Table 5

Weaknesses of the Manchester Triage System (MTS) regarding priority levels in emergency patients with septic illness

(a)Sensitivity and specificity of MTS in patients with sepsis, severe sepsis and severe sepsis with circulation dysfunction are moderate to adequate.
(b)There are no cut-off values for the two discriminators RR and BP in MTS.
(c)Discriminators for body temperature and HR are not congruent with the SIRS parameter values of the sepsis guidelines.
(d)MTS presentational flow charts like ‘limb problem’ consider SIRS criterions insufficiently.
(e)Body temperature is included in less than half of the MTS 50 presentational flow charts.
(f)HR is included in only eight presentational flow charts.