Military Triage - Introduction Over the past several years, many European cities, including London, have seen a series of terrorist attacks that have resulted in large-scale incidents with large numbers of victims. Triage, the process of classifying victims according to medical conditions, is an important principle of managing a major incident.
The Modified Physical Triage Tool (MPTT) is the most recently developed triage tool that has shown to be highly effective in predicting the need for life-saving interventions (LSI). , military and civilian, compared to existing triage tools including UK NARU 2013 sivge. the population.
Military Triage
To improve the validity and reliability of the MPTT, we increased the upper respiratory rate to 24 breaths per minute (MPTT-24) to divide it by four and evaluate the external bleeding. The purpose of this study was to evaluate the feasibility of the MPTT-24 (Figure 1).
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Methods A retrospective review of Joint Theater Trauma Registry (JTTR) and Trauma Audit Research Network (TARN) data for all adult (>18 years) patients referred from 2006-2013 (JTTR) and 2014 (TARN). Patients were defined as primary (P1) if they received one or more life-saving interventions.
Using primary clinic physiology, patients were classified as P1 or non-P1 based on the triage tool and the MPTT and MPTT-24. Performance characteristics were evaluated using sensitivity, specificity, low- and over-triage with the McNemar test to determine statistical significance.
The baseline study characteristics are shown in Table 1. Both the MPTT and the MPTT-24 were achieved in all current methods with a reduction of 25.5%-29.5% compared to the British population. . method (NARU Elevate). In both populations, the MPTT-24 showed a decrease in sensitivity and an increase in specificity compared with the MPTT. A significant difference in data was observed between MPTT and MPTT-24 when TARN and JTTR data were classified as P1 (p<0.001).
Ending the current status quo in the UK, including the NARU model, is not fit for purpose, leading to a sense of failure. Compared to the MPTT, the MPTT-24 allows for faster clinical evaluation and is even more effective than current triage tools in predicting the need for life-saving assistance. Its use should be considered in major civil and military situations.
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