The ability criteria –directed protocol versus emergency severity index and modified rapid emergency medicine score in triage of trauma patients

Abstract

Background-With respect to high prevalence and high mortality of trauma in our country ,triage of patient trauma is very important. In basis of country protocol hospital emergencies use from five categories ESI(Emergency severity Index) in all of the country. The ideal triage criteria would be 100 percent accurate with no under triage or over triage ,however, this is not possible. We aimed to survey the ability criteria –directed protocol versus emergency severity index and modified rapid emergency medicine score in triage of trauma patients. Methods:This retrospective cross-sectional study was carried out on 120 patients admitted in Emergency department of Imam Reza hospital in 2020 where triaged by ESI and CDP .After study of patients we determine score of patients in basis of ISS and mREMS .If score of the patient more than 15 for ISS and more than 4-6 for mREMS ,the patient should be transmitted to CPR ,otherwise he or she under triaged. If score of patient lower than 15 for ISS and lower than4- 6 for mREMS the patient should be transmitted to trauma section ,otherwise he or she over triaged. American surgeon college advice maximum of under triage should not be more than 5 percent. In this study we calculated under triage 8.3percent and over triage 4.1 percent. Result :This study indicate ESI and ISS have direct connection in triage of patients. Also CDP and ISS have direct connection in triage of patients. ESI and mREMS have not direct connection with each other. CDP and mREMS have not direct connection and they are independent.