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A translational triage research development tool: standardizing prehospital triage decision-making systems in mass casualty incidents

机译:翻译分类研究开发工具:在大规模伤亡事件中标准化预霍普拉迪犯决策系统

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There is no global consensus on the use of prehospital triage system in mass casualty incidents. The purpose of this study was to evaluate the most commonly used pre-existing prehospital triage systems for the possibility of creating one universal translational triage tool. The Rapid Evidence Review consisted of (1) a systematic literature review (2) merging and content analysis of the studies focusing on similarities and differences between systems and (3) development of a universal system. There were 17 triage systems described in 31 eligible articles out of 797 identified initially. Seven of the systems met the predesignated criteria and were selected for further analysis. The criteria from the final seven systems were compiled, translated and counted for in means of 1/7’s. As a product, a universal system was created of the majority criteria. This study does not create a new triage system itself but rather identifies the possibility to convert various prehospital triage systems into one by using a triage translational tool. Future research should examine the tool and its different decision-making steps either by using simulations or by experts’ evaluation to ensure its feasibility in terms of speed, continuity, simplicity, sensitivity and specificity, before final evaluation at prehospital level.
机译:没有关于在大规模伤亡事件中使用预孢子分流系统的全球共识。本研究的目的是评估最常用的预先存在的预竞技分类系统,以便建立一个通用翻译分类工具。快速证据审查包括(1)系统文献综述(2)融合和内容分析,重点是系统与(3)普遍系统的发展与(3)的发展。在最初确定的797个符合条件的文章中有17个分类系统中描述的。七个系统达到预先注销的标准,并选择进一步分析。从最终七个系统的标准编制,翻译和计算,以1/7的方式计算。作为一种产品,普遍系统是创建了多数标准。本研究不会创建新的分类系统本身,而是通过使用分类转换工具来识别将各种预播出分类系统转换为一个的可能性。未来的研究应该通过使用模拟或专家评估来检查工具及其不同的决策步骤,以确保在前孢子率的最终评估之前,以确保其在速度,连续性,简单性,敏感度和特异性方面的可行性。

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