6. Accuracy of Trauma on Scene Triage Screening Tool (Shock Index, Reverse Shock Index Glasgow Coma Scale and National Early Warning Score) to Predict the Severity of Emergency Department Triage: A Retrospective Cross-Sectional Study

Accuracy of Trauma on Scene Triage Screening Tool (Shock Index, Reverse Shock Index Glasgow Coma Scale and National Early Warning Score) to Predict the Severity of Emergency Department Triage: A Retrospective Cross-Sectional Study

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CEUs: 2 Clinical

Average read time: 25 to 30 minutes

Short Summary of the Article:

The article titled “Accuracy of Trauma On-Scene Triage Screening Tool: Shock Index, Reverse Shock Index Glasgow Coma Scale, and National Early Warning Score” evaluates the precision of different on-scene triage tools in predicting the severity of trauma patients transported to the emergency department (ED). The study focuses on three triage tools—Shock Index (SI), Reverse Shock Index Glasgow Coma Scale (rSIG), and the National Early Warning Score (NEWS)—and their ability to predict the severity of trauma, the need for massive transfusion protocol (MTP), and intensive care unit (ICU) admission. The results demonstrate that NEWS is the most effective tool for predicting trauma severity, MTP activation, and ICU admission compared to SI and rSIG.

Learning Outcomes 

Upon completion of this activity, you should have an understanding of:

1. Effectiveness of Triage Tools: NEWS is the most accurate prehospital tool for predicting trauma severity, ICU admission, and the need for massive transfusion compared to SI and rSIG.
2. Clinical Application of NEWS: The application of NEWS in prehospital settings allows for early identification of critically injured patients, improving treatment outcomes.
3. Implications for Prehospital Care: The study underscores the need for standardized prehospital triage protocols to improve the outcomes for trauma patients in emergency settings.

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