Abstract
IntroductionOver the last decade, a number of European cities including London, have witnessed high profile terrorist attacks resulting in major incidents with large numbers of casualties. Triage, the process of...
Highlights
Introduction The Modified Physiological TriageTool (MPTT) is a recently developed primary triage tool and in comparison with existing tools demonstrates the greatest sensitivity at predicting need for life-saving intervention (LSI) within both military and civilian populations
The increased threshold in respiratory rate (RR) in isolation was associated with an absolute reduction in sensitivity (TARN 11.4%, Joint Theatre Trauma Registry (JTTR) 13.5%) and an increase in specificity (TARN 8.9%, JTTR 13.8%)
An increase in OR and positive predictive value was observed when using a higher RR for both Trauma Audit Research Network (TARN) and JTTR
Summary
Introduction The Modified Physiological TriageTool (MPTT) is a recently developed primary triage tool and in comparison with existing tools demonstrates the greatest sensitivity at predicting need for life-saving intervention (LSI) within both military and civilian populations. Conclusions When compared with the existing MPTT, the MPTT-24 allows for a more rapid triage assessment Both continue to outperform existing methods of primary major incident triage and within the military setting, the slight increase in undertriage is offset by a reduction in overtriage. ►► Performance of the MPTT-24 is largely unchanged from the MPTT, and it clinically and statistically outperforms the existing UK Military Sieve at predicting the need for life-saving intervention. Secondary triage takes place in a more permissive environment, such as at a casualty clearing station or at the hospital entrance Unlike primary triage, it is a more thorough assessment of the patient, frequently performed by more experienced and senior clinicians. It allows for the refinement of the triage category allocated during the primary triage process prior to treatment or admission to hospital.[1]
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