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. 2006:2006:429-33.

A wireless first responder handheld device for rapid triage, patient assessment and documentation during mass casualty incidents

Affiliations

A wireless first responder handheld device for rapid triage, patient assessment and documentation during mass casualty incidents

James P Killeen et al. AMIA Annu Symp Proc. 2006.

Abstract

Medical care at mass casualty incidents and disasters requires rapid patient triage and assessment, acute care and disposition often in the setting of overwhelming numbers of victims, limited time, and little resources. Current systems rely on a paper triage tag on which rescuers and medical providers mark the patient's triage status and record limited information on injuries and treatments administered in the field. In this manuscript, we describe the design, development and deployment of a wireless handheld device with an electronic medical record (EMR) for use by rescuers responding to mass casualty incidents (MCIs) and disasters. The components of this device, the WIISARD First Responder (WFR), includes a personal digital assistant (PDA) with 802.11 wireless transmission capabilities, microprocessor and non-volatile memory, and a unique EMR software that replicates the rapidity and ease of use of the standard paper triage tag. WFR also expands its functionality by recording real-time medical data electronically for simultaneous access by rescuers, mid-level providers and incident commanders on and off the disaster site. WFR is a part of the Wireless Information System for Medical Response in Disasters (WIISARD) architecture.

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Figures

Figure 1
Figure 1
Example of a paper triage tag.
Figure 2:
Figure 2:
WFR PDA
Figure 3:
Figure 3:
START Triage Screen
Figure 4:
Figure 4:
Med/Rx Screen
Figure 5:
Figure 5:
Patient list
None

References

    1. Schultz CH, Koenig KL, Noji EK. A medical disaster response to reduce immediate mortality after an earthquake. N Engl J Med. 1996;334(7):438–44. - PubMed
    1. Garner A, Lee A, Harrison K, Schultz CH. Comparative analysis of multiple-casualty incident triage algorithms. Ann Emerg Med. 2001;38:541–8. - PubMed
    1. Garner A. Documentation and tagging of casualties in multiple casualty incidents. Emerg Med (Fremantle) 2003;15(5–6):475–9. - PubMed
    1. Cohen E. A better mousetrap. What makes up the "perfect" triage tag? Jems. 1983;8(7):30–2. - PubMed
    1. Teich JM, Wagner MM, Mackenzie CF, Schafer KO. The informatics response in disaster, terrorism, and war. J Am Med Inform Assoc. 2002;9(2):97–104. - PMC - PubMed

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