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Review
. 2017 Jul 14;4(4):379-384.
doi: 10.1002/ams2.293. eCollection 2017 Oct.

A review of the history of the origin of triage from a disaster medicine perspective

Hiroyuki Nakao  1 , Isao Ukai  2 , Joji Kotani  1
Affiliations
Review

A review of the history of the origin of triage from a disaster medicine perspective

Hiroyuki Nakao et al. Acute Med Surg. .

Abstract

We usually associate triage with the Simple Triage and Rapid Treatment method, but much of its origin is still unknown. Therefore, French studies and the origin of triage shown in domestic and foreign published works have been investigated and its significance reaffirmed. The etymology of the word "triage" means "to break into three pieces." It was suggested by a literature review that the rise of Napoleon led to military tactical changes, and that the prototype of triage arose from the experience gained in the difficult campaign in Egypt and Syria. Subsequently, triage was refined by Napoleon's military surgeon, D. J. Larrey, who created the ambulance transport system. Although there is a clash between the ruthless and philanthropic aspects of triage, triage is in accordance with the primary purpose of evacuation or treatment. We should choose the triage method that is consistent with the purpose of each disaster situation.

Keywords: Ambulance; Napoleon; Syria campaign; evacuation.

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Figures

Figure 1
Figure 1
Pierre Francois Baron de Percy (1754–1825). (Hôpital Militaire du Val‐de‐Grâce)
Figure 2
Figure 2
Dominique‐Jean Larrey (1766–1842). (Hôpital Militaire du Val‐de‐Grâce)
Figure 3
Figure 3
Gratitude plate engraved on the Arc de Triomphe (Paris, France). (Hôpital Militaire du Val‐de‐Grâce)
See this image and copyright information in PMC

References

    1. Benson M, Koenig KL, Schultz CH. Disaster Triage: START, then SAVE–A new method of dynamic triage for victims of a catastrophic event. Prehosp. Disaster Med. 1996; 11: 117–24. - PubMed
    1. Henmi H. Triage of the emergency and disaster area. Sodo corp. 2001. p2. (In Japanese)
    1. Ogli K, Yoshioka T, Sugimoto H. The spot activity to MIMMS casualty disaster for medical care and medical support, the 2nd. Nagaishoten. 2010, p107–20. (In Japanese)
    1. Yamamoto Y, Ukai S. Triage significance and practice. Sodo corp. 1999; 6–8. (In Japanese)
    1. Watanabe T, Minami Y, Yamamoto A. A disaster nursing learning text. Jpn. Nurs. Assoc. Publ. Soc. 2007; 60–5. (In Japanese)

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