A need for prehospital triage standardizing tool in mass casualty incidents

Amir Khorram-Manesh; Johan Nordling; Eric Carlström; Krzysztof Goniewicz; Roberto Faccincani; Frederick M. Burkle

doi:10.5114/hpc.2021.107782

eISSN: 2354-0265
ISSN: 2353-6942

Health Problems of Civilization Physical activity: diseases and issues recognized by the WHO

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4/2021
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LETTERS TO THE EDITOR

abstract:

Letter to the Editor

A need for prehospital triage standardizing tool in mass casualty incidents

Amir Khorram-Manesh

^{1, 2}

,

Johan Nordling

¹

,

Eric Carlström

^{3, 4}

,

Krzysztof Goniewicz

⁵

,

Roberto Faccincani

⁶

,

Frederick M. Burkle

⁷

Institute of Clinical Sciences, Department of Surgery, Sahlgrenska Academy, Gothenburg University, Sweden
Department of Development and Research, Armed Forces Center for Defense Medicine, Gothenburg, Sweden
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
USN School of Business, University of South-Eastern Norway, Kongsberg, Norway
Department of Security Studies, Military University of Aviation, Dęblin, Poland
Emergency Department, Humanitas Mater Domini, Castellanza, Italy
Harvard Humanitarian Initiative, T.H. Chan School of Public Health, Harvard University, Boston, the United States

Health Prob Civil. 2021; 15(4): 249-250

DOI: https://doi.org/10.5114/hpc.2021.107782

Online publish date: 2021/07/15

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There is no global consensus on the use of prehospital triage systems in mass casualty incidents [1,2]. However, most of the triage systems aim to cover four essential factors: speed, precision, fairness, and compatibility [3], of which the element of speed of decision-making is of importance, due to the large number of casualties that should be managed. Prehospital triage systems range from fast, crude algorithms and flowcharts to complex scoring systems requiring exact information on vital parameters, mechanisms of injury and available resources [1,2]. This heterogeneity constitutes a particular threat in the event of a Mass Casualty Incident (MCI) which often involves rescue personnel from different organizations or nationalities. There have been several attempts to achieve a global or national consensus in a number of cases without fruition due to a lack of actual research behind the origin or refinements of the various systems. When proposing a modern system for universal consideration there often has not been much more than anecdotal evidence to its efficacy, making it hard to choose one over the other [1-4].

keywords:

A need for prehospital triage standardizing tool in mass casualty incidents

Amir Khorram-Manesh 1, 2 , Johan Nordling 1 , Eric Carlström 3, 4 , Krzysztof Goniewicz 5 , Roberto Faccincani 6 , Frederick M. Burkle 7

prehospital care, triage, mass casualty incidents

Amir Khorram-Manesh

^{1, 2}

,

Johan Nordling

¹

,

Eric Carlström

^{3, 4}

,

Krzysztof Goniewicz

⁵

,

Roberto Faccincani

⁶

,

Frederick M. Burkle

⁷