar Sabetian, et al. "Establishment of a novel triage system for SARS-CoV-2 among trauma victims in trauma centers with limited facilities." Trauma Surgery & Acute Care Open 6, no. 1 (2021): e000726. http://dx.doi.org/10.1136/tsaco-2021-000726.

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ObjectivesThe triage of trauma patients with potential COVID-19 remains a major challenge given that a significant number of patients may be asymptomatic or pre-symptomatic. This study aimed to compare the specificity and sensitivity of available triage systems for COVID-19 among trauma patients. Furthermore, it aimed to develop a novel triage system for SARS-CoV-2 detection among trauma patients in centers with limited resources.MethodsAll patients referred to our center from February to May 2020 were enrolled in this prospective study. We evaluated the SARS-CoV-2 triage protocols from the WH
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Bielajs, Ingrid, Frederick M. Burkle, Frank L. Archer, and Erin Smith. "Development of Prehospital, Population-Based Triage-Management Protocols for Pandemics." Prehospital and Disaster Medicine 23, no. 5 (2008): 420–30. http://dx.doi.org/10.1017/s1049023x00006154.

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AbstractThe lack of disease-specific triage-management protocols that address the unique aspects of a pandemic places emergency medical services, and specifically, emergency medical services practitioners, at great risk.Without adequate protocols, the emergency health system will risk needless exposure, loss of functional capacity, and inappropriately triaged patients.This paper reports on the development of population-based triage-management protocols at two patient points of contact. The primary objective of the triage-management protocols is to identify patients infected by or exposed to th
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Goldschmidt, Nicole, Maria Chiara Donati, Agostino Roasio, Giorgio Vaselli, and Mario Raviolo. "Feasibility and Effectiveness Assessment of the New Triage System Adopted by the Disaster Medicine Service of Regione Piemonte: Results of a Controlled Randomized Study." Prehospital and Disaster Medicine 38, S1 (2023): s29. http://dx.doi.org/10.1017/s1049023x23001140.

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Introduction:Validation of the new MCI Triage protocol of Regione Piemonte by comparing it with the already published and internationally used START/Jump START protocol. Compare its accuracy, execution time, over and under triage indices and the influence of any rescuer characteristics in reference to adult and pediatric victims when in use in a simulated multi-casualties event setting.Method:We conducted a randomized controlled experimental study in a simulation setting. A group of 35 people involved in an incident (volunteer participants) was assessed by a population of trained and untrained
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Green, Steven M. "Pediatric wound triage protocols." Annals of Emergency Medicine 42, no. 1 (2003): 25–26. http://dx.doi.org/10.1067/mem.2003.229.

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8

Bouthillier, Marie-Eve, Yanick Farmer, Claudia Calderon Ramirez, et al. "Public perspectives on COVID-19 triage protocols for access to critical care in extreme pandemic context." PLOS ONE 19, no. 12 (2024): e0314460. https://doi.org/10.1371/journal.pone.0314460.

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COVID-19 triage protocols are resource allocation processes to deal with the potential lack of resources in Intensive Care Units (ICU). They have given rise to numerous ethical issues and controversies. Among them is the fear that people will be denied access to ICU on the basis of judgments about their quality of life, social value, frailty or age. This online Democratic Deliberation (DD) with members of the public aimed to discover the necessary considerations and conditions that make triage protocols more acceptable to guide future decisions in terms of the values and criteria that must und
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Tourtier, Jean-P., Karim Tazarourte, Delphine Lemoullec, and Yves Auroy. "Do we follow triage protocols?" Injury 41, no. 9 (2010): 977–78. http://dx.doi.org/10.1016/j.injury.2010.03.011.

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10

Narikawa, Kenji, Tetsuya Sakamoto, Katsuaki Kubota, et al. "Predictability of the Call Triage Protocol to Detect if Dispatchers Should Activate Community First Responders." Prehospital and Disaster Medicine 29, no. 5 (2014): 484–88. http://dx.doi.org/10.1017/s1049023x14000995.

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AbstractIntroductionShortening response time to an emergency call leads to the success of resuscitation by chest compression and defibrillation. However, response by ambulance or fire truck is not fast enough for resuscitation in Japan. In rural areas, response times can be more than 10 minutes. One possible way to shorten the response time is to establish a system of first responders (eg, police officers or firefighters) who are trained appropriately to perform resuscitation. Another possible way is to use a system of Community First Responders (CFRs) who are trained neighbors. At present, th
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Auberry, Kathy Summers. "Telephone triage and seizure management for community-based ID/DD: A research synthesis." Journal of Nursing Education and Practice 8, no. 2 (2017): 46. http://dx.doi.org/10.5430/jnep.v8n2p46.

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Nurse and physician clinicians often guide seizure care for individuals with intellectual and developmental disability (ID/DD) through telephone triage. This article evaluated the evidence for epilepsy management tools with a focus on the telephone triage tool. Studies were included in the systematic review, data was extracted, followed by meta-aggregated findings. A rigorous methodological protocol was used as described by The Cochrane Collaboration. All quantitative or descriptive studies that included epilepsy management tools or protocols for persons with ID/DD living in a community-based
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Khursheed, M., K. Ejaz, and F. Hanif. "(A261) Evolution of Triage Services in the Emergency Department Aga Khan University Hospital- Karachi." Prehospital and Disaster Medicine 26, S1 (2011): s72. http://dx.doi.org/10.1017/s1049023x11002457.

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The history of triage started from the French battle field. In- hospital ED triage started in early 1960's from Baltimore. It is now an essential component of modern ED. Triage is not only to sort out patients as per their criticality, but it also serves the purpose of streamlining the patients so that the patient receives right treatment at the right time in the appropriate area. It helps to manage the ED overcrowding by better flow of patients. AKUH-ER experience of triage dates back to the year 2000, when triage was conducted by physicians and there used to be a manual documentation of pati
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Alireza, Raeisi, Changizi Nasrin, Barekati Hamed, et al. "COVID-19; evolving of triage, management protocol and maternal health in Islamic Republic of Iran." World Journal of Advanced Research and Reviews 7, no. 3 (2020): 051–61. https://doi.org/10.5281/zenodo.4317514.

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National Maternal Health program is based over multidisciplinary evidence-based infrastructure, which in 2017 was reported to be on track of sustainable development goals by World Health Organization. With epidemic distribution of COVID-19, maternal health program was among the first health programs for evidence-based protocol preparation in Islamic Republic of Iran at the national level. Usually in this national program, Obstetrical protocols updating takes place at most every 2-3 years but due to paucity of evidences at first and then rapid evolving conditions of the COVID-19, these changes
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14

Rebolledo-Ojeda, L., J. Tweed, R. Williams, J. Aygeman, O. Khalid, and M. Pinto Da Costa. "Care pathways and healthcare management in a COVID-19 triage psychiatric inpatient ward at south london and maudsley nhs foundation trust." European Psychiatry 64, S1 (2021): S302. http://dx.doi.org/10.1192/j.eurpsy.2021.812.

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IntroductionThe COVID-19 pandemic has enforced the restructuring of inpatient psychiatric services. In the UK, the South London and Maudsley NHS Foundation Trust has introduced a triage ward system to ensure all patients have a COVID test prior to admission to the general ward with the aim to reduce COVID transmission amongst psychiatric inpatients.ObjectivesTo characterise the flow of patients through a COVID-19 psychiatric triage ward and the protocol of assessment and management used.MethodsDescriptive analysis of patients admitted to a COVID-19 triage ward since its creation.ResultsThe cas
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15

Ramos, Anna, Waldo R. Guerrero, and Natalia Pérez de la Ossa. "Prehospital Stroke Triage." Neurology 97, no. 20 Supplement 2 (2021): S25—S33. http://dx.doi.org/10.1212/wnl.0000000000012792.

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Purpose of the ReviewThis article reviews prehospital organization in the treatment of acute stroke. Rapid access to an endovascular therapy (EVT) capable center and prehospital assessment of large vessel occlusion (LVO) are 2 important challenges in acute stroke therapy. This article emphasizes the use of transfer protocols to assure the prompt access of patients with an LVO to a comprehensive stroke center where EVT can be offered. Available prehospital clinical tools and novel technologies to identify LVO are also discussed. Moreover, different routing paradigms like first attention at a lo
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16

Paul, Julie A. "OBSTETRIC TRIAGE AND EMERGENCY CARE PROTOCOLS." Journal of Midwifery & Women's Health 58, no. 2 (2013): 231. http://dx.doi.org/10.1111/jmwh.12023_1.

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17

Feitosa, Marcones De Araújo, Raiane Tavares De Sá, Verônica Dos Santos Mota, Ana Maria de Araújo Dias, and Conceição Ceanny Formiga Sinval Cavalcante. "IMPORTÂNCIA DA CLASSIFICAÇÃO DE RISCO NO ATENDIMENTO DE URGÊNCIA E EMERGÊNCIA: REVISÃO DE LITERATURA." Revista ft 29, no. 140 (2024): 04–05. http://dx.doi.org/10.69849/revistaft/ni10202411151504.

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This article explores the importance of risk classification in emergency services, highlighting the role of nurses in prioritizing care based on patient severity while promoting a humanized reception. Objective: The objective of this study is to analyze the relevance of risk classification and the impact of humanized reception practices for effective triage. Methodology: This is a literature integrative review with a qualitative approach, conducted in major databases such as PubMed, Google Scholar, SciELO, and the Virtual Health Library (BVS), considering studies from 2019 to 2023. Results and
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18

Al-Jasser, Saleh AbdulLatif, Nawaf Subhi Dobayan Alenazi, Fares Khalid Mohammed Alhazmi, Ahmad Mohammed Isa Gaddourah, Alaa Saud Aleiid, and Alaa Musaad Alsayyari. "Prehospital care in geriatric emergencies: EMS, health informatics, and nursing approaches to age-related conditions." International journal of health sciences 2, S1 (2018): 241–59. http://dx.doi.org/10.53730/ijhs.v2ns1.15210.

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Background: The aging population poses significant challenges in emergency medical services (EMS) and nursing care, particularly for patients aged 65 and older who experience geriatric emergencies. This demographic shift necessitates tailored management strategies for age-related conditions, especially regarding trauma. Aim: This study aims to explore the approaches of paramedics, EMS, health informatics, and nursing in managing geriatric emergencies, focusing on age-related physiological changes, mechanisms of injury, and effective triage strategies. Methods: A comprehensive review of current
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Kim, Kristin M., Sandro Cinti, Steven Gay, Susan Goold, Andrew Barnosky, and Marie Lozon. "Triage of Mechanical Ventilation for Pediatric Patients During a Pandemic." Disaster Medicine and Public Health Preparedness 6, no. 2 (2012): 131–37. http://dx.doi.org/10.1001/dmp.2012.19.

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ABSTRACTObjective: The novel H1N1 influenza pandemic renewed the concern that during a severe pandemic illness, critical care and mechanical ventilation resources will be inadequate to meet the needs of patients. Several published protocols address the need to triage patients for access to ventilator resources. However, to our knowledge, none of these has addressed the pediatric populations.Methods: We used a systematic review of the pediatric critical care literature to evaluate pediatric critical care prognosis and multisystem organ failure scoring systems. We used multiple search engines, i
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20

Ethicists, NCBC. "Ethical Concerns with COVID-19 Triage Protocols." Ethics & Medics 45, no. 5 (2020): 5–6. http://dx.doi.org/10.5840/em202045510.

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As one of the primary resources for Catholics concerned about moral issues in health care, the ethicists of The National Catholic Bioethics Center have received many questions regarding triage protocols in place during the COVID-19 pandemic. Many protocols emphasize utilitarian principles that are incompatible with a principled approach to Catholic health care. Others expressly discourage appeals to ethical principles that are religious in nature or connected to systems of religious belief. This exclusion is arbitrary given the long history of Catholic health care. The ethicists also have conc
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21

Woodke, Dale. "Telephone Triage Protocols for Primary Care Centers." Journal For Healthcare Quality 15, no. 6 (1993): 46. http://dx.doi.org/10.1097/01445442-199311000-00017.

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22

Vavilala, Monica S., and Lynn G. Stansbury. "Pediatric trauma triage protocols: local context matters." Lancet Child & Adolescent Health 4, no. 4 (2020): 255–56. http://dx.doi.org/10.1016/s2352-4642(20)30025-0.

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23

Chia, Ching Yee, Shu Fen Ong, Lydia Liu Huan, et al. "Accuracy of THINK Center telephone triage in post-discharge patients: an observational study in real patients." International Journal of Integrated Care 23, S1 (2023): 404. http://dx.doi.org/10.5334/ijic.icic23493.

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Objective: Tele-health & Integrated Network (THINK) Centre is a telehealth centre which offers 24/7 urgent care hotline with telephone triage capabilities for post-discharge care and community support for patients discharged from Khoo Teck Puat Hospital (KTPH), Singapore. This study aims to assess the accuracy of THINK telephone triage in identifying the need for emergency care and also identify factors which affect triage accuracy. 
 Methods: A retrospective observational cohort study. 195 inbound calls to KTPH THINK Center teleservice between 1 January to 30 June 2022 were included.
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Herreros, Benjamin, Pablo Gella, and Diego Real de Asua. "Triage during the COVID-19 epidemic in Spain: better and worse ethical arguments." Journal of Medical Ethics 46, no. 7 (2020): 455–58. http://dx.doi.org/10.1136/medethics-2020-106352.

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The COVID-19 pandemic has generated an imbalance between the clinical needs of the population and the effective availability of advanced life support (ALS) resources. Triage protocols have thus become necessary. Triage decisions in situations of scarce resources were not extraordinary in the pre-COVID-19 era; these protocols abounded in the context of organ transplantation. However, this prior experience was not considered during the COVID-19 outbreak in Spain. Lacking national guidance or public coordination, each hospital has been forced to put forth independent and autonomous triage protoco
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Herreros, Benjamín, Pablo Gella, and de Asua D. Real. "Triage during the COVID-19 epidemic in Spain: better and worse ethical arguments." J Med Ethics 46, no. 7 (2020): 455–58. https://doi.org/10.1136/medethics-2020-106352.

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The COVID-19 pandemic has generated an imbalance between the clinical needs of the population and the effective availability of advanced life support (ALS) resources. Triage protocols have thus become necessary. Triage decisions in situations of scarce resources were not extraordinary in the pre-COVID-19 era; these protocols abounded in the context of organ transplantation. However, this prior experience was not considered during the COVID-19 outbreak in Spain. Lacking national guidance or public coordination, each hospital has been forced to put forth independent and autonomous triage protoco
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Salhanick, Steven D., William Sheahan, and Jeffrey J. Bazarian. "Use and Analysis of Field Triage Criteria for Mass Gatherings." Prehospital and Disaster Medicine 18, no. 4 (2003): 347–52. http://dx.doi.org/10.1017/s1049023x00001308.

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AbstractIntroduction:Mass 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).Hypothesis:Paramedics are capable of appropriately using triage criteria written specifically for a particular mass gathering. The
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Varma, Muralidhar, Robin Sudandiradas, Mauli Mahendra Patel, et al. "Challenges in COVID-19 Pandemic Triaging: An Indian and US Perspective." Emergency Care and Medicine 2, no. 2 (2025): 18. https://doi.org/10.3390/ecm2020018.

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Background/Objectives: The COVID-19 pandemic overwhelmed many health care facilities with patients, leading to an increased risk of potential transmission. Though the disease process was identical, the triaging system was unique at different sites, without a unified system for emergency department triaging globally. Proper implementation of pre-screening and triaging is of paramount importance in tertiary care settings to prevent nosocomial spread of infection. Methods: Each country has its own triage guidelines and Infection, Prevention, and Control policies developed by its health ministry a
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Choudhary, Abha, Soumya Adhikari, and Perrin C. White. "Implementation of After-Hours Nurse Line in an Academic Pediatric Endocrinology Practice." Pediatric Diabetes 2023 (September 11, 2023): 1–8. http://dx.doi.org/10.1155/2023/2550101.

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Background. After-hours triage of pediatric patients by trained nurses improves consistency of triage decisions, access, and quality of care, and decreases burden on physicians on-call. There is a lack of published experience with this approach in the pediatric diabetes population. Methods. An after-hours call service was established in September 2019 in our large urban pediatric teaching hospital. Barton Schmitt guidelines, which are widely accepted as the standard for telephone triage care, were modified to include institution specific diabetes management protocols. We analyzed demographics,
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Gellert, George A., Kacper Kuszczyński, Natalia Marcjasz, Jakub Jaszczak, Tim Price, and Piotr M. Orzechowski. "A comparative performance analysis of live clinical triage using rules-based triage protocols versus artificial intelligence-based automated virtual triage." Journal of Hospital Administration 13, no. 1 (2023): 8. http://dx.doi.org/10.5430/jha.v13n1p8.

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Objective: Compare the triage care referral accuracy of artificial intelligence (AI) based virtual triage (VT) to rules-based triage protocols (RBTP) live telephonic triage.Methods: Clinical vignettes were selected for a comparison of care referral accuracy of RBTPs with a widely utilized AI-based VT solution. Vignettes (149) included patient complaints, expected triage and urgency assessment. Triage levels were mapped to three triage categories (urgent care, non-emergent care and self-care). Each vignette was evaluated/completed using AI-based VT and RBTP triage modalities by a total of four
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Lvovschi, Virginie Eve, Karl Hermann, Frédéric Lapostolle, Luc-Marie Joly, and Marie-Pierre Tavolacci. "Bedside Evaluation of Early VAS/NRS Based Protocols for Intravenous Morphine in the Emergency Department: Reasons for Poor Follow-Up and Targeted Practices." Journal of Clinical Medicine 10, no. 21 (2021): 5089. http://dx.doi.org/10.3390/jcm10215089.

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Intravenous (IV) morphine protocols based on patient-reported scores, immediately at triage, are recommended for severe pain in Emergency Departments. However, a low follow-up is observed. Scarce data are available regarding bedside organization and pain etiologies to explain this phenomenon. The objective was the real-time observation of motivations and operational barriers leading to morphine avoidance. In a single French hospital, 164 adults with severe pain at triage were included in a cross-sectional study of the prevalence of IV morphine titration; caregivers were interviewed by real-tim
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Shcheparev, I. S., B. A. Teplykh, G. S. Kireeva, et al. "Evolution of Techniques and New Protocols for Lung Ultrasound Examination in COVID-19 Pneumonia Patients." General Reanimatology 19, no. 6 (2023): 39–47. http://dx.doi.org/10.15360/1813-9779-2023-6-39-47.

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Competent triage of patients with COVID-19 pneumonia is not only about efficient allocation of hospital resources, but also about making timely decisions that can ultimately save the patient's life. When healthcare facility is overloaded, computed tomography to assess the severity of COVID-19-associated pneumonia in each individual case is not always possible. Alternative solutions, however, are opted.The aim of the study was to develop Lung UltraSound (LUS) protocols with high diagnostic potential for assessing the severity of pneumonia caused by COVID-19, which can be reliably used instead of
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Baracat, Emílio Carlos Elias. "Triage and risk classification protocols in Pediatric emergency." Revista Paulista de Pediatria (English Edition) 34, no. 3 (2016): 249–50. http://dx.doi.org/10.1016/j.rppede.2016.06.005.

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Lake, Christopher K. "A day like no other: the Las Vegas mass shooting lessons from America’s largest mass casualty event." Trauma Surgery & Acute Care Open 10, Suppl 1 (2025): e001786. https://doi.org/10.1136/tsaco-2025-001786.

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The October 1, 2017, mass shooting at the Route 91 Harvest Festival in Las Vegas, Nevada, represented the largest mass casualty event in modern US history, fundamentally challenging traditional assumptions about hospital disaster response. This review analyzes critical aspects of the hospital response, with particular emphasis on throughput optimization, resource management, and adaptation of conventional trauma protocols. Through detailed examination of hospital responses across multiple facilities, this paper identifies three key paradigm shifts: (1) the primacy of patient throughput over tr
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Reynolds, Christopher W., Madison Horton, HaEun Lee, et al. "Acceptability of a Whatsapp Triage, Referral, and Transfer System for Obstetric Patients in Rural Liberia." Annals of Global Health 89, no. 1 (2023): 34. http://dx.doi.org/10.5334/aogh.4030.

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Background: Maternal mortality continues to disproportionately affect low- and middle-income countries, including Liberia. Though the relationship between obstetric triage systems and improved maternal outcomes is well documented, standardized triage protocols are lacking in rural Liberia. Mobile health interventions are a promising method to triage obstetric patients. Objectives: This study explores the acceptability of a WhatsApp Triage, Referral, and Transfer (WAT-RT) system among Liberian midwives and community health assistants. Methods: Individual interviews and focus group discussions w
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Jenkins, Jennifer Lee, Melissa L. McCarthy, Lauren M. Sauer, et al. "Mass-Casualty Triage: Time for an Evidence-Based Approach." Prehospital and Disaster Medicine 23, no. 1 (2008): 3–8. http://dx.doi.org/10.1017/s1049023x00005471.

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AbstractMass-casualty triage has developed from a wartime necessity to a civilian tool to ensure that constrained medical resources are directed at achieving the greatest good for the most number of people. Several primary and secondary triage tools have been developed, including Simple Treatment and Rapid Transport (START), JumpSTART, Care Flight Triage, Triage Sieve, Sacco Triage Method, Secondary Assessment of Victim Endpoint (SAVE), and Pediatric Triage Tape. Evidence to support the use of one triage algorithm over another is limited, and the development of effective triage protocols is an
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Mummaneni, Praveen V., John F. Burke, Andrew K. Chan, et al. "Consensus-based perioperative protocols during the COVID-19 pandemic." Journal of Neurosurgery: Spine 34, no. 1 (2021): 13–21. http://dx.doi.org/10.3171/2020.6.spine20777.

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OBJECTIVEDuring the COVID-19 pandemic, quaternary-care facilities continue to provide care for patients in need of urgent and emergent invasive procedures. Perioperative protocols are needed to streamline care for these patients notwithstanding capacity and resource constraints.METHODSA multidisciplinary panel was assembled at the University of California, San Francisco, with 26 leaders across 10 academic departments, including 7 department chairpersons, the chief medical officer, the chief operating officer, infection control officers, nursing leaders, and resident house staff champions. An e
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Greenacre, Matthew, and Katherine Fleshner. "Distributive justice in disaster triage." University of Western Ontario Medical Journal 86, no. 1 (2017): 35–37. http://dx.doi.org/10.5206/uwomj.v86i1.2162.

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Disasters that produce an overwhelming number of casualties demand that healthcare resources be rationed. Given the gravity of these decisions, it is imperative that they be guided by acceptable principles of distributive justice. Utilitarianism governs current disaster triage protocols because the efficient use of resources prevents the greatest amount of disability and mortality in the population. However, this conflicts with maximin egalitarianism, which demands that the most severely injured patients be prioritized even if it is not an efficient use of resources. Utilitarian triage also co
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DiBiasio, Eleanor L., Mahesh V. Jayaraman, Lori Oliver, et al. "Emergency medical systems education may improve knowledge of pre-hospital stroke triage protocols." Journal of NeuroInterventional Surgery 12, no. 4 (2018): 370–73. http://dx.doi.org/10.1136/neurintsurg-2018-014108.

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BackgroundFollowing the results of randomized clinical trials supporting the use of mechanical thrombectomy (MT) with tissue plasminogen activator for emergent large vessel occlusion (ELVO), our state Stroke Task Force convened to: update legislation to recognize differences between Primary Stroke Centers (PSCs) and Comprehensive Stroke Centers (CSCs); and update Emergency Medical Services (EMS) protocols to triage direct transport of suspected ELVO patients to CSCs.PurposeWe developed a single-session training curriculum for EMS personnel focused on the Los Angeles Motor Scale (LAMS) score, i
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Sakurai, Atsushi, Jun Oda, Takashi Muguruma, et al. "Revision of the Protocol of the Telephone Triage System in Tokyo, Japan." Emergency Medicine International 2021 (April 21, 2021): 1–6. http://dx.doi.org/10.1155/2021/8832192.

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Introduction. The Emergency Telephone Consultation Center in Tokyo (#7119) was the first telephone triage system in Japan and has operated since 2007. This study examined the revision of the #7119 protocol by referring the linked data to each code of the triage protocol. Methods. We selected candidates based on the medical codes targeted by the revision, linking data from the nurses’ decisions in triage and the patients’ condition severity when the ambulance arrived at the hospital, gathering data from June 1, 2016, to December 31, 2017. Then, several emergency physicians evaluated the cases a
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Lipsky, Ari M., Yoram Klein, Adi Givon, Moti Klein, Jeffrey S. Hammond, and Kobi Peleg. "Accuracy of Initial Critical Care Triage Decisions in Blast Versus Non-Blast Trauma." Disaster Medicine and Public Health Preparedness 8, no. 4 (2014): 326–32. http://dx.doi.org/10.1017/dmp.2014.47.

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ABSTRACTObjectiveWe investigated the accuracy of initial critical care triage in blast-injured versus non-blast-injured trauma patients, focusing on those inappropriately triaged to the intensive care unit (ICU) for brief (<16 h) stays.MethodsWe conducted a retrospective review of the Israel National Trauma Registry, applying a predetermined definition of need for initial ICU admission.ResultsA total of 883 blast-injured and 112 185 non-blast-injured patients were categorized according to their need for ICU admission. Of these admissions, 5.7% in the blast setting and 8.4% in the non-blast
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Kaposy, Chris, and Sarah Khraishi. "A relational analysis of pandemic critical care triage protocols." IJFAB: International Journal of Feminist Approaches to Bioethics 5, no. 1 (2012): 70–90. http://dx.doi.org/10.3138/ijfab.5.1.70.

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&NA;, Matthew Huei-Ming, Ellen J. MacKenzie, Richard Alcorta, and Gabor D. Kelen. "Compliance with Prehospital Triage Protocols for Major Trauma Patients." Journal of Trauma: Injury, Infection, and Critical Care 46, no. 1 (1999): 168–75. http://dx.doi.org/10.1097/00005373-199901000-00029.

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Myers, Laura C., Gabriel Escobar, and Vincent X. Liu. "Goldilocks, the Three Bears and Intensive Care Unit Utilization: Delivering Enough Intensive Care But Not Too Much. A Narrative Review." Pulmonary Therapy 6, no. 1 (2020): 23–33. http://dx.doi.org/10.1007/s41030-019-00107-3.

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AbstractProfessional societies have developed recommendations for patient triage protocols, but wide variations in triage patterns for many acute conditions exist among hospitals in the United States. Differences in hospitals’ triage patterns can be attributed to factors such as physician behavior, hospital policy and real-time conditions such as intensive care unit capacity. The patient safety concern is that patients evaluated for admission to the intensive care unit during times of high intensive care unit capacity may have adverse outcomes related to delays in care. Because standardization
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Molefi, Tsholofelo. "Development of an Accident and Emergency Triage Mobile App Using Open Data Kit." Iproceedings 5, no. 1 (2019): e15248. http://dx.doi.org/10.2196/15248.

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Background The process of triaging is performed as an effective solution to balance limited resources against high patient volumes, based on an assessment of the patient’s medical condition and the application of an established patient categorization protocol. In Princess Marina Hospital (PMH), a national referral government hospital in the capital city of Botswana, the Princess Marina Hospital Accident and Emergency Centre Triage Scale (PATS) has been in use since 2010. Because the rules of these triage scales are very well defined, these protocols have been shown to be amenable to translatio
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MUSHTAQ, S., H. SADDIQUE, SS TASNEEM, and R. JABEEN. "KNOWLEDGE AND PRACTICE OF EMERGENCY NURSES REGARDING TRIAGE." Biological and Clinical Sciences Research Journal 2024, no. 1 (2024): 1391. https://doi.org/10.54112/bcsrj.v2024i1.1391.

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Effective triage is essential for prioritizing patients and ensuring optimal resource allocation in emergency departments. Emergency nurses play a vital role in this process, yet gaps in their knowledge and practices can hinder patient outcomes: Objective: To assess the knowledge and practices of emergency nurses regarding triage in a tertiary care hospital in Lahore, Pakistan Methods: A descriptive cross-sectional study was conducted among 150 emergency nurses using a structured questionnaire. Data were analyzed using SPSS version 26, with results presented as frequencies and percentages. Res
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Jokšić-Mazinjanin, Radojka, Dragan Bjelić, Stefan Jakšić, and Goran Rakić. "Prehospital care of injured patients in a mass casualty incidents." ABC - casopis urgentne medicine 23, no. 1 (2023): 13–25. http://dx.doi.org/10.5937/abc2301013j.

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Mass accidents do not happen often, but when they do, they cause a significant disruption in the functioning of a society with a large number of casualties and an increased percentage of deaths among the injured. The aim of the work is to present the way of organization within the emergency medical aid service in the event of a mass accident. Numerous services are involved in caring for the injured, so their mutual cooperation is important, as is the functioning within each service. Depending on the type of event, the leader of the intervention should be from the service that is responsible fo
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Das, Sunil Kumar, and Sajal Twanabasu. "A story to tell or not, a glimpse of emergency setting in the low economic country: experience sharing and Review." Journal of General Practice and Emergency Medicine of Nepal 10, no. 15 (2023): 24–26. http://dx.doi.org/10.59284/jgpeman218.

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Delivering efficient emergency health care in low-income countries presents significant challenges due to various factors, including limited resources, inadequate infrastructure, and socio-economic barriers. This article explores the complexities associated with emergency care delivery in resource-limited settings. Issues such as pre-hospital care, triage, waiting times, out-of-pocket expenditures, and the implementation of international protocols with limited resources. The lack of access to well-equipped ambulances, trained personnel, and basic first aid knowledge contributes to the difficul
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Vinay, Rasita, Holger Baumann, and Nikola Biller-Andorno. "Ethics of ICU triage during COVID-19." British Medical Bulletin 138, no. 1 (2021): 5–15. http://dx.doi.org/10.1093/bmb/ldab009.

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Abstract Introduction The coronavirus disease 2019 pandemic has placed intensive care units (ICU) triage at the center of bioethical discussions. National and international triage guidelines emerged from professional and governmental bodies and have led to controversial discussions about which criteria—e.g. medical prognosis, age, life-expectancy or quality of life—are ethically acceptable. The paper presents the main points of agreement and disagreement in triage protocols and reviews the ethical debate surrounding them. Sources of data Published articles, news articles, book chapters, ICU tr
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McGrath, Alicia C., and Christine R. Macdonald. "Quality frameworks for telephone triage." Australian Health Review 32, no. 4 (2008): 786. http://dx.doi.org/10.1071/ah080786.

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The establishment of the Grampians After-Hours Service has led to the development of a quality framework for nurse telephone triage. The service providers believe this framework is the basis for the service?s success. While quality frameworks including critical evaluation and peer review are not new to the health industry, the development of organisational systems to improve quality in afterhours services is innovative. The framework developed is comprehensive, evidenced-based and emphasises training, protocols and documentation. It also involves a continuous and nonpunitive quality review pro
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Bruce, Lori, and Ruth Tallman. "Promoting racial equity in COVID-19 resource allocation." Journal of Medical Ethics 47, no. 4 (2021): 208–12. http://dx.doi.org/10.1136/medethics-2020-106794.

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Due to COVID-19’s strain on health systems across the globe, triage protocols determine how to allocate scarce medical resources with the worthy goal of maximising the number of lives saved. However, due to racial biases and long-standing health inequities, the common method of ranking patients based on impersonal numeric representations of their morbidity is associated with disproportionately pronounced racial disparities. In response, policymakers have issued statements of solidarity. However, translating support into responsive COVID-19 policy is rife with complexity. Triage does not easily
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