ArticleJournal of emergency nursing2014
A validation study of 5 triage systems using data from the 2005 Graniteville, South Carolina, chlorine spill.
Article in Journal of emergency nursing, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed.
- Brain Tumor Analysis Empowered with Deep Learning: A Review, Taxonomy, and Future Challenges.Brain sciences · 2020Review
- Designing and executing a functional exercise to test a novel informatics tool for mass casualty triage.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Real-Time Remote Health-Monitoring Systems in a Medical Centre: A Review of the Provision of Healthcare Services-Based Body Sensor Information, Open Challenges and Methodological Aspects.Journal of medical systems · 2018Review
- Mobile Decision Support Tool for Emergency Departments and Mass Casualty Incidents (EDIT): Initial Study.JMIR mHealth and uHealth · 2018Article
- Management of Multi-Casualty Incidents in Mountain Rescue: Evidence-Based Guidelines of the International Commission for Mountain Emergency Medicine (ICAR MEDCOM).High altitude medicine & biology · 2018Article
- Validation of a novel irritant gas syndrome triage algorithm.American journal of disaster medicine · 2018Article
- Data Capture and Analysis of Signs and Symptoms in a Chemically Exposed Population.Journal of informatics nursing · 2018Article
- Exposure of neonatal mice to bromine impairs their alveolar development and lung function.American journal of physiology. Lung cellular and molecular physiology · 2018Article
- Based Real Time Remote Health Monitoring Systems: A Review on Patients Prioritization and Related "Big Data" Using Body Sensors information and Communication Technology.Journal of medical systems · 2017Article
- Validating Signs and Symptoms From An Actual Mass Casualty Incident to Characterize An Irritant Gas Syndrome Agent (IGSA) Exposure: A First Step in The Development of a Novel IGSA Triage Algorithm.Journal of emergency nursing · 2017Article
- Differences in Practices Between Rural and Urban First Responders: Examining how First Responders Handle Irritant Gas Syndrome Agent (IGSA) Disasters in Rural Versus Urban Settings.Carolina fire rescue EMS journal · 2016Article
- Effectiveness of Distance Training Based on Simple Triage and Quick Treatment System (START) Triage System in Pre-Hospital Emergency.Journal of medical education and curricular developmentArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
introductionLack of outcomes-based research results in uncertainty about the effectiveness of any of the current triage systems in determining priority of care during actual chemical disasters. The purpose of this study was to determine whether the level of injury severity extrapolated from 5 triage systems correlated with actual injury severity outcomes of victims exposed to a chlorine disaster.
methodsUsing secondary data analysis, data for 631 victims were merged, de-identified, and analyzed. Using logic models from the triage systems, the actual injury severity was compared with the extrapolated injury severity classifications.
resultsAnalysis showed weak to modest correlations between the extrapolated injury severity triage outcome classifications and the actual injury severity outcomes (Spearman correlation range 0.38 to 0.71, P < .0001). There was slight to fair agreement between the extrapolated injury severity triage outcome classifications and the actual injury severity outcomes (weighted κ = - 0.23 to 0.42). DISCUSSION: The extrapolated injury severity triage outcome categories from the 5 triage systems did not agree with the actual injury severity categories. Oxygen saturation measured by pulse oximetry provides early indications and is very predictive of outcome severity in incidents involving irritant chemical exposures such as chlorine, and should be a part of a mass casualty protocol for any irritant chemical incident. Additional research is needed to identify the most sensitive clinical measures for triaging victims of toxic inhalation disasters.
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Registered trials
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