![]() In 2006, the most recent revision of theĭecision Scheme was published by the ACS Committee on Trauma (ACS-COT) without an accompanying rationale Professionals, automotive industry representatives, and officials from federal agencies. Series of meetings of the National Expert Panel on Field Triage, which includes injury-care providers, public health In 2005, with support from the National Highway Traffic Safety Administration, CDC began facilitating revision of the Decision Scheme by hosting a This decision process is known as "field triage" and is based onĪ practice algorithm called a "decision scheme." The first Field Triage Decision Scheme was published by the AmericanĬollege of Surgeons (ACS) in 1986 ( 1,2), with subsequent updates in 1990, 1993, and 1999 To transport persons with different injury types and severities. Must identify those patients who are at greatest risk for severe injury and must determine the most appropriate facility to which This report describes the process and rationale used by the Expert Panel to reviseĪt the scene of any crash or other event involving traumatic injury, emergency medical services (EMS) providers Revised Decision Scheme was published in 2006. The Panel reviewed relevant literature, presented its findings, and reached consensus on necessary revisions. Triage, which includes injury-care providers, public health professionals, automotive industry representatives, and officials fromįederal agencies. In 2005, with support from the National Highway Traffic Safety Administration,ĬDC began facilitating revision of the Decision Scheme by hosting a series of meetings of the National Expert Panel on Field Since its initial publication in 1986, theĭecision Scheme has been revised four times. Guides EMS providers through four decision steps (physiologic, anatomic, mechanism of injury, and special considerations) toĭetermine the most appropriate destination facility within the local trauma care system. The basis for triage protocols for state and local EMS systems across the United States. In 1986, the American College of Surgeons developed the Field Triage Decision Scheme (Decision Scheme), which serves as The centers, have a negative impact on patient outcomes, and decrease cost effectiveness. Transferring all injured patients to Level I trauma centers might overburden Transported to a closer ED capable of managing milder injuries. Not all patients require the services of a Level I trauma center patients who are injured less severely might be served better by being The risk for death of a severely injured person is 25% lower if the patient receives care at a Level I trauma center. (centers providing initial trauma care and transfer to a higher level of trauma care if necessary) depending on the scope of resources and Such facilities, called "trauma centers," are classified from Level I (centers providing the highest level of trauma care) to Level IV Transport the patient through a process called "field triage." Although basic emergency services generally are consistent across hospitalĮmergency departments (EDs), certain hospitals have additional expertise, resources, and equipment for treating severely injured patients. At an injury scene,ĮMS providers determine the severity of injury, initiate medical management, and identify the most appropriate facility to which to In the United States, injury is the leading cause of death for persons aged 1-44 years, and the approximately 800,000Įmergency medical services (EMS) providers have a substantial impact on the care of injured persons and on public health. To view the erratum,ġ Division of Injury Response, National Center for Injury Prevention and Control, Atlanta, GeorgiaĢEmory University School of Medicine, Atlanta, GeorgiaģUniversity of Washington, Seattle, WashingtonĤStony Brook University, Stony Brook, New YorkĥUniversity of Michigan Health System, Ann Arbor, MichiganĦUniversity of Mississippi, Jackson, MississippiħColumbia University Medical Center Affiliation at Harlem Hospital, New York, New YorkĨUniversity of New Mexico Health Sciences Center, Albuquerque, New MexicoĩMedical College of Georgia, Augusta, GeorgiaĬorresponding preparer: Marlena Wald, MLS, MPH, Division of Injury Response, National Center for Injury Prevention and Control,ĬDC, 4770 Buford Highway, MS F-62, Atlanta, GA 30341-3717. Recommendations of the National Expert Panel on Field TriageĪn erratum has been published for this article. ![]() Guidelines for Field Triage of Injured Patients For assistance, please send e-mail to: Type 508 Accommodation and the title of the report in the subject line of e-mail. Persons using assistive technology might not be able to fully access information in this file.
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