Developing a translational triage research tool: part two—evaluating the tool through a Delphi study among experts
Abstract Background There are different prehospital triage systems, but no consensus on what constitutes the optimal choice. This heterogeneity constitutes a threat in a mass casualty incident in which triage is used during multiagency collaboration to prioritize casualties according to the injuries...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-07-01
|
| Series: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13049-022-01035-z |
| _version_ | 1811222153284026368 |
|---|---|
| author | Amir Khorram-Manesh Frederick M. Burkle Johan Nordling Krzysztof Goniewicz Roberto Faccincani Carl Magnusson Bina Merzaai Amila Ratnayake Eric Carlström |
| author_facet | Amir Khorram-Manesh Frederick M. Burkle Johan Nordling Krzysztof Goniewicz Roberto Faccincani Carl Magnusson Bina Merzaai Amila Ratnayake Eric Carlström |
| author_sort | Amir Khorram-Manesh |
| collection | DOAJ |
| description | Abstract Background There are different prehospital triage systems, but no consensus on what constitutes the optimal choice. This heterogeneity constitutes a threat in a mass casualty incident in which triage is used during multiagency collaboration to prioritize casualties according to the injuries’ severity. A previous study has confirmed the feasibility of using a Translational Triage Tool consisting of several steps which translate primary prehospital triage systems into one. This study aims to evaluate and verify the proposed algorithm using a panel of experts who in their careers have demonstrated proficiency in triage management through research, experience, education, and practice. Method Several statements were obtained from earlier reports and were presented to the expert panel in two rounds of a Delphi study. Results There was a consensus in all provided statements, and for the first time, the panel of experts also proposed the manageable number of critical victims per healthcare provider appropriate for proper triage management. Conclusion The feasibility of the proposed algorithm was confirmed by experts with some minor modifications. The utility of the translational triage tool needs to be evaluated using authentic patient cards used in simulation exercises before being used in actual triage scenarios. |
| first_indexed | 2024-04-12T08:11:33Z |
| format | Article |
| id | doaj.art-c9d7e7fb6d5f4ff8b91f265cdd1c345e |
| institution | Directory Open Access Journal |
| issn | 1757-7241 |
| language | English |
| last_indexed | 2024-04-12T08:11:33Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| spelling | doaj.art-c9d7e7fb6d5f4ff8b91f265cdd1c345e2022-12-22T03:40:58ZengBMCScandinavian Journal of Trauma, Resuscitation and Emergency Medicine1757-72412022-07-0130111210.1186/s13049-022-01035-zDeveloping a translational triage research tool: part two—evaluating the tool through a Delphi study among expertsAmir Khorram-Manesh0Frederick M. Burkle1Johan Nordling2Krzysztof Goniewicz3Roberto Faccincani4Carl Magnusson5Bina Merzaai6Amila Ratnayake7Eric Carlström8Institute of Clinical Sciences, Department of Surgery, Sahlgrenska Academy, Gothenburg UniversityWoodrow Wilson International Center for ScholarsGothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska AcademyDepartment of Aviation Security, Military University of AviationEmergency Department, Humanitas Mater DominiGothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska AcademyGothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska AcademyArmy HospitalGothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska AcademyAbstract Background There are different prehospital triage systems, but no consensus on what constitutes the optimal choice. This heterogeneity constitutes a threat in a mass casualty incident in which triage is used during multiagency collaboration to prioritize casualties according to the injuries’ severity. A previous study has confirmed the feasibility of using a Translational Triage Tool consisting of several steps which translate primary prehospital triage systems into one. This study aims to evaluate and verify the proposed algorithm using a panel of experts who in their careers have demonstrated proficiency in triage management through research, experience, education, and practice. Method Several statements were obtained from earlier reports and were presented to the expert panel in two rounds of a Delphi study. Results There was a consensus in all provided statements, and for the first time, the panel of experts also proposed the manageable number of critical victims per healthcare provider appropriate for proper triage management. Conclusion The feasibility of the proposed algorithm was confirmed by experts with some minor modifications. The utility of the translational triage tool needs to be evaluated using authentic patient cards used in simulation exercises before being used in actual triage scenarios.https://doi.org/10.1186/s13049-022-01035-zDisastersMass casualty incidentPrimary triageTranslational tool |
| spellingShingle | Amir Khorram-Manesh Frederick M. Burkle Johan Nordling Krzysztof Goniewicz Roberto Faccincani Carl Magnusson Bina Merzaai Amila Ratnayake Eric Carlström Developing a translational triage research tool: part two—evaluating the tool through a Delphi study among experts Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Disasters Mass casualty incident Primary triage Translational tool |
| title | Developing a translational triage research tool: part two—evaluating the tool through a Delphi study among experts |
| title_full | Developing a translational triage research tool: part two—evaluating the tool through a Delphi study among experts |
| title_fullStr | Developing a translational triage research tool: part two—evaluating the tool through a Delphi study among experts |
| title_full_unstemmed | Developing a translational triage research tool: part two—evaluating the tool through a Delphi study among experts |
| title_short | Developing a translational triage research tool: part two—evaluating the tool through a Delphi study among experts |
| title_sort | developing a translational triage research tool part two evaluating the tool through a delphi study among experts |
| topic | Disasters Mass casualty incident Primary triage Translational tool |
| url | https://doi.org/10.1186/s13049-022-01035-z |
| work_keys_str_mv | AT amirkhorrammanesh developingatranslationaltriageresearchtoolparttwoevaluatingthetoolthroughadelphistudyamongexperts AT frederickmburkle developingatranslationaltriageresearchtoolparttwoevaluatingthetoolthroughadelphistudyamongexperts AT johannordling developingatranslationaltriageresearchtoolparttwoevaluatingthetoolthroughadelphistudyamongexperts AT krzysztofgoniewicz developingatranslationaltriageresearchtoolparttwoevaluatingthetoolthroughadelphistudyamongexperts AT robertofaccincani developingatranslationaltriageresearchtoolparttwoevaluatingthetoolthroughadelphistudyamongexperts AT carlmagnusson developingatranslationaltriageresearchtoolparttwoevaluatingthetoolthroughadelphistudyamongexperts AT binamerzaai developingatranslationaltriageresearchtoolparttwoevaluatingthetoolthroughadelphistudyamongexperts AT amilaratnayake developingatranslationaltriageresearchtoolparttwoevaluatingthetoolthroughadelphistudyamongexperts AT ericcarlstrom developingatranslationaltriageresearchtoolparttwoevaluatingthetoolthroughadelphistudyamongexperts |