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World Journal of Surgery

, Volume 16, Issue 5, pp 904–909 | Cite as

Triage: In austere environments and echeloned medical systems

  • Craig H. Llewellyn
World Progress In Surgery

Abstract

Although triage as a medical sorting process was originally developed and applied to echeloned military field medical systems dealing with mass casualties, the term has now permeated most aspects of medical practice. This essay attempts to refocus on triage in military and disaster settings, emphasizing the relationship of the echeloned system organization to the triage process, and the various non-medical factors which may influence triage decisions and priorities. Due to the lack of any analogous civilian experience, it is essential that all health personnel who may be involved in an echeloned care system gain and maintain proficiency by frequent involvement in appropriate training exercises, the characteristics of which are described.

Keywords

Medical System Training Exercise Medical Practice Como Verse 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Résumé

Bien que le terme “triage” ait été à l'origine destiné à définir et à s'appliquer aux procédés de sélection des blessés en cas de catastrophes collectives, ce terme s'applique aujourd'hui à pratiquement tous les aspects de la médecine. Cet essai a comme but de définir les grandes lignes du triage en milieu militaire ou en cas de grandes catastrophes, de souligner l'importance de l'hierarchie dans ce système ainsi que d'insister sur les facteurs non médicaux qui peuvent influencer les décisions et les priorités du triage. En raison de l'absence d'expérience analoque en pratique civile, il est essentiel que tout le personnel médical pouvant être intéressé par un système de soins échelonné, acquière et maintienne une connaisance en la matière par une participation active, fréquente des exercises d'entrainement. Les points essentiels de ceux-ci sont décrits ici.

Resumen

Aunque el triage, como proceso de selección médica, fue originalmente desarrollado y aplicado en sistemas militares escalafonados de campo que atendían heridos en masa, el término ha sido introducido en la mayoría de los aspectos de la práctica médica civil. Este artículo intenta reenfocar el triage en los escenarios militares y de desastre, haciendo énfasis en la relación entre la organización de los sistemas escalafonados y el proceso de triage, y los diversos factores no médicos que pueden influenciar las decisiones y prioridades del triage. Puesto que no existe una experiencia civil similar, es esencial que la totalidad del personal de salud que pueda verse involucrado en un sistema escalafonado de atención médica adquiera y mantenga experiencia mediante su frecuente participación en buenos programas de capacitación, cuyas características se describen.

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Copyright information

© Société Internationale de Chirurgie 1992

Authors and Affiliations

  • Craig H. Llewellyn
    • 1
  1. 1.Department of Military and Emergency MedicineUniformed Services University of the Health Sciences School of MedicineBethesdaUSA

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