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Primary Trauma Triage Performed by Bystanders: An Observation Study

Published online by Cambridge University Press:  25 May 2016

Martin Nordberg ,
Maaret Castrén  and
Veronica Lindström
Martin Nordberg
Affiliation:
Karolinska Institutet, Department of Clinical Science and Education, Section of Emergency Medicine, Södersjukhuset, Stockholm, Sweden
Maaret Castrén
Affiliation:
Helsinki University Hospital, Department of Emergency Medicine and Services; Helsinki University, Finland & Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset, Section of Emergency Medicine, Stockholm, Sweden
Veronica Lindström*
Affiliation:
Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Nursing; Academic EMS, Stockholm, Sweden
*
Correspondence: Veronica Lindström, RN, PhD Karolinska Institutet Department of Neurobiology, Care Sciences and Society, Division of Nursing Alfred Nobels alle’ 23 141 83 Huddinge, Sweden E-mail: [email protected]
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Abstract

Objective

The aim of this study was to evaluate whether bystanders with no training in triage can correctly prioritize three injured patients by using a triage instrument.

Method

An observational study was conducted. Participants performed a primary triage on three paper-based patient cases and answered 11 questions during a public event in the center of Stockholm, Sweden.

Results

A total of 69 persons participated in the study. The success rate among all the participants for correct triage of the three patient cases was 52 percent. The female participants and younger participants (<55 years of age) performed correct triage to a greater extent. The over-triage was 12.5 percent and under-triage was 6.3 percent.

Conclusion

Participants with no prior knowledge of triage instruments may be capable of triaging injured patients with the help of an easy triage instrument. The over- and under-triage percentages were low, and this may indicate that the developed triage instrument is relatively easy to use. It may also indicate that bystanders can identify a severely injured patient.

NordbergM , CastrénM , LindströmV . Primary Trauma Triage Performed by Bystanders: An Observation Study. Prehosp Disaster Med.2016;31(4):353–357.

Keywords

ambulance servicebystandersEmergency Medical Servicesobservation studyprehospitaltriage
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 31 , Issue 4 , August 2016 , pp. 353 - 357
Copyright
© World Association for Disaster and Emergency Medicine 2016 

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References

1. Bauer, R, Steiner, M. Injuries in the European Union Statistics Summary 2005-2007. European Association for Injury Prevention and Safety Promotion 2009. www.eurosafe.eu.com. Accessed June 14, 2015.Google Scholar
2. Galvagno, SM, Thomas, S, Stephens, C, et al. Helicopter Emergency Medical Services for adults with major trauma. Cochrane Database Syst Rev. 2013:(3):Cd009228.Google Scholar
3. Butler, DP, Anwar, I, Willett, K. Is it the H or the EMS in HEMS that has an impact on trauma patient mortality? A systematic review of the evidence. Emerg Med J. 2010;27(9):692-701.CrossRefGoogle ScholarPubMed
4. Castren, M, Karlsten, R, Lippert, F, et al. Recommended guidelines for reporting on emergency medical dispatch when conducting research in emergency medicine: the Utstein style. Resuscitation. 2008;79(2):193-197.Google Scholar
5. Kuisma, M, Holmstrom, P, Repo, J, Maatta, T, Nousila-Wiik, M, Boyd, J. Prehospital mortality in an EMS system using medical priority dispatching: a community based cohort study. Resuscitation. 2004;61(3):297-302.CrossRefGoogle Scholar
6. Ringburg, AN, Frissen, IN, Spanjersberg, WR, Jel, GD, Frankema, SP, Schipper, I. Physician-staffed HEMS dispatch in the Netherlands: adequate deployment or minimal utilization? Air Med J. 2005;24(6):248-251.CrossRefGoogle ScholarPubMed
7. Lindstrom, V, Heikkila, K, Bohm, K, Castren, M, Falk, AC. Barriers and opportunities in assessing calls to Emergency Medical Communication Center - a qualitative study. Scand J Trauma Resusc Emerg Med. 2014;22(1):61.Google Scholar
8. Beillon, LM, Suserud, BO, Karlberg, I, Herlitz, J. Does ambulance use differ between geographic areas? A survey of ambulance use in sparsely and densely populated areas. Am J Emerg Med. 2009;27(2):202-211.Google Scholar
9. Buck, BH, Starkman, S, Eckstein, M, et al. Dispatcher recognition of stroke using the National Academy Medical Priority Dispatch System. Stroke. 2009;40(6):2027-2030.Google Scholar
10. Wahlberg, AC, Cedersund, E, Wredling, R. Factors and circumstances related to complaints in emergency medical dispatching in Sweden: an exploratory study. Eur J Emerg Med. 2003;10(4):272-278.CrossRefGoogle ScholarPubMed
11. Nordberg, P, Hollenberg, J, Herlitz, J, Rosenqvist, M, Svensson, L. Aspects on the increase in bystander CPR in Sweden and its association with outcome. Resuscitation. 2009;80(3):329-333.Google Scholar
12. City of Stockholm. Statistics and facts 2015. http://www.stockholm.se/OmStockholm/Fakta-och-kartor/. Accessed June 15, 2015.Google Scholar
13. Perez, N, Nissen, L, Nielsen, RF, Petersen, P, Biering, K. The predictive validity of RETTS-HEV as an acuity triage tool in the emergency department of a Danish Regional Hospital. Eur J Emerg Med. 2016;23(1):33-37.CrossRefGoogle ScholarPubMed
14. International Council of Nursing (ICN). The ICN code of ethics for nurses 2012. http://www.icn.ch/images/stories/documents/about/icncode_english.pdf. Accessed August 1, 2014.Google Scholar
15. Vetting the ethics of research involving humans. 2012. http://www.epn.se/en/start/startpage/. Accessed August 15, 2015.Google Scholar
16. Beard, M, Swain, A, Dunning, A, Baine, J, Burrowes, C. How effectively can young people perform dispatcher-instructed cardiopulmonary resuscitation without training? Resuscitation. 2015: 90138-90142.Google Scholar
17. Smith, DT, Snyder, A, Hollen, PJ, Anderson, JG, Caterino, JM. Analyzing the usability of the 5-level Canadian triage and acuity scale by paramedics in the prehospital environment. J Emerg Nurs. 2015;41(6):489-495.Google Scholar
18. Cone, DC, Schmidt, TA, Mann, NC, Brown, L. Developing research criteria to define medical necessity in Emergency Medical Services. Prehosp Emerg Care. 2004;8(2):116-125.Google ScholarPubMed
19. Sapp, RF, Brice, JH, Myers, JB, Hinchey, P. Triage performance of first-year medical students using a multiple-casualty scenario, paper exercise. Prehosp Disaster Med. 2010;25(3):239-245.Google Scholar