Skip to main content

Field-Triage, Hospital-Triage and Triage-Assessment: A Literature Review of the Current Phases of Adult Trauma Triage.

Publication ,  Journal Article
Morris, RS; Karam, BS; Murphy, PB; Jenkins, P; Milia, DJ; Hemmila, MR; Haines, KL; Puzio, TJ; de Moya, MA; Tignanelli, CJ
Published in: J Trauma Acute Care Surg
June 1, 2021

Despite major improvements in the United States trauma system over the past two decades, prehospital trauma triage is a significant challenge. Undertriage is associated with increased mortality, and overtriage results in significant resource overuse. The American College of Surgeons Committee on Trauma benchmarks for undertriage and overtriage are not being met. Many barriers to appropriate field triage exist, including lack of a formal definition for major trauma, absence of a simple and widely applicable triage mode, and emergency medical service adherence to triage protocols. Modern trauma triage systems should ideally be based on the need for intervention rather than injury severity. Future studies should focus on identifying the ideal definition for major trauma and creating triage models that can be easily deployed. This narrative review article presents challenges and potential solutions for prehospital trauma triage.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Trauma Acute Care Surg

DOI

EISSN

2163-0763

Publication Date

June 1, 2021

Volume

90

Issue

6

Start / End Page

e138 / e145

Location

United States

Related Subject Headings

  • Wounds and Injuries
  • United States
  • Triage
  • Practice Guidelines as Topic
  • Injury Severity Score
  • Humans
  • Guideline Adherence
  • Emergency Medical Services
  • Emergency & Critical Care Medicine
  • 4205 Nursing
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Morris, R. S., Karam, B. S., Murphy, P. B., Jenkins, P., Milia, D. J., Hemmila, M. R., … Tignanelli, C. J. (2021). Field-Triage, Hospital-Triage and Triage-Assessment: A Literature Review of the Current Phases of Adult Trauma Triage. J Trauma Acute Care Surg, 90(6), e138–e145. https://doi.org/10.1097/TA.0000000000003125
Morris, Rachel S., Basil S. Karam, Patrick B. Murphy, Peter Jenkins, David J. Milia, Mark R. Hemmila, Krista L. Haines, Thaddeus J. Puzio, Marc A. de Moya, and Christopher J. Tignanelli. “Field-Triage, Hospital-Triage and Triage-Assessment: A Literature Review of the Current Phases of Adult Trauma Triage.J Trauma Acute Care Surg 90, no. 6 (June 1, 2021): e138–45. https://doi.org/10.1097/TA.0000000000003125.
Morris RS, Karam BS, Murphy PB, Jenkins P, Milia DJ, Hemmila MR, et al. Field-Triage, Hospital-Triage and Triage-Assessment: A Literature Review of the Current Phases of Adult Trauma Triage. J Trauma Acute Care Surg. 2021 Jun 1;90(6):e138–45.
Morris, Rachel S., et al. “Field-Triage, Hospital-Triage and Triage-Assessment: A Literature Review of the Current Phases of Adult Trauma Triage.J Trauma Acute Care Surg, vol. 90, no. 6, June 2021, pp. e138–45. Pubmed, doi:10.1097/TA.0000000000003125.
Morris RS, Karam BS, Murphy PB, Jenkins P, Milia DJ, Hemmila MR, Haines KL, Puzio TJ, de Moya MA, Tignanelli CJ. Field-Triage, Hospital-Triage and Triage-Assessment: A Literature Review of the Current Phases of Adult Trauma Triage. J Trauma Acute Care Surg. 2021 Jun 1;90(6):e138–e145.

Published In

J Trauma Acute Care Surg

DOI

EISSN

2163-0763

Publication Date

June 1, 2021

Volume

90

Issue

6

Start / End Page

e138 / e145

Location

United States

Related Subject Headings

  • Wounds and Injuries
  • United States
  • Triage
  • Practice Guidelines as Topic
  • Injury Severity Score
  • Humans
  • Guideline Adherence
  • Emergency Medical Services
  • Emergency & Critical Care Medicine
  • 4205 Nursing