Triaging patients prior to the arrival of the mass casualty: Emergency Severity Index equivalency to SALT disaster triage.

Q3 Medicine

American journal of disaster medicine Pub Date : 2022-02-01 DOI:10.5055/ajdm.2022.0426

Bryan J Wexler, Barbara A Stahlman

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引用次数: 0

Abstract

Objective: To compare the Emergency Severity Index (ESI) and Sort Assess Life Saving Interventions Treatment and Transport (SALT) triage categories for an existing emergency department (ED) patient population.

Design: A prospective, cross-sectional study.

Setting: An academic-affiliated community teaching ED at a Level 1 Trauma Center.

Participants: All patients presenting to the ED over 2 nonconsecutive 24-hour weekdays.

Main outcome measures: The correlation between triage system classifications was assessed using the Spearman's rank correlation coefficient.

Results: 100 percent of ESI 5, 83.3 percent of ESI 4, and 70.4 percent of ESI 3 were categorized as Minimal under SALT. 70.8 percent of ESI 2 was categorized as Delayed, and 71.4 percent of ESI 1 designations correlated with Immediate. Spearman's rank correlation coefficient was 0.509 (p < 0.001).

Conclusion: This study results suggest that ESI moderately correlates with SALT, particularly in lower acuity patients. This result may inform future protocol development for rapid triage of existing ED populations prior to the arrival of patients from a mass casualty event.

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在大规模伤亡到来之前对患者进行分类:紧急程度指数等同于SALT灾难分类。

目的:比较现有急诊科(ED)患者群体的急诊严重程度指数(ESI)和Sort assessment救生干预治疗和转运(SALT)分类类别。设计:前瞻性横断面研究。环境:一个学术附属社区，在一级创伤中心教授ED。参与者:所有在非连续的2个24小时工作日内就诊的患者。主要结局指标:分诊系统分类之间的相关性采用Spearman等级相关系数进行评估。结果:100%的ESI 5, 83.3%的ESI 4和70.4%的ESI 3在SALT下被归类为最小。70.8%的ESI 2被归类为延迟型，71.4%的ESI 1被归类为即时型。Spearman等级相关系数为0.509 (p < 0.001)。结论:本研究结果提示ESI与SALT有中度相关性，特别是在低视力患者中。这一结果可能为未来的方案制定提供信息，以便在大规模伤亡事件患者到来之前对现有的急诊科人群进行快速分诊。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of disaster medicine Medicine-Medicine (all)

CiteScore

1.10

自引率

0.00%

发文量

期刊介绍： With the publication of the American Journal of Disaster Medicine, for the first time, comes real guidance in this new medical specialty from the country"s foremost experts in areas most physicians and medical professionals have never seen…a deadly cocktail of catastrophic events like blast wounds and post explosion injuries, biological weapons contamination and mass physical and psychological trauma that comes in the wake of natural disasters and disease outbreak. The journal has one goal: to provide physicians and medical professionals the essential informational tools they need as they seek to combine emergency medical and trauma skills with crisis management and new forms of triage.