Assignment: Triage Scheme in Disaster Emergency

Assignment: Triage Scheme in Disaster Emergency ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Assignment: Triage Scheme in Disaster Emergency I have to submit an annotation bibliography of 10 references within the upcoming two days. I should choose a topic about Triage scheme in disaster/Emergency management. Assignment: Triage Scheme in Disaster Emergency Use APA Style Choose credible sources (peer-reviewed) I attached some articles Attachment preview Accuracy of Prehospital Triage in Selecting Severely Injured Trauma Patients Frank J. Voskens, MD; Eveline A. J. van Rein, BSc; Rogier van der Sluijs, BSc; Roderick M. Houwert, MD, PhD; Robert Anton Lichtveld, MD, PhD; Egbert J. Verleisdonk, MD, PhD; Michiel Segers, MD; Ger van Olden, MD, PhD; Marcel Dijkgraaf, PhD; Luke P. H. Leenen, MD, PhD; Mark van Heijl, MD, PhD A dequate prehospital trauma triage of injured patients is imperative for optimal trauma care. In an inclusive trauma system, it is essential to transport patients with severe injuries to a level I trauma center and patients without severe injuries to lower-level hospitals. 1,2 Previous studies have clearly shown lower mortality rates in patients with severe injuries treated at a level I trauma center compared with patients treated at a lower-level hospitals.1-6 Management of care of the injured trauma patient on the scene of injury remains challenging, and situations can be chaotic. After a rapid trauma assessment of clinical and physiological parameters, emergency medical services (EMS) professionals must identify patients at risk for severe injury and select the proper destination. Prehospital triage protocols are used to help define the patient destination. However, triage of patients without evident abnormality and instability at presentation remains challenging given the limited facilities on scene. In the Netherlands, allocation of trauma patients to the appropriate level of trauma care is guided by the Dutch Field Triage Protocol (version 7.1, National Protocol of Ambulance Services),7 for EMS professionals (Figure 1). This protocol is based on the Field Triage Decision Scheme established by the American College of Surgeons Committee on Trauma (ACS-COT).8,9 Quality of prehospital triage can be determined by rates of undertriage and overtriage. Undertriage is defined as the proportion of patients with severe injuries not transported to a IMPORTANCE A major component of trauma care is adequate prehospital triage. To optimize the prehospital triage system, it is essential to gain insight in the quality of prehospital triage of the entire trauma system. OBJECTIVE To prospectively evaluate the quality of the field triage system to identify severely injured adult trauma patients. DESIGN, SETTING, AND PARTICIPANTS Prehospital and hospital data of all adult trauma patients during 2012 to 2014 transported with the highest priority by emergency medical services professionals to 10 hospitals in Central Netherlands were prospectively collected. Prehospital data collected by the emergency medical services professionals were matched to hospital data collected in the trauma registry. An Injury Severity Score of 16 or more was used to determine severe injury. MAIN OUTCOMES AND MEASURES The quality and diagnostic accuracy of the field triage protocol and compliance of emergency medical services professionals to the protocol. RESULTS A total of 4950 trauma patients were evaluated of which 436 (8.8%) patients were severely injured. The undertriage rate based on actual destination facility was 21.6% (95% CI, 18.0-25.7) with an overtriage rate of 30.6% (95% CI, 29.3-32.0). Analysis of the protocol itself, regardless of destination facility, resulted in an undertriage of 63.8% (95% CI, 59.2-68.1) and overtriage of 7.4% (95% CI, 6.7-8.2). The compliance to the field triage trauma protocol was 73% for patients with a level 1 indication. CONCLUSIONS AND RELEVANCE More than 20% of the patients with severe injuries were not transported to a level I trauma center. These patients are at risk for preventable morbidity and mortality. This finding indicates the need for improvement of the prehospital triage protocol. Assignment: Triage Scheme in Disaster Emergency accuracy_of_prehospital_triage_in_selecting.pdf comparing_the_air_medical_prehospital_triage_score_with_current_practice_for_triage_of_injured_patients_to_helicopter_emergency_medical_services.pdf head_to_head_comparison_o Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10