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

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

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

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

4. The Effect of Start Triage Education on Knowledge and Practice of Emergency Medical Technicians in Disasters (PubMed)

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

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2017 Journal of caring sciences

5. 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

6. 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

7. 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. (PubMed)

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.

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2016 BMC Emergency Medicine

8. 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

9. The day we started HPV triage. (PubMed)

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

10. 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)

11. ICU Admission, Discharge, and Triage Guidelines

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

12. This ECG, recorded in triage, was shown to me immediately, with no other info.....

This ECG, recorded in triage, was shown to me immediately, with no other info..... Dr. Smith's ECG Blog: This ECG, recorded in triage, was shown to me immediately, with no other info Sunday, October 14, 2018 This ECG, recorded in triage, was shown to me immediately, with no other info What do you think? Computer read is: "Moderate ST depression" I said: "Inferior OMI (Occlusion Myocardial Infarction - ). Activate the cath lab." also saw this immediately and that is why she showed it to me (...) ( 10/14/2018 ): ----------------------------------------------------------- Important blog post by Dr. Smith — which provides instant support of his , in which we highlighted the importance of the Triage ECG interpreted by a capable clinician skilled in ECG interpretation ( despite several published papers to the contrary ). I focus my comments here on some additional fine points confirming why the initial ECG in this case ( recorded in triage ) — is definitive for OMI ( Figure-1 ): Figure-1

2018 Dr Smith's ECG Blog

13. You're busy at triage and another ECG is flashed before your eyes.....

You're busy at triage and another ECG is flashed before your eyes..... Dr. Smith's ECG Blog: You're busy at triage and another ECG is flashed before your eyes Friday, May 26, 2017 from on . Here is the computer read: MODERATE T-WAVE ABNORMALITY, CONSIDER LATERAL ISCHEMIA ABNORMAL ECG You are working in triage where there are 30 patients vying for your attention and more coming in every minute. The nursing assistant hands you an ECG every few minutes, wanting to know if the patient needs (...) emergency placement. She flashes the one above before your eyes. What is your immediate impression? The triage emergency physician saw the lateral T-wave inversions and told the assistant that there was no STEMI and to have the patient wait for the next available bed. Here is the ECG again: There is subtle ST Elevation in leads III and aVF, with reciprocal ST depression in aVL This is diagnostic of inferior MI There is very low voltage in the limb leads, so the ST segments are proportionally very

2017 Dr Smith's ECG Blog

14. TRIAGE: TRIage of Sepsis At emerGency dEpartment

: TRIAGE: TRIage of Sepsis At emerGency dEpartment Study Start Date : April 2015 Actual Primary Completion Date : January 2018 Actual Study Completion Date : March 2018 Resource links provided by the National Library of Medicine related topics: Groups and Cohorts Go to Outcome Measures Go to Primary Outcome Measures : patient worsening within a time frame of 72h,change, from day of inclusion, in Sequential Organ Failure Assessment score (SOFA) and/or sepsis classification [ Time Frame: Up to 72 hours (...) TRIAGE: TRIage of Sepsis At emerGency dEpartment TRIAGE: TRIage of Sepsis At emerGency dEpartment - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. TRIAGE: TRIage of Sepsis At emerGency dEpartment (TRIAGE

2016 Clinical Trials

15. Self-triage for acute primary care via a smartphone application: Practical, safe and efficient? (PubMed)

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

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2018 PLoS ONE

16. Kamal R Mahtani on telephone triage: The scale-up of innovations must have a robust evidence base

Kamal R Mahtani on telephone triage: The scale-up of innovations must have a robust evidence base Kamal R Mahtani on telephone triage: The scale-up of innovations must have a robust evidence base - The BMJ ---> Telephone triage has been hailed as a way to let GPs work smarter, not harder, but is its widespread diffusion justified? As clinical workloads rise and patients wait longer to see fewer GPs, it’s clear that we need new strategies to meet the present and future needs of primary care. NHS (...) England has described 10 high impact actions as a means to “ .” Every GP practice implement at least two of these actions by March 2019. This may include developing new consultation types: for example, s, which, it’s said, has the potential to free up GPs’ time from face to face consultations and to triage patients. suggest that about two thirds of practices now offer some form of telephone consultation. But is it the universal panacea to improve workload it’s made out to be? The evidence suggests

2018 The BMJ Blog

17. Prediction of emergency department patient disposition based on natural language processing of triage notes. (PubMed)

Prediction of emergency department patient disposition based on natural language processing of triage notes. Nursing triage documentation is the first free-form text data created at the start of an emergency department (ED) visit. These 1-3 unstructured sentences reflect the clinical impression of an experienced nurse and are key in gauging a patient's illness. We aimed to predict final ED disposition using three commonly-employed natural language processing (NLP) techniques of nursing triage (...) notes in isolation from other data.We constructed a retrospective cohort of all 260,842 consecutive ED encounters in 2015-16, from three clinically heterogeneous academically-affiliated EDs. After exclusion of 3964 encounters based on completeness of triage, and disposition data, we included 256,878 encounters. We defined the outcome as: 1) admission, transfer, or in-ED death [68,092 encounters] vs. 2) discharge, "left without being seen," and "left against medical advice" [188,786 encounters

2019 International journal of medical informatics

18. Using an evidence-based triage algorithm to reduce 90-day mortality after primary debulking surgery for advanced epithelial ovarian cancer. (PubMed)

Using an evidence-based triage algorithm to reduce 90-day mortality after primary debulking surgery for advanced epithelial ovarian cancer. To evaluate the impact of an evidence-based triage algorithm to decide between primary debulking surgery (PDS) and neoadjuvant chemotherapy followed by interval debulking surgery (NACT/IDS) for advanced epithelial ovarian cancer (EOC).Surgical morbidity and mortality (M/M) after PDS for stage IIIC-IV EOC at Mayo Clinic after implementation of the triage (...) rates decreased from 28.3% in the historic cohort to 2.4% in the contemporary cohort (P < 0.001) suggesting patients were better able to tolerate complex surgery. When compared to the historic PDS cohort, oncologic outcomes were also improved in the contemporary PDS cohort. Complete as well as optimal (residual disease ≤1 cm) cytoreduction rates increased (45.5% vs. 62.5% and 84.5% vs. 95.3%, respectively, P < 0.001), and the proportion of women starting chemotherapy within 42 days of surgery

2019 Gynecologic Oncology

19. Comparing the Accuracy of Mass Casualty Triage Systems When Used in an Adult Population. (PubMed)

Comparing the Accuracy of Mass Casualty Triage Systems When Used in an Adult Population. Objective: To use a previously published criterion standard to compare the accuracy of 4 different mass casualty triage systems (Sort, Assess, Lifesaving Interventions, Treatment/Transport [SALT], Simple Triage and Rapid Treatment [START], Triage Sieve, and CareFlight) when used in an emergency department-based adult population. Methods: We performed a prospective, observational study of a convenience (...) the criterion standard. The 4 mass casualty triage system assignments were then compared to the "correct" assignment. Descriptive statistics were used to compare accuracy and over- and under-triage rates for each triage system. Results: A total of 125 subjects were included in the study. Of those, 53% were male and 59% were transported by private vehicle. When compared to the criterion standard definitions, SALT was found to have the highest accuracy rate (52%; 95% CI 43-60) compared to START (36%; 95% CI

2019 Prehospital emergency care

20. Criteria for Critical Care Infants and Children: PICU Admission, Discharge, and Triage Practice Statement and Levels of Care Guidance. (PubMed)

Criteria for Critical Care Infants and Children: PICU Admission, Discharge, and Triage Practice Statement and Levels of Care Guidance. To update the American Academy of Pediatrics and Society of Critical Care Medicine's 2004 Guidelines and levels of care for PICU.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 in 329 articles published from 2004 to 2016. Only 21 pediatric studies evaluating outcomes related to pediatric level of care, specialized PICU, patient volume, or personnel. Of these, 13 studies were large retrospective registry data analyses, six small single-center studies, and two multicenter survey analyses. Limited high-quality evidence was found, and therefore, a modified Delphi process was used. Liaisons from

2019 Pediatric Critical Care Medicine

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