Mass casualty triage: An evaluation of the data and development of a proposed national guideline

E. Brooke Lerner, Richard B. Schwartz, Phillip L. Coule, Eric S. Weinstein, David C. Cone, Richard C. Hunt, Scott M. Sasser, J. Marc Liu, Nikiah G. Nudell, Ian S. Wedmore, Jeffrey Hammond, Eileen M. Bulger, Jeffrey P. Salomone, Teri L. Sanddal, Graydon C. Lord, David Markenson, Robert E. O'Connor

Research output: Contribution to journalReview articlepeer-review

122 Scopus citations

Abstract

Mass casualty triage is a critical skill. Although many systems exist to guide providers in making triage decisions, there is little scientific evidence available to demonstrate that any of the available systems have been validated. Furthermore, in the United States there is little consistency from one jurisdiction to the next in the application of mass casualty triage methodology. There are no nationally agreed upon categories or color designations. This review reports on a consensus committee process used to evaluate and compare commonly used triage systems, and to develop a proposed national mass casualty triage guideline. The proposed guideline, entitled SALT (sort, assess, life-saving interventions, treatment and/or transport) triage, was developed based on the best available science and consensus opinion. It incorporates aspects from all of the existing triage systems to create a single overarching guide for unifying the mass casualty triage process across the United States. (Disaster Med Public Health Preparedness. 2008;2(Suppl 1):S25-S34).

Original languageEnglish (US)
Pages (from-to)S25-S34
JournalDisaster medicine and public health preparedness
Volume2
Issue numberSUPPL.1
DOIs
StatePublished - Sep 2008

Keywords

  • Emergency medical services
  • Trauma and injury
  • Triage

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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