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New NHS Prehospital Major Incident Triage Tool: from MIMMS to MITT
  1. James Vassallo1,
  2. Chris G Moran2,
  3. Philip Cowburn3,
  4. Jason Smith1,4
  1. 1Academic Department of Military Emergency Medicine, Royal Centre for Defence Medicine, Birmingham, UK
  2. 2Department of Orthopaedic Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK
  3. 3Emergency Department, Bristol Royal Infirmary, Bristol, UK
  4. 4Emergency Department, University Hospitals Plymouth NHS Trust, Plymouth, UK
  1. Correspondence to Dr James Vassallo, Academic Department of Military Emergency Medicine, Royal Centre for Defence Medicine, Birmingham B15 2WB, UK; jamie.vassallo{at}nhs.net

Abstract

Triage is a key principle in the effective management of major incidents and is the process by which patients are prioritised on the basis of their clinical acuity. However, work published over the last decade has demonstrated that existing methods of triage perform poorly when trying to identify patients in need of life-saving interventions. As a result, a review of major incident triage was initiated by NHS England with the remit to determine the optimum way in which to triage patients of all ages in a major incident for the UK. This article describes the output from this review, the changes being undertaken to UK major incident triage and the introduction of the new NHS Major Incident Triage Tool from the Spring of 2023.

  • triage
  • major incident
  • disaster planning

https://doi.org/10.1136/emermed-2022-212569

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    Footnotes

    • Handling editor Kirsty Challen

    • Twitter @jamievassallo

    • Contributors JV wrote the initial draft of the manuscript, PC, CGM and JES provided critical revisions to the manuscript. JV takes responsibility for the manuscript as a whole.

    • Funding The authors declare that no funding was received at any stage of the development of the MITT.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.