RT Journal Article
SR Electronic
T1 The reality of multiple casualty triage: putting triage theory into practice at the scene of multiple casualty vehicular accidents
JF Emergency Medicine Journal
JO Emerg Med J
FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
SP 230
OP 234
DO 10.1136/emj.2007.047761
VO 25
IS 4
A1 P Arbon
A1 K Zeitz
A1 J Ranse
A1 H Wren
A1 R Elliott
A1 K Driscoll
YR 2008
UL http://emj.bmj.com/content/25/4/230.abstract
AB Objectives: The project investigated the experiences of ambulance paramedics in applying the principles and protocols of prehospital multiple casualty triage at the scene of motor vehicle accidents. Key objectives included investigation of the situational cues and other contextual factors influencing triage practice and the development of recommendations for the future education of ambulance paramedics.Methods: A triangulated approach was used incorporating demographic data, the use of focus groups and in-depth interviews. A thematic analysis was undertaken following the well established practices of human science research.Results and conclusions: The research describes an extended and broadened triage process returning to a more authentic definition of triage as the practice of sorting of casualties to determine priority. The findings highlight the need to consider triage as an extended and complex process that incorporates evidence based physiological cues to assist decision making and the management of the process of triage from call out to conclusion including assessment of contextual and situational variables.