Triage in the defence medical services

Triage of patients into categories according to their need for intervention is a core part of military medical practice. This article reviews how triage has evolved in the Defence Medical Services and how it might develop in the context of recent research. In particular, a simple model demonstrates...

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Bibliographic Details
Published in:	Journal of the Royal Army Medical Corps Vol. 161; no. 2; p. 90
Main Authors:	Horne, Simon T, Vassallo, J
Format:	Journal Article
Language:	English
Published:	England 01-06-2015
Subjects:	Humans Military Medicine - methods Military Personnel Models, Theoretical Triage Education & Training (see Medical Education & Training) Accident & Emergency Medicine
Online Access:	Get more information
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Summary:	Triage of patients into categories according to their need for intervention is a core part of military medical practice. This article reviews how triage has evolved in the Defence Medical Services and how it might develop in the context of recent research. In particular, a simple model demonstrates that the ideal sensitivity and specificity of a triage system depends upon the availability of transport and the capacity of the receiving units. As a result, we may need to fundamentally change the way we approach triage in order to optimise outcomes-especially if casualty evacuation timelines become longer and smaller medical units more prevalent on future operations. Some pragmatic options for change are discussed. Finally, other areas of current research around triage are highlighted, perhaps showing where triage may go next.
ISSN:	0035-8665
DOI:	10.1136/jramc-2014-000275