The trauma triage rule: A new, resource-based approach to the prehospital identification of major trauma victims
✍ Scribed by William G Baxt; Gene Jones; Dale Fortlage
- Publisher
- Elsevier Science
- Year
- 1990
- Tongue
- English
- Weight
- 618 KB
- Volume
- 19
- Category
- Article
- ISSN
- 1097-6760
No coin nor oath required. For personal study only.
✦ Synopsis
Study objective: To develop a new trauma decision rule. Design: Retrospective clinical review. Setting: Level ! trauma center. Type of participants: 1,004 injured adults. Measurements and main results: A new trauma decision rule was de~ rived from 1,004 injured adult patients using a new operational definition of major trauma. The rule, termed the Trauma Triage Rule, defines a major trauma victim as any injured adult patient whose systolic blood pressure is less than 85 mm Hg; whose motor component of the Glasgow Coma Score is less than 5; or who has sustained penetrating trauma of the head, neck, or trunk. Using the operational definition of major trauma, the rule had a sensitivity of 92% and a specificity of 92% w.hen tested on the 1,O04-patient cohort.
Conclusion:
The Trauma Triage Rule may significantly reduce overtriage while only minimally increasing undertriage. This approach must be validated prospectively before it can be used in the prehospital setting.