Validation of prehospital trauma triage criteria for motor vehicle collisions

In this study, the authors seek to validate the 2012 national field triage guidelines for motor vehicle crashes. Using the National Automotive Sampling System Crashworthiness Data System, they conduct a retrospective, cross-sectional study of patients from 2003 to 2008 to determine the likelihood of serious traumatic injury based on each step in the triage guidelines. Step 1 of the guidelines focuses on the physiologic response of the patient; step 2 identifies specific anatomic injuries that will likely require specialty treatment; and step 3 assesses the mechanism of injury and vehicular damage. The results show that injury mechanism criteria alone predicts significant injury in patients who do not meet the physiological or anatomic criteria. The authors suggest that emergency medical service personnel could benefit from using vehicular crash data when triaging injured vehicle occupants. They specifically encourage the transport of the elderly and drivers with steering wheel collapse to a trauma center.


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  • Accession Number: 01526111
  • Record Type: Publication
  • Files: TRIS
  • Created Date: Apr 4 2014 4:21PM