triage with MASS

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After an exercise in Quebec Citylast year
 
I came to the conclusion that the "prehospital" Triage system
Should have an expandable formula for the "in-hospital " system
As the initial (efficient and adequate) "Prehosp." triage rapidly shows it's limitations
As the refinement of the “in-hospital” care available requires a more sensitive triage tool
And where it is, not yet convenient, due to MassCaz scenario to resort to classic "in-hospital " Triage system
 
Meaning there is room for a refined “MD” based triage for the “critical” and “semi-critical”
 
Non-critical (walking wounded) can and should avail themselves of the classic in-hospital triage system when (and if) convenient
 
 
Charles


----- Original Message ----
From: Dr Timothy Hardcastle <dr.tchardcastle at absamail.co.za>
To: Trauma and Critical Care mailing list <trauma-list at trauma.org>
Sent: Thursday, May 21, 2009 9:58:18 AM
Subject: Re: triage with MASS

Hi

The best, currently available, prospectively tested system of MASS CAS
triage is the MIMMS "Sieve" and "Sort" system - easy enough for a
first-aider to do, yet sensitive enough to pick up the problems.

This is the one I would recommend - it is also the NATO recommended system!
It also proposes a good call-out accronym, which works (METHANE) and a
command system (CSCATTT)

Regards
Tim
Dr T C Hardcastle
M.B., Ch.B. (Stell); M. Med. (Chir) (Stell); FCS (SA)
Principal Specialist Trauma Surgeon /
Honorary Lecturer University of KwaZulu-Natal Dept Surgery
Deputy Director - IALCH Trauma Service
Durban - South Africa

> Dear subscribers,Because of a nice national discussion in the Netherlands
> about Pre-hospital Triage I want to know more about experience with the
> MASS (Move, Asses, Sort and Sent) system with is developed around 2002 by
> the National Disaster Life Support Programs. Is there already somebody who
> did this kind of triage in real life with a MCI or disaster and is there
> already literature published about this topic, for example: MASS versus
> START? Are there better pre-hospital triage systems for civilian use? I
> know that in Europe, almost every country is performing triage on his/her
> own insight. With the help the European Emergency Data Project it is still
> not sure what is the right way for MCI & Disaster Triage.....When I look
> to it on a Global point of view.....there are to much
> systems....."Guidelines for field triage of injured patients,2009" (USA),
> Canadean Triage Assesment Scale, Australean Triage Score, Norwegian
> Medical Index (Scandinavian countries),  Manchester Triage System (UK),
> SAMU in France etc. etc. etc. And ofcourse there is the military input of
> different triage systems, tactical emergency medicine triage .......Is
> triage such a difficult subject or is it because every country has an
> other type of health sytem...what's the reason behind this?I hope there
> are a lot of great thinkers out there to tackle my question, Thanks for
> your help!
>
> Edward J. Pasman, MD
> Anesthesiologist, area of attendance: Trauma-Anesthesiology and disaster
> management
> Department of anesthesiology
> Academic Medical Center (AMC) Amsterdam
> H1-room 150
> Tel.: 020-5663633/56662533
> Beeper: 64034
> e-mail: e.j.pasman at amc.uva.nl
> --
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