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Journal of The Korean Society of Emergency Medicine 1996;7(2): 171-178. |
| TRIAGE SCORE AND MODIFIED TRIAGE SCORE; NEW METHODS TO TRIAGE ALL EMERGENCY PATIENTS |
| Eun Seok Hong, Kyoung Soo Lim, Sun Man Kim, Sung Oh Hwang |
| Department of Emergency medicine, Wonju College of medicine, Yonsei University Wonju, Korea |
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Published online: June 30, 1996. |
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| ABSTRACT |
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Up to now, triage system for all emergent patients, which can be used fast and conviently according to their severity has not been developed yet For the triage of trauma patient, emergency medical technicians and emergency medical doctors are commonly using R.T.S. (Revised Trauma Score). The RT.S. consists of GCS(Glasgow coma scale), systolic blood, pressure and respiration rate per minute. But it is difficult for emergency medical technicians to calculate GCS in the prehospital because of its complexity and need for more time. Therefore we develop the Triage Score by remodelling the R.T.S. by replacing GCS with AVPU scale and systolic blood pressure that is under 49 mmHg after adding 1-49 mmHg with 0 mmHg and respiration rate per minute that is under 5 /min after adding 1-5 /min with 0 /min.
We studied the significance and the possible triage application of Triage Score in traumatic emergency patients. For nontraumatic emergency patients, we develop the Modified Triage Score to triage the cardiovascular eirergencies by adding the item of chest pain to Triage Score.
A prospective study was carried out on 530 patients from March 1 to 31, 1996. There were 210 trauma patients and 320 nontraumatic emergency patients and the result shows as follows. For trauma
patients, there was linear correlation between RT.S. and Triage Score (R2 =0.965). Comparison analysis
between high risk group (admission + death patients) and low risk group(discharge patients) of nontraumatic emergency patients by using Modified Triage Score is statistically significant(P<0.001) The cardiovascular emergencies could not categorized as urgency by Triage Score, but that was possible by appication of Modified Triage Score.
In conclusion. we can triage the injured patients effectively by Triage Score and the nontraumatic emergency patients including emergeny cardiovascular disease can be categorized as urgency by applying the Modified Triage Score.
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| Key words:
Triage Score, Modified Triage Score
Triage Score, Modified Triage Score
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