The significance of hospital triage in the context of trauma patients.

Abstract

Background: In the field of emergency medicine, the question of how to ensure that patients receive the care they require in a timely manner has been a topic of debate for approximately 30 years throughout Europe. This is due to the fact that, as a result of advances in medical science and technology, it is now possible to assess the criticality of a patient's condition with greater accuracy than was previously possible.

Case report: Authors analyzed a peculiar case occurred in a hospital in the South of Italy. A patient who had sustained multiple injuries underwent an understate in triage procedure, resulting in an unfavorable outcome. The assignment of a Code Red rather than a Code Blue would have resulted in the initiation of interventional care, including transfer to a hospital with the necessary resources for the subject's condition. This would have increased the likelihood of survival for the subject.

Discussion: As illustrated by the presented case, inaccurate triage estimation by nursing staff can have dire consequences, as subsequent control levels are contingent upon the initial triage code assigned to a patient. This exemplifies the necessity for a unified national consensus on triage procedures in emergency departments, irrespective of hospital size.

Conclusion: The subject matter is of significant national and international interest. A reformulation of the parameters governing access to emergency care would be necessary in order to significantly reduce the incidence of knowledge-based errors attributable to nurses who are sometimes compelled to work in conditions that are wholly unreliable3. The use of territorial structures located on the territory would be used to manage minor emergencies and appropriately treat patients in need of advanced care. It is possible to propose using local medicine to lessen the burden of emergency rooms, which are increasingly overcrowded with minor emergencies.