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Triaging patients prior to the arrival of the mass casualty: Emergency Severity Index equivalency to SALT disaster triage.

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OBJECTIVE To compare the Emergency Severity Index (ESI) and Sort Assess Life Saving Interventions Treatment and Transport (SALT) triage categories for an existing emergency department (ED) patient population. DESIGN A… Click to show full abstract

OBJECTIVE To compare the Emergency Severity Index (ESI) and Sort Assess Life Saving Interventions Treatment and Transport (SALT) triage categories for an existing emergency department (ED) patient population. DESIGN A prospective, cross-sectional study. SETTING An academic-affiliated community teaching ED at a Level 1 Trauma Center. PARTICIPANTS All patients presenting to the ED over 2 nonconsecutive 24-hour weekdays. MAIN OUTCOME MEASURES The correlation between triage system classifications was assessed using the Spearman's rank correlation coefficient. RESULTS 100 percent of ESI 5, 83.3 percent of ESI 4, and 70.4 percent of ESI 3 were categorized as Minimal under SALT. 70.8 percent of ESI 2 was categorized as Delayed, and 71.4 percent of ESI 1 designations correlated with Immediate. Spearman's rank correlation coefficient was 0.509 (p < 0.001). CONCLUSION This study results suggest that ESI moderately correlates with SALT, particularly in lower acuity patients. This result may inform future protocol development for rapid triage of existing ED populations prior to the arrival of patients from a mass casualty event.

Keywords: emergency severity; triage; percent esi; salt

Journal Title: American journal of disaster medicine
Year Published: 2022

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