We prospectively evaluated the efficacy of comprehensive field triage in 8,891 trauma patients transported to trauma centers in Dade County, Florida, over a 1-year period ending in September 1986. There were 5,685 males (63.9%) and 3,206 females (36.1%) with a mean age of 32.4 ± 18.4 years. The overall accuracy for identifying severe injury for the entire group was 30.2%. A Trauma Score ≤12 was the most accurate predictor of severe injury. Of 669 patients in this group, 617 (92.2%) sustained severe injury and 361 died (54.0%). High-speed (>40 m.p.h.) motor vehicle accident was the most common reason for triage; however, of 2,277 in this group 201 patients (9.0%) had severe injury and four patients (0.2%) died. Only nine deaths (0.9%) occurred in 1.004 patients with penetrating trauma whose Trauma Scores were greater than 12. Of the 8,891 patients 4,791 (53.9%) had moderate to severe injury. The overtriage rate was therefore 46.1% using this field categorization system.
|Original language||English (US)|
|Number of pages||6|
|Journal||Journal of Trauma - Injury, Infection and Critical Care|
|State||Published - Jul 1988|
ASJC Scopus subject areas
- Critical Care and Intensive Care Medicine