Masskadetriage Underlag för utredning av nationellt införande av ett masskadetriagesystem
2022
Rapporter
Länkar till rapporten
Rapporter
Sammanfattning
Background:
Mass casualty incidents (MCIs) challenge healthcare systems by creating an imbalance between available resources and patient needs. Various triage systems exist internationally, but evidence supporting the superiority of any specific system is limited, and implementation strategies vary across countries.
Mass casualty incidents (MCIs) challenge healthcare systems by creating an imbalance between available resources and patient needs. Various triage systems exist internationally, but evidence supporting the superiority of any specific system is limited, and implementation strategies vary across countries.
Objective:
To provide an evidence-based and practice-informed foundation for the potential national implementation of a mass casualty triage system in Sweden, including literature review and stakeholder perspectives.
To provide an evidence-based and practice-informed foundation for the potential national implementation of a mass casualty triage system in Sweden, including literature review and stakeholder perspectives.
Results:
The report combines a literature review and an interview study with national and international experts. Findings indicate the absence of strong scientific evidence favoring one triage system over others. Key characteristics of effective systems include simplicity, scalability, adaptability to local conditions, and alignment with routine clinical practice. The SALT triage system is highlighted as widely applicable. Interviews reveal consensus on the need for a unified national system, emphasizing shared terminology, ease of use across professions, and compatibility throughout the care chain. Challenges include differences in regional conditions, unclear thresholds for activation, ethical dilemmas (e.g., prioritization decisions), and variability in existing systems.
The report combines a literature review and an interview study with national and international experts. Findings indicate the absence of strong scientific evidence favoring one triage system over others. Key characteristics of effective systems include simplicity, scalability, adaptability to local conditions, and alignment with routine clinical practice. The SALT triage system is highlighted as widely applicable. Interviews reveal consensus on the need for a unified national system, emphasizing shared terminology, ease of use across professions, and compatibility throughout the care chain. Challenges include differences in regional conditions, unclear thresholds for activation, ethical dilemmas (e.g., prioritization decisions), and variability in existing systems.
Conclusion:
There is a strong need and broad support for a national mass casualty triage system in Sweden. However, implementation should focus less on selecting a specific algorithm and more on ensuring simplicity, interoperability, education, and stakeholder acceptance. National coordination, clear terminology, and ongoing training are essential for successful implementation.
There is a strong need and broad support for a national mass casualty triage system in Sweden. However, implementation should focus less on selecting a specific algorithm and more on ensuring simplicity, interoperability, education, and stakeholder acceptance. National coordination, clear terminology, and ongoing training are essential for successful implementation.
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