Overview of the Emergency Severity Index (ESI) Triage Algorithm This will be discussed further in the field and disaster triage section of this article. It is important to understand that triage is a dynamic process, meaning a patient can change triage statuses with time. However, it takes into consideration the increased likelihood for children to experience respiratory failure and their inability to follow verbal commands. This algorithm is based on the START triage algorithm discussed earlier. For children, a commonly used triage algorithm is the Jump-START (simple triage and rapid treatment) triage system. Various criteria are taken into consideration, including the patient's pulse, respiratory rate, capillary refill time, presence of bleeding, and the patient's ability to follow commands. Using this algorithm, triage status is intended to be calculated in less than 60 seconds. This algorithm is utilized for patients above the age of 8 years. The most common triage system in the United States is the START (simple triage and rapid treatment) triage system. Įmergency Department Triage in the United States (U.S.) There are various triage systems implemented around the world, but the universal goal of triage is to supply effective and prioritized care to patients while optimizing resource usage and timing. Triage can be broken down into three phases: prehospital triage, triage at the scene of the event, and triage upon arrival to the emergency department. Today, triage is still deeply integrated into healthcare. published a systematic interpretation of civilian emergency departments using triage. The triage system was first implemented in hospitals in 1964 when Weinerman et al. French military surgeon Baron Dominique Jean Larrey, the chief surgeon in Napoleon Bonaparte's imperial guard, developed a system based on the need to evaluate and categorize wounded soldiers quickly during battle. As early as the 18th century, documentation shows how field surgeons would quickly look over soldiers and determine if there was anything they could do for the wounded soldier. The history of the emergency triage originated in the military for field doctors. Triage is utilized in the healthcare community to categorize patients based on the severity of their injuries and, by extension, the order in which multiple patients require care and monitoring. Triage originates from the French word "trier," which is used to describe the processes of sorting and organization.
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