Evidence map›Paper›PMID 40619380›Full record

Observational studyBMC emergency medicine2025

A real-time communication and information system for triage, positioning, and documentation (TriPoD) in mass-casualty incidents: a qualitative observational study.

Veronica Lindström, Klara Jepsen, Sara Heldring, Torkel Kanfjäll, Monica Rådestad

Abstract readObservational Study
In one paragraph

Observational study in BMC emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Observational
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

5 authors.

Veronica LindströmDepartment of Nursing, Division of Ambulance Service Faculty of Medicine, Umeå University, Region Västerbotten, Umeå, 901 87, Sweden. veronica.lindstrom@umu.se.ORCID https://orcid.org/0000-0003-1386-3203
Klara JepsenDivision of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.ORCID http://orcid.org/0000-0002-8070-5726
Sara HeldringDepartment of Health Promoting Science, Sophiahemmet University, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-7334-9938
Torkel KanfjällSamariten Ambulans AB, Stockholm, Sweden.ORCID http://orcid.org/0009-0009-1346-6444
Monica RådestadDepartment of Clinical Science and Education, Karolinska Institutet, Södersjukhuset, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-3201-2252

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn mass-casualty incidents (MCIs), command centers often rely on oral or written reports, leading to communication gaps, misunderstandings, and inadequate logistics of available resources. This study developed a real-time communication and information system for Triage, Position, and Documentation (TriPoD) via action research in collaboration with end-users to ensure high usability. TriPoD integrates commercially available technology, utilizing a digital triage tag with a unique ID that attaches to each individual with an injury. Emergency medical service (EMS) providers scan the electronic triage tag (e-triage tag) via a mobile app, instantly sending data to command centers through a web portal. The developed TriPoD enables seamless sharing of patient information from the MCI scene during transport to and within hospitals.

aimThis study aimed to explore the usability of TriPoD during a simulated MCI with figurants.

methodsA qualitative observational design was employed, with non-participant observers stationed at the incident site, a regional command center, and a hospital command center. The observers compared TriPoD with standard procedures and management, and collected user perspectives on the system evaluated. A thematic analysis was used to guide the analysis.

resultsThe results revealed that command centers receive real-time updates on patient count, triage status, and location faster and with more accurate numbers of injuries than traditional methods do. Data transmitted through the web portal was updated each time a new patient was scanned, enabling continuous real-time monitoring and informed decision-making. EMS providers and command center users observed TriPoD usability, with delays when EMS providers did not consistently scan injured individuals.

conclusionThis study demonstrates that seamless information sharing from the scene of an MCI enhances reliable communication and management efforts. Although TriPoD shows strong potential for improving MCI response and management, further development, testing, and collaboration with intended end-users are essential for its continued improvement. The study was approved by the Swedish Ethical Review Authority (No: 2023-04615-01). International Registered Report Identifier (IRRID): PRR1- https://doi.org/10.2196/57819 . CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

DocumentationEmergency Medical ServicesMass Casualty IncidentsTriageHumansMobile ApplicationsQualitative ResearchCommand and controlCommunicationDecision support techniquesMass-causal incidentsSituational awarenessTriage

Identifiers

PMID40619380
PMCPMC12232746

What OpenQuestion holds

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Registered trials

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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.