Abstract:
Objective To explore the application effect of emergency pre-screening triage standard in the triage of emergency trauma patients, to provide a reference of rapid and accurate triage for emergency trauma patients and to find out relevant factors to improve the ability of pre-screening triage nurses, and then make pre-screening triage management better.
Methods A total of 600 trauma patients were selected from the Department of Emergency, Wuzhou Hospital affiliated to Youjiang Medical University For Nationalities and divided into different groups according to the time of arrival. 300 trauma patients who visited from April to September 2021 were set as the control group, including 211 males and 89 females, and the average age was(50.10±16.48 )(14-97) years; and 300 trauma patients who visited from October 2021 to March 2022 were set as the observation group, including 200 males and 100 females, and the average age was(50.27±17.71)(14-97) years. The control group used conventional triage methods, while the observation group used emergency pre-examination triage standards for triage, waiting, reception and disposal. The pre-examination triage time, waiting time for diagnosis and treatment, emergency response time and triage accuracy between two groups of emergency trauma patients were analyzed and compared.
Results The overall triage accuracy of the observation group was 96.3%, significantly higher than that of the control group (88.0%), the difference was statistically significant (P<0.01). The pre-treatment triage time for acute trauma in the observation group was gradeⅠ(3.18 minutes), gradeⅡ(3.22 minutes), gradeⅢ(3.35 minutes), and gradeⅣ(3.72 minutes); treatment waiting time was gradeⅠ(4.00 minutes), gradeⅡ(6.15 minutes), gradeⅢ(11.62 minutes), and gradeⅣ(12.76 minutes); emergency response time was gradeⅠ(2.09 minutes), gradeⅡ(3.59 minutes), gradeⅢ(10.38 minutes), and grade Ⅳ(12.28 minutes); all of which were less than the pre-treatment triage time in the control group, which was gradeⅠ(4.07 minutes), gradeⅡ(4.20 minutes), gradeⅢ(3.93 minutes), and gradeⅣ(3.80 minutes); treatment waiting time was gradeⅠ(4.79 minutes). The difference in emergency response time was statistically significant (P<0.05).
Conclusion Rapid and accurate triage based on the standard of emergency pre-examination is crucial to ensure that acute trauma patients receive emergency treatment in time.
Key words:
Emergency,
Standards,
Pre-examination and triage,
Wound
Yanling Zhong, Hongling Li, Zhihui Li, Lifeng Huang, Yan Zhou, Mei Pan, Xiaoling Lu, Zhongjie He, Chuan Zhang, Zhenbin Liang. Application of emergency pre-examination triage standard in the triage of emergency trauma patients[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2023, 09(06): 337-342.