Display Settings:

Format

Send to:

Choose Destination
We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Arch Dis Child. 2001 Sep;85(3):208-13.

Triage in the developing world--can it be done?

Author information

  • 1Department of Paediatrics, Queen Elizabeth Central Hospital, Blantyre, Malawi.

Abstract

AIM:

To assess guidelines for the emergency triage, assessment, and treatment (ETAT) of sick children presenting to hospitals in the developing world. This study pretested the guidelines in Malawi, assessing their performance when used by nurses compared to doctors trained in advanced paediatric life support (APLS).

METHODS:

Triage was performed simultaneously by a nurse and assessing doctor on 2281 children presenting to the under 5s clinic. Each patient was allocated one of three priorities, according to the ETAT guidelines. Any variation between nurse and assessor was recorded on the assessment forms.

RESULTS:

Nurses identified 92 children requiring emergency treatment and 661 with signs indicating a need for urgent medical assessment. One hundred and forty two (6.2%) had different priorities allocated by the APLS trained doctor, but these children did not tend to need subsequent admission. Eighty five per cent of admissions were prioritised to an emergency or urgent category.

CONCLUSION:

Although there are no gold standards for comparison the ETAT guidelines appear to reliably select out the majority of patients requiring admission.

PMID:
11517102
[PubMed - indexed for MEDLINE]
PMCID:
PMC1718916
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire Icon for PubMed Central
    Loading ...
    Write to the Help Desk