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. 2022 Aug 1;93(2):e49-e60.
doi: 10.1097/TA.0000000000003627. Epub 2022 Apr 27.

National guideline for the field triage of injured patients: Recommendations of the National Expert Panel on Field Triage, 2021

Craig D Newgard  1 , Peter E Fischer, Mark Gestring, Holly N Michaels, Gregory J Jurkovich, E Brooke Lerner, Mary E Fallat, Theodore R Delbridge, Joshua B Brown, Eileen M Bulger; Writing Group for the 2021 National Expert Panel on Field Triage
Collaborators, Affiliations

National guideline for the field triage of injured patients: Recommendations of the National Expert Panel on Field Triage, 2021

Craig D Newgard et al. J Trauma Acute Care Surg. .

Abstract

This work details the process of developing the updated field triage guideline, the supporting evidence, and the final version of the 2021 National Guideline for the Field Triage of Injured Patients.

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Figures

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Graphical abstract
Figure 1
Figure 1
2021 National Guideline for the Field Triage of Injured Patients. *For the red criteria transport recommendations, patients in extremis (e.g., unstable airway, severe shock, or traumatic arrest) may require transport to the closest hospital for initial stabilization, before transport to a Level I or II trauma center for definitive care. Pediatric patients meeting the red criteria should be preferentially triaged to pediatric-capable trauma centers. The EMS Judgment criteria should be considered in the context of resources available in the regional trauma system, including consideration of online medical control for further direction. Examples of patients with special, high-resource health care needs include tracheostomy with ventilator dependence and cardiac assist devices, among others. ⁋Patients with combined burns and trauma should be preferentially transported to a trauma center with burn care capability. If not available, then a trauma center takes precedence over a burn center. Specific age used to define “children” is based on local system resources and practice patterns.
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References

    1. 10 Leading Causes of Death, United States 2019, Both Sexes, All Ages, All Races. Atlanta, GA: Centers for Disease Control and Prevention; 2021: Available at: https://wisqars-viz.cdc.gov:8006/lcd/home. Accessed February 18, 2022.
    1. Borse NN, Rudd RA, Dellinger AM, Sleet DA. Years of potential life lost from unintentional child and adolescent injuries—United States, 2000–2009. J Safety Res. 2013;45:127–131. - PubMed
    1. Wang HE Mann NC Jacobson KE Ms MD Mears G Smyrski K, et al. . National characteristics of emergency medical services responses in the United States. Prehosp Emerg Care. 2013;17(1):8–14. - PubMed
    1. Resources for Optimal Care of the Injured Patient. 6th. ed. American College of Surgeons; 2014. - PubMed
    1. Mackersie RC. History of trauma field triage development and the American College of Surgeons criteria. Prehosp Emerg Care. 2006;10(3):287–294. - PubMed

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