ID | 50410 |
JaLCDOI | |
フルテキストURL | |
著者 |
Hashimoto, Atsunori
Department of Emergency, Disaster and Critical Care Medicine, Hyogo College of Medicine
Ueda, Takahiro
Department of Emergency, Disaster and Critical Care Medicine, Hyogo College of Medicine
Kuboyama, Kazutoshi
Department of Emergency, Disaster and Critical Care Medicine, Hyogo College of Medicine
Yamada, Taihei
Department of Emergency, Disaster and Critical Care Medicine, Hyogo College of Medicine
Terashima, Mariko
Department of Emergency, Disaster and Critical Care Medicine, Hyogo College of Medicine
Miyawaki, Atsushi
Department of Emergency, Disaster and Critical Care Medicine, Hyogo College of Medicine
Nakao, Atsunori
Department of Emergency, Disaster and Critical Care Medicine, Hyogo College of Medicine
Kotani, Joji
Department of Emergency, Disaster and Critical Care Medicine, Hyogo College of Medicine
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抄録 | On April 25, 2005, a Japanese express train derailed into a building, resulting in 107 deaths and 549 injuries. We used “First Impression Triage (FIT)”, our new triage strategy based on general inspection and palpation without counting pulse/respiratory rates, and determined the feasibility of FIT in the chaotic situation of treating a large number of injured people in a brief time period. The subjects included 39 patients who required hospitalization among 113 victims transferred to our hospital. After initial assessment with FIT by an emergency physician, patients were retrospectively reassessed with the preexisting the modified Simple Triage and Rapid Treatment (START) methodology, based on Injury Severity Score, probability of survival, and ICU stay. FIT resulted in shorter waiting time for triage. FIT designations comprised 11 red (immediate), 28 yellow (delayed), while START assigned six to red and 32 to yellow. There were no statistical differences between FIT and START in the accuracy rate calculated by means of probability of survival and ICU stay. Overall validity and reliability of FIT determined by outcome assessment were similar to those of START. FIT would be a simple and accurate technique to quickly triage a large number of patients.
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キーワード | simple triage and rapid treatment
injury severity score
probability of survival
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Amo Type | Original Article
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出版物タイトル |
Acta Medica Okayama
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発行日 | 2013-06
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巻 | 67巻
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号 | 3号
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出版者 | Okayama University Medical School
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開始ページ | 171
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終了ページ | 176
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ISSN | 0386-300X
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NCID | AA00508441
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資料タイプ |
学術雑誌論文
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言語 |
英語
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著作権者 | CopyrightⒸ 2013 by Okayama University Medical School
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論文のバージョン | publisher
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査読 |
有り
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PubMed ID | |
Web of Science KeyUT |