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      Triage

      review-article
      Author(s): , MD, MSc, FRCPC
      Publication date (Electronic):
      Journal: Critical Care Clinics
      Publisher: Published by Elsevier Inc.
      Keywords: Triage, Mass casualty incident, Crisis response

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          This review provides an overview of triaging critically ill or injured patients during mass casualty incidents due to events such as disasters, pandemics, or terrorist incidents. Questions clinicians commonly have, including “what is triage?,” “when to triage?,” “what are the types of disaster triage?,” “how to triage?,” “what are the ethics of triage?,” “how to govern triage?,” and “what research is required on triage?,” are addressed.

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          Development of a triage protocol for critical care during an influenza pandemic.

          M. Christian, L Hawryluck, R. S. Wax … (2006)
          The recent outbreaks of avian influenza (H5N1) have placed a renewed emphasis on preparing for an influenza pandemic in humans. Of particular concern in this planning is the allocation of resources, such as ventilators and antiviral medications, which will likely become scarce during a pandemic. We applied a collaborative process using best evidence, expert panels, stakeholder consultations and ethical principles to develop a triage protocol for prioritizing access to critical care resources, including mechanical ventilation, during a pandemic. The triage protocol uses the Sequential Organ Failure Assessment score and has 4 main components: inclusion criteria, exclusion criteria, minimum qualifications for survival and a prioritization tool. This protocol is intended to provide guidance for making triage decisions during the initial days to weeks of an influenza pandemic if the critical care system becomes overwhelmed. Although we designed this protocol for use during an influenza pandemic, the triage protocol would apply to patients both with and without influenza, since all patients must share a single pool of critical care resources.
          Article 0 comments Cited 125 times – based on 0 reviews     Review now
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            Severe Acute Respiratory Syndrome

            Michael D Christian, Susan M Poutanen, Mona Loutfy … (2004)
            Abstract The first cases of severe acute respiratory syndrome (SARS) occurred in China in November 2002. The agent causing this illness has been identified as a novel coronavirus, SARS-coronavirus. Since its introduction <1 year ago, this virus has infected 8098 people in 26 countries, killing 774 of them. We present an overview of the epidemiology, clinical presentation, diagnosis, and treatment of SARS based on the current state of knowledge derived from published studies and our own personal experience.
            Article 0 comments Cited 120 times – based on 0 reviews     Review now
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              Triage in medicine, part I: Concept, history, and types.

              Kenneth V Iserson, John C Moskop (2007)
              This 2-article series offers a conceptual, historical, and moral analysis of the practice of triage. Part I distinguishes triage from related concepts, reviews the evolution of triage principles and practices, and describes the settings in which triage is commonly practiced. Part II identifies and examines the moral values and principles underlying the practice of triage.
              Article 0 comments Cited 105 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Michael D. Christian
                Journal
                Journal ID (nlm-ta): Crit Care Clin
                Journal ID (iso-abbrev): Crit Care Clin
                Title: Critical Care Clinics
                Publisher: Published by Elsevier Inc.
                ISSN (Print): 0749-0704
                ISSN (Electronic): 1557-8232
                Publication date PMC-release: 27 July 2019
                Publication date (Print): October 2019
                Publication date (Electronic): 27 July 2019
                Volume: 35
                Issue: 4
                Pages: 575-589
                Affiliations
                [1]London’s Air Ambulance, Bart’s Health NHS Trust, Helipad, Royal London Hospital, Whitechapel Road, Whitechapel, London E1 1BB, UK
                Article
                Publisher ID: S0749-0704(19)30048-X
                DOI: 10.1016/j.ccc.2019.06.009
                PMC ID: 7127292
                PubMed ID: 31445606
                SO-VID: d649fe1d-7bfc-4590-8a52-f1475a4e28d9
                Copyright © Crown Copyright © 2019 Published by Elsevier Inc. All rights reserved.
                License:

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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                Subject: Article

                Keywords: triage,mass casualty incident,crisis response
                Data availability:
                Keywords: triage, mass casualty incident, crisis response

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