Evidence map›Paper›PMID 34645418›Full record

ArticleBMC emergency medicine2021

Fair prioritization of casualties in disaster triage: a qualitative study.

Vahid Ghanbari, Ali Ardalan, Armin Zareiyan, Amir Nejati, Dan Hanfling, Alireza Bagheri, Leili Rostamnia

Abstract read
In one paragraph

Article in BMC emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Vahid GhanbariEmergency Nursing Department, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Ali ArdalanHealth in Disaster and Emergencies Department, School of Public Health, Tehran University of Medical Sciences, Avecina Ave, Keshavarz Boulevard, Tehran, Iran.
Armin ZareiyanHealth in Disaster and Emergencies Department, School of Nursing, AJA University of Medical Sciences, Ehtemadzadeh st, West Fatemi St, Tehran, Iran. a.zareian@ajaums.ac.ir.
Amir NejatiDepartment of Emergency Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Dan HanflingClinical Professor of Emergency Medicine, George Washington University, Washington, DC, USA.
Alireza BagheriCenter for Medical Ethics and History of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Leili RostamniaNursing Department, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisasters may result in mass casualties and an imbalance between health care demands and supplies. This imbalance necessitates the prioritization of the victims based on the severity of their condition. Contributing factors and their effect on decision-making is a challenging issue in disaster triage. The present study seeks to address criteria for ethical decision-making in the prioritization of patients in disaster triage.

methodsThis conventional content analysis study was conducted in 2017. Subjects were selected from among Iranian experts using purposeful and snowball sampling methods. Data were collected using semi-structured interviews and were analyzed by the content analysis.

resultsEfficient and effective triage and priority-oriented triage were the main categories. These categories summarized a number of medical and nonmedical factors that should be considered in the prioritization of the victims in disaster triage.

conclusionA combination of measures should be considered to maximize the benefits of the prioritization of causalities in disasters. None of these measures alone would suffice to explain all aspects of ethical decision-making in disaster triage. Further investigations are needed to elaborate on these criteria in decision-making.

Indexed as

Disaster PlanningMass Casualty IncidentsDelivery of Health CareHumansIranTriageDecision-makingDisasterMedical ethicsPriority settingTriage

Identifiers

PMID34645418
PMCPMC8513386

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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.