SynthesisAmerican journal of disaster medicine2014
A review of the literature on the validity of mass casualty triage systems with a focus on chemical exposures.
Synthesis in American journal of disaster medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A translational triage research development tool: standardizing prehospital triage decision-making systems in mass casualty incidents.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Pooled it
- Changing patterns in chemical terrorism 1970-2021.Frontiers in public health · 2025Article
- Assessment of earthquake casualties and comparison of accuracy of five injury triage methods: evidence from a retrospective study.BMJ open · 2021Article
- Simulated Mass Casualty Incident Triage Exercise for Training Medical Personnel.Journal of education & teaching in emergency medicine · 2020Article
- 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
- Mobile Decision Support Tool for Emergency Departments and Mass Casualty Incidents (EDIT): Initial Study.JMIR mHealth and uHealth · 2018Article
- Data Capture and Analysis of Signs and Symptoms in a Chemically Exposed Population.Journal of informatics nursing · 2018Article
- Validation of a novel irritant gas syndrome triage algorithm.American journal of disaster medicine · 2018Article
- Experiences of civilian nurses in triage during the Iran-Iraq War: An oral history.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 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
- Emergency imaging after a mass casualty incident: role of the radiology department during training for and activation of a disaster management plan.The British journal of radiology · 2016Review
- A validation study of 5 triage systems using data from the 2005 Graniteville, South Carolina, chlorine spill.Journal of emergency nursing · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
introductionMass casualty incidents (MCIs) include natural (eg, earthquake) or human (eg, terrorism or technical) events. They produce an imbalance between medical needs and resources necessitating the use of triage strategies. Triage of casualties must be performed accurately and efficiently if providers are to do the greatest good for the greatest number. There is limited research on the validation of triage system efficacy in determining the priority of care for victims of MCI, particularly those involving chemicals.
objectiveTo review the literature on the validation of current triage systems to assign on-site treatment status codes to victims of mass casualties, particularly those involving chemicals, using actual patient outcomes.
methodsThe focus of this article is a systematic review of the literature to describe the influences of MCIs, particularly those involving chemicals, on current triage systems related to the on-site assignment of treatment status codes to a victim and the validation of the assigned code using actual patient outcomes.
resultsThere is extensive literature published on triage systems used for MCI but only four articles used actual outcome data to validate mass casualty triage outcomes including three for chemical events. Currently, the amount and type of data collected are not consistent or standardized and definitions are not universal.
conclusionsCurrent literature does not provide needed evidence on the validity of triage systems for MCI in particular those involving chemicals. Well designed studies are needed to validate the reliability, sensitivity, and specificity of triage systems used for MCI including those involving chemicals.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.