Usefulness of Our Proposed Format of Triage Tag
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Accession number;06A0519176
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| Title;Usefulness of Our Proposed Format of Triage Tag |
| Author;
IDOGUCHI KOJI
(Osaka Prefectural Senshu Critical Care Medical Center Lab., JPN)
MIZOBATA YASUMITSU
(Osaka City Univ.)
MATSUOKA TETSUYA
(Osaka Prefectural Senshu Critical Care Medical Center Lab., JPN)
MIZUSHIMA YASUAKI
(Osaka Prefectural Senshu Critical Care Medical Center Lab., JPN)
ISHIKAWA KAZUO
(Osaka Prefectural Senshu Critical Care Medical Center Lab., JPN)
YAMAMURA HITOSHI
(Osaka Prefectural Senshu Critical Care Medical Center Lab., JPN)
YOKOTA JUN'ICHIRO
(Sakai Municial Hospital, JPN)
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Journal Title;Journal of Japanese Association for Acute Medicine
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Journal Code:L1136A
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ISSN:0915-924X
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VOL.17;NO.5;PAGE.183-191(2006)
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| Figure&Table&Reference;FIG.5, TBL.1, REF.10 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;In Japan, the triage tag devised by the Fire and Disaster Management Agency (FDMA) is in general use countrywide. However, in a triage simulation practice, it was difficult for inexperienced personnel to record pertinent information owing to the tag's complicated format. Therefore, we proposed a new format tag, after attempting to standardize the triage method. We adopted a modified START (Simple Triage and Rapid Treatment) method for primary triage and a method based on "Evaluation of Emergencies and Severity of Injury and Standards for Hospital Selection" advocated by JATEC (Japan Advanced Trauma Evaluation and Care) and JPTEC (Japan Prehospital Trauma Evaluation and Care) for secondary triage. Procedures of the modified START method and standards of triage assessment are described clearly on the front of the new triage tag. The back has column in which physiologic evaluation, anatomic evaluation, and treatments can be described over time. Moreover, the standard by which a victim is considered a first priority is described. In the present study, we used our proposed format tag and the FDMA format tag in a triage simulation. We analyzed the information recorded and the frequency at which information was recorded, triage accuracy, and results of a questionnaire completed by participants after the simulation. The data were classified according to the triage tag that was used and compared statistically. The participants were 80 paramedical students. Prior to the simulation, we taught them the standardized method of triage. In primary triage, the reason for triage was recorded significantly more frequently on our proposed format tag than on the FDMA format tag. In secondary triage, vital signs and levels of consciousness were recorded significantly more frequently on our proposed format tag than on the FDMA format tag. Accuracy of primary triage with our proposed format tag was significantly higher than that with the FDMA format tag.... (author abst.) |
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