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START Triage

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1. Tiny Tip: START Triage Protocol RPM – 30 – 2 – Can Do

Tiny Tip: START Triage Protocol RPM – 30 – 2 – Can Do Tiny Tip: START Triage Protocol RPM – 30 – 2 – Can Do - CanadiEM Tiny Tip: START Triage Protocol RPM – 30 – 2 – Can Do In by Sarah Luckett-Gatopoulos September 7, 2018 If you’re like me, you appreciate the value of triage systems in emergency medicine and prehospital care but find it hard to remember the components of each. The START Triage (Simple Triage And Rapid Treatment) protocol was designed to quickly assess victims of mass casualty (...) perspective and a more in-depth look at the START system in post. References 1. Rosen P. Rosen’s Emergency Medicine . Elsevier; 2018. (Visited 2,237 times, 13 visits today) Sarah Luckett-Gatopoulos Senior Editor at Luckett is a resident at McMaster University. Interested in literacy, health advocacy, creative writing, and near-peer mentorship. - 1 day ago Latest posts by Sarah Luckett-Gatopoulos ( ) - September 7, 2018 - March 14, 2018 - August 18, 2017 Mark Woodcroft Mark is a family medicine resident

2018 CandiEM

2. METASTART: A Systematic Review and Meta-Analysis of the Diagnostic Accuracy of the Simple Triage and Rapid Treatment (START) Algorithm for Disaster Triage

METASTART: A Systematic Review and Meta-Analysis of the Diagnostic Accuracy of the Simple Triage and Rapid Treatment (START) Algorithm for Disaster Triage Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content

2020 PROSPERO

3. The Sydney triage to admission risk tool (START) to improve patient flow in an emergency department: a model of care implementation pilot study. Full Text available with Trip Pro

The Sydney triage to admission risk tool (START) to improve patient flow in an emergency department: a model of care implementation pilot study. The Sydney Triage to Admission Risk Tool (START) is a validated clinical analytics tool designed to estimate the probability of in-patient admission based on Emergency Department triage characteristics.This was a single centre pilot implementation study using a matched case control sample of patients assessed at ED triage. Patients in the intervention (...) group were identified at triage by the START tool as likely requiring in-patient admission and briefly assessed by an ED Consultant. Bed management were notified of these patients and their likely admitting team based on senior early assessment. Matched controls were identified on the same day of presentation if they were admitted to the same in-patient teams as patients in the intervention group and same START score category. Outcomes were ED length of stay and proportion of patients correctly

2019 BMC Emergency Medicine

4. The Sydney Triage to Admission Risk Tool (START): A prospective validation study. (Abstract)

The Sydney Triage to Admission Risk Tool (START): A prospective validation study. The present study aims to prospectively validate the Sydney Triage to Admission Risk Tool (START) to predict ED disposition.This was a prospective validation study at two metropolitan EDs in Sydney, Australia. Consecutive triage encounters were observed by a trained researcher and START scores calculated. The primary outcome was patient disposition (discharge or inpatient admission) from the ED. Multivariable (...) logistic regression was used to estimate area under curve of receiver operator characteristic (AUC ROC) for START scores as well as START score in combination with other variables such as frailty, general practitioner referral, overcrowding and major medical comorbidities.There were 894 patients analysed during the study period. The START score when applied to the data had AUC ROC of 0.80 (95% CI 0.77-0.83). The inclusion of other clinical variables identified at triage did not improve the overall

2018 Emergency medicine Australasia

5. Extending the Sydney Triage to Admission Risk Tool (START+) to predict discharges and short stay admissions. (Abstract)

Extending the Sydney Triage to Admission Risk Tool (START+) to predict discharges and short stay admissions. This study aims to validate previously reported triage tool titled Sydney Triage to Admission Risk Tool (START+) and investigate whether an extended version of the tool could be used to identify and stream appropriate short stay admissions to ED observation units or specialised short stay inpatient wards.This was a prospective study at two metropolitan EDs in Sydney, Australia (...) . Consecutive triage encounters were observed by a trained researcher and START scores calculated. The primary outcome was length of stay <48 hours. Multivariable logistic regression was used to estimate area under curve of receiver operator characteristic (AUROC) for START scores. The original START tool was then extended to include frailty and multiple or major comorbidities as additional variables to assess for further predictive accuracy.There were 894 patients analysed during the study period

2018 Emergency Medicine Journal

6. Advice on how to establish a remote ‘total triage’ model in general practice using online consultations

of care Support •System resilience •Training and trying it out Change •Change your appointment system, adapt your staff rota •Update website, telephone messages and other comms •Information governance Use •Go live •Monitoring 7 | How to implement total digital triage Start planning *Electronic frailty index guidance Practice planning •Rapidly set up a team with project management input to lead the change. •This group requires clinical oversight but should not need every decision to be ratified (...) to triage especially at peak times. The busiest part of the day for incoming OC requests is 8am to 10am, so triage must start early. Only follow up with emergencies in this time if possible. Update the practice website and telephone messages •Put a banner about OC prominently on the practice website (your supplier will help), explaining the change and linking to up-to-date advice on COVID-19. •Amend your automated telephone message – with a senior GP explaining the use of the online system. •Clearly

2020 Covid-19 Ad hoc guidelines

7. Comparison of the Simple Triage and Rapid Treatment system versus the Prehospital Advanced Triage Model in multiple-casualty events. (Abstract)

Comparison of the Simple Triage and Rapid Treatment system versus the Prehospital Advanced Triage Model in multiple-casualty events. . The main purpose of this simulation of a multiple-casualty event was to compare the performance of 2 triage methods: the Simple Triage and Rapid Treatment (START) system and the Prehospital Advanced Triage Model (META in its Spanish acronym). The secondary objectives were to analyze times, order of evacuations, and appropriateness of treatments.Cluster (...) quickly in the META arm (31 minutes and 36 seconds [8 minutes, 27 seconds]) than in the START arm (41 minutes and 6 seconds [10 minutes, 39 seconds]) (P=.024). Evacuation of the subgroup of patients requiring emergency surgery was also faster in the META arm (24 minutes and 12 seconds [4 minutes] than in the START arm (44 minutes and 49 seconds [8 minutes, 36 seconds]) (P=.001). Analysis of the order of evacuation under the 2 triage systems revealed that 14 of the first 19 patients evacuated required

2019 Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Controlled trial quality: uncertain

8. Clinical triage thresholds in respiratory disease patients in the event of a major surge during the COVID-19 pandemic

Clinical triage thresholds in respiratory disease patients in the event of a major surge during the COVID-19 pandemic 1 ‘In Press’. Submitted for publication in the CJRCCSM on May 11, 2020. ‘IN PRESS ’ POSITION STATEMENT FROM THE CANADIAN THORACIC SOCIETY (CTS) ON CLINICAL TRIAGE THRESHOLDS IN RESPIRATORY DISEASE PATIENTS IN THE EVENT OF A MAJOR SURGE DURING THE COVID-19 PANDEMIC Samir Gupta a , Jane Batt b , Jean Bourbeau c , Kenneth R. Chapman d , Andrea Gershon e , Nathan Hambly f , Paul (...) , Ontario Health recently introduced the “Clinical Triage Protocol for Major Surge in COVID Pandemic,” 8 which outlines an ethical clinical framework using morbidity-related criteria for consideration should ICU access be limited. Specifically, this document proposes three levels of surge planning, with progressively more strict exclusion criteria for ICU admission (and continued ICU care in those already receiving it), as follows: Level 1 – Patients with > 80% expected mortality in the 6-12 months

2020 Canadian Thoracic Society

9. NAPBC Recommendations for Prioritization, Treatment and Triage of Breast Cancer Patients During the COVID-19 Pandemic

NAPBC Recommendations for Prioritization, Treatment and Triage of Breast Cancer Patients During the COVID-19 Pandemic 1 Recommendations for Prioritization, Treatment and Triage of Breast Cancer Patients During the COVID-19 Pandemic. The COVID-19 Pandemic Breast Cancer Consortium: Representatives from the American Society of Breast Surgeons (ASBrS), the National Accreditation Program for Breast Centers (NAPBC), the National Comprehensive Care Network (NCCN), the Commission on Cancer (CoC (...) across all specialties. Additionally, we provide treatment recommendations for each of these patient scenarios. Priority A patients have conditions that are immediately life threatening or symptomatic requiring urgent treatment. Priority B patients have conditions that do not require immediate treatment but should start treatment before the pandemic is over. Priority C patients have conditions that can be safely deferred until the pandemic is over. The implementation of these recommendations

2020 American Society for Radiation Oncology

10. ACS Guidelines for Triage and Management of Elective Cancer Surgery Cases During the Acute and Recovery Phases of Coronavirus Disease 2019 (COVID-19) Pandemic

ACS Guidelines for Triage and Management of Elective Cancer Surgery Cases During the Acute and Recovery Phases of Coronavirus Disease 2019 (COVID-19) Pandemic ACS Guidelines for Triage and Management of Elective Cancer Surgery Cases During the Acute and Recovery Phases of Coronavirus Disease 2019 (COVID-19) Pandemic Developed by the leaders within the ACS Cancer Programs (American Joint Committee on Cancer [AJCC], Clinical Research Program [CRP], Commission on Cancer [COC], National (...) patients receive their care. Introduction When we drafted the first document for prioritizing cancer surgery in late March, the world had recorded 250,000 cases and 24,000 deaths from COVID-19, and elective surgery had just been banned, and so we shared our thoughts on how to triage cases during the acute phase of the pandemic. As we write this draft, three weeks later, the world has recorded 2 million cases and more than 100,000 deaths from COVID-19, with a few U.S. sites reporting a plateau of new

2020 American College of Surgeons

11. The Effect of Start Triage Education on Knowledge and Practice of Emergency Medical Technicians in Disasters Full Text available with Trip Pro

The Effect of Start Triage Education on Knowledge and Practice of Emergency Medical Technicians in Disasters Introduction: Pre-hospital triage is one of the most fundamental concepts in emergency management. Limited human resource changes triage to an inevitable solution in the management of disasters. The aim of this study was to evaluate the role of education of simple triage and rapid treatment (START) in the knowledge and practice of Emergency Medical Service (EMS) employees of Eastern (...) Azerbaijan. Methods: This is a pre-and post-intervention study conducted on two hundred and five (205) of employees of EMS sector, in the disaster and emergency management center of Eastern Azerbaijan Province, 2015. The utilized tool is a questionnaire of the knowledge and practice of individuals regarding START triage. The questionnaire was filled by the participants pre- and post-education; thereafter the data were analyzed using SPSS 13 software. Results: The total score of the participants increased

2017 Journal of caring sciences

12. Executive Summary: Criteria for Critical Care of Infants and Children: PICU Admission, Discharge, and Triage Practice Statement and Levels of Care Guidance

Executive Summary: Criteria for Critical Care of Infants and Children: PICU Admission, Discharge, and Triage Practice Statement and Levels of Care Guidance Executive Summary: Criteria for Critical Care of Infants and Children: PICU Admission, Discharge, and Triage Practice Statement and Levels of Care Guidance | From the American Academy of Pediatrics | Pediatrics '); document.write(''); } function OAS_AD(pos) { if (OAS_version >= 11 && typeof(OAS_RICH)!='undefined') { OAS_RICH(pos); } else (...) { OAS_NORMAL(pos); } } //--> Search for this keyword Source User menu Sections Sign up for highlighting editor-chosen studies with the greatest impact on clinical care. Executive Summary: Criteria for Critical Care of Infants and Children: PICU Admission, Discharge, and Triage Practice Statement and Levels of Care Guidance Benson S. Hsu , Vanessa Hill , Lorry R. Frankel , Timothy S. Yeh , Shari Simone , Marjorie J. Arca , Jorge A. Coss-Bu , Mary E. Fallat , Jason Foland , Samir Gadepalli , Michael O. Gayle

2019 American Academy of Pediatrics

13. Pediatric ICU Admission, Discharge, and Triage Practice Statement and Levels of Care Guidance

.0000000000001963 Special Article Free Objectives: To update the American Academy of Pediatrics and Society of Critical Care Medicine’s 2004 Guidelines and levels of care for PICU. Design: A task force was appointed by the American College of Critical Care Medicine to follow a standardized and systematic review of the literature using an evidence-based approach. The 2004 Admission , Discharge and Triage Guidelines served as the starting point, and searches in Medline (Ovid), Embase (Ovid), and PubMed resulted (...) Pediatric ICU Admission, Discharge, and Triage Practice Statement and Levels of Care Guidance Criteria for Critical Care Infants and Children: PICU Admiss... : Pediatric Critical Care Medicine ')} You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Login No user account? Lippincott Journals Subscribers , use your username or email along with your password to log in. Remember me on this computer or Register for a free account

2019 Society of Critical Care Medicine

14. START Triage

START Triage START Triage Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 START Triage START Triage Aka: START Triage , Simple Triage (...) and Rapid Treatment II. Indications (MCI) triage method III. Background START Triage system is the most commonly used (MCI) triage system in the United States Pediatric patients are best triaged with the protocol IV. Categories: Triage Minor (Green) Delayed care (may be delayed up to 3 hours) Avoid letting these patients overwhelm resources before arrival of the more seriously injured patients Examples s or abrasions Minor s or burns Delayed (Yellow) Urgent care (may be delayed up to 1 hour) Injuries

2018 FP Notebook

15. Glasgow Coma Scale for Field Triage of Trauma: A Systematic Review

Glasgow Coma Scale for Field Triage of Trauma: A Systematic Review Comparative Effectiveness Review Number 182 Glasgow Coma S for Field Triage of Trauma: A Syste cale matic Review eComparative Effectiveness Review Number 182 Glasgow Coma Scale for Field Triage of Trauma: A Systematic Review Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. 290-2015-00009-I Prepared by: Pacific (...) Web site at www.effectivehealthcare.ahrq.gov. Search on the title of the report. Persons using assistive technology may not be able to fully access information in this report. For assistance contact EffectiveHealthCare@ahrq.hhs.gov. Suggested citation: Chou R, Totten AM, Pappas M, Carney N, Dandy S, Grusing S, Fu R, Wasson N, Newgard C. Glasgow Coma Scale for Field Triage of Trauma: A Systematic Review. Comparative Effectiveness Review No.182. (Prepared by the Pacific Northwest Evidence-based

2017 Effective Health Care Program (AHRQ)

16. The Sydney Triage to Admission Risk Tool (START) to predict Emergency Department Disposition: A derivation and internal validation study using retrospective state-wide data from New South Wales, Australia. Full Text available with Trip Pro

The Sydney Triage to Admission Risk Tool (START) to predict Emergency Department Disposition: A derivation and internal validation study using retrospective state-wide data from New South Wales, Australia. Disposition decisions are critical to the functioning of Emergency Departments. The objectives of the present study were to derive and internally validate a prediction model for inpatient admission from the Emergency Department to assist with triage, patient flow and clinical decision (...) by ambulance, triage category, previous admission and presenting problem had an AUC of 0.82 (95% CI 0.81, 0.82).By deriving and internally validating a risk score model to predict the need for in-patient admission based on basic demographic and triage characteristics, patient flow in ED, clinical decision making and overall quality of care may be improved. Further studies are now required to establish clinical effectiveness of this risk score model.

2016 BMC Emergency Medicine

17. The day we started HPV triage. (Abstract)

The day we started HPV triage. Following the introduction of the triage test in cervical screening, which was designed to identify a subgroup who were at risk of underlying high-grade cervical intraepithelial neoplasia (CIN), there has been a significant change in the number and profile of cervical biopsies. In this study, analysis of the progressive change in diagnostic categories has been performed to identify the impact of the triage test on the service.Cases referred for colposcopy

2016 Journal of Clinical Pathology

18. Home Care for Cancer Patients During COVID-19 Pandemic: The Double Triage Protocol. Full Text available with Trip Pro

Home Care for Cancer Patients During COVID-19 Pandemic: The Double Triage Protocol. Patients with cancer have an increased risk of developing severe forms of coronavirus disease 2019, and patients with advanced cancer who are followed at home represent a particularly frail population. Although with substantial differences, the challenges that cancer care professionals have to face during a pandemic are quite similar to those posed by natural disasters. We have already managed the oncological (...) home care service in L'Aquila (middle Italy) after the 2009 earthquake. With this letter, we want to share the procedures and tools that we have started using at the home care service of the Tuscany Tumor Association during the coronavirus disease 2019 pandemic.Copyright © 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

2020 Journal of pain and symptom management

19. ICU Admission, Discharge, and Triage Guidelines Full Text available with Trip Pro

ICU Admission, Discharge, and Triage Guidelines ICU Admission, Discharge, and Triage Guidelines: A Framewor... : Critical Care Medicine You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Login No user account? Lippincott Journals Subscribers , use your username or email along with your password to log in. Remember me on this computer Register for a free account Registered users can save articles, searches, and manage email (...) > > ICU Admission, Discharge, and Triage Guidelines: A Framewor... Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Critical Care Medicine. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time. Article Tools Share this article on: Email

2016 Society of Critical Care Medicine

20. Self-triage for acute primary care via a smartphone application: Practical, safe and efficient? Full Text available with Trip Pro

Self-triage for acute primary care via a smartphone application: Practical, safe and efficient? Since the start of out-of-hours (OOH) primary care clinics, the number of patient consultations has been increasing. Triage plays an important role in patient selection for a consultation, and in providing reassurance and self-management advice.We aimed to investigate whether the smartphone application "Should I see a doctor?" (in Dutch:"moet ik naar de dokter?") could guide patients in appropriate (...) consultation at OOH clinics by focusing on four topics: 1) app usage, 2) user satisfaction, 3) whether the app provides the correct advice, and 4) whether users intend to follow the advice.A prospective, cross-sectional study amongst app users in a routine primary care setting.The app is a self-triage tool for acute primary care. A built-in questionnaire asked users about the app's clarity, their satisfaction and whether they intended to follow the app's advice (n = 4456). A convenience sample of users

2018 PLoS ONE

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