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Br J Anaesth. 2014 Aug;113(2):226-33. doi: 10.1093/bja/aeu231. Epub 2014 Jun 24.

Triaging the right patient to the right place in the shortest time.

Author information

1
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia Emergency & Trauma Centre, The Alfred Hospital, Melbourne, Australia National Trauma Research Institute, The Alfred Hospital, Melbourne, Australia Hamad Medical Corporation, Doha, Qatar peter.cameron@monash.edu.
2
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia College of Medicine, Swansea University, Swansea, UK.
3
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia Ambulance Victoria, Doncaster, Australia University of Western Australia, Perth, Australia.
4
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia Emergency & Trauma Centre, The Alfred Hospital, Melbourne, Australia National Trauma Research Institute, The Alfred Hospital, Melbourne, Australia.

Abstract

Trauma systems have been successful in saving lives and preventing disability. Making sure that the right patient gets the right treatment in the shortest possible time is integral to this success. Most trauma systems have not fully developed trauma triage to optimize outcomes. For trauma triage to be effective, there must be a well-developed pre-hospital system with an efficient dispatch system and adequately resourced ambulance system. Hospitals must have clear designations of the level of service provided and agreed protocols for reception of patients. The response within the hospital must be targeted to ensure the sickest patients get an immediate response. To enable the most appropriate response to trauma patients across the system, a well-developed monitoring programme must be in place to ensure constant refinement of the clinical response. This article gives a brief overview of the current approach to triaging trauma from time of dispatch to definitive treatment.

KEYWORDS:

triage; wounds and injuries

PMID:
24961786
DOI:
10.1093/bja/aeu231
[Indexed for MEDLINE]
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