Evidence map›Paper›PMID 41866521›Full record

Observational studyScandinavian journal of trauma, resuscitation and emergency medicine2026

The Ten Second Triage Tool - a multi-disciplinary simulation-based field test to determine its speed, accuracy and practical on scene application.

Claire Louise Park, James Vassallo, Philip Cowburn, Sean Brayford-Harris, Bryony Louise Dunne, Christopher G Moran, Jason Edward Smith

Abstract readObservational Study
In one paragraph

Observational study in Scandinavian journal of trauma, resuscitation and emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Claire Louise ParkLondon's Air Ambulance, Barts Health NHS Trust, The Royal London Hospital, Whitechapel, London, E1 1FR, UK. Claire.park7@nhs.net.ORCID http://orcid.org/0000-0003-0175-4480
James VassalloAcademic Department of Military Emergency Medicine, Royal Centre for Defence Medicine (Research & Clinical Innovation), Birmingham, UK.ORCID http://orcid.org/0000-0001-9783-165X
Philip CowburnUniversity Hospitals Bristol & Weston NHS Foundation Trust, Upper Maudlin St , Bristol, UK.ORCID http://orcid.org/0000-0002-6983-2388
Sean Brayford-HarrisLondon Ambulance Service NHS Trust, London, UK.ORCID http://orcid.org/0000-0001-9054-1342
Bryony Louise DunneThe Institute of Pre-Hospital Care at London's Air Ambulance, London, UK.ORCID http://orcid.org/0009-0006-7877-4606
Christopher G MoranNHS England, London, UK.ORCID http://orcid.org/0009-0006-8886-8884
Jason Edward SmithAcademic Department of Military Emergency Medicine, Royal Centre for Defence Medicine (Research & Clinical Innovation), Birmingham, UK.ORCID http://orcid.org/0000-0002-6143-0421

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTriage at major incidents has traditionally relied on assessing physiology, and in the UK, this role has usually been performed by healthcare responders. However, recent major incidents have shown that this approach, particularly in the initial phases, may be inappropriate due to potential delays in the delivery of key life-saving interventions (LSIs).The Ten Second Triage (TST) tool has been developed to expedite the triage process and the delivery of key LSIs. The aim of this study was to determine the performance characteristics of the TST, including the time to deliver LSIs, in a simulated major incident setting, by both healthcare and non-healthcare responders.

methodsA prospective observational study was conducted as part of a simulated major incident exercise, incorporating a variety of trauma pathologies. Responders from all three emergency services - Police, Fire, and Ambulance - participated. Eight simulations were conducted, each involving ten responders and a team leader from the respective single service groups. The NHS Major Incident Triage Tool (MITT), the TST alone, and a combination of both were assessed. Quantitative assessments for each simulation included overall triage time, time to delivery of LSI, and accuracy of triage tool categorisation.

resultsUsing the TST alone, the mean overall triage time was 377 s (10.2 s per casualty). In comparison, the mean overall triage time of the MITT alone was 1500 s (40.5 s per casualty). However, when the MITT was applied following the TST, it was completed more quickly, with a mean time of 960 s (25.9 s per casualty). When the TST was used, we observed a clinically significant reduction in the time to deliver key LSIs (491 s) compared to the MITT (1377 s). Overall triage accuracy was comparable between TST (80.3%) and MITT (79.3%), and TST performance was similar between healthcare and non-healthcare responders.

conclusionThis simulation study demonstrated that the TST is a rapid and accurate early scene triage method that enables the timely delivery of key lifesaving interventions. It facilitates the administration of these LSIs faster than existing physiological triage methods. These findings support the NHS England endorsement of the TST.

Indexed as

Emergency Medical ServicesTriageHumansProspective StudiesTime FactorsUnited KingdomLife-saving interventionsMajor incidentPre-hospital careTriage

Identifiers

PMID41866521
PMCPMC13130538

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.