A PROSPECTIVE COMPARISON OF PARAMEDIC JUDGMENT AND THE TRAUMA TRIAGE RULE IN THE PREHOSPITAL SETTING

被引：67

作者：

FRIES, GR ^{[1
]}

MCCALLA, G ^{[1
]}

LEVITT, MA ^{[1
]}

CORDOVA, R ^{[1
]}

机构：

[1] UNIV CALIF SAN FRANCISCO,HIGHLAND GEN HOSP,DEPT EMERGENCY MED,1411 E 31ST ST,OAKLAND,CA 94602

来源：

ANNALS OF EMERGENCY MEDICINE | 1994年 / 24卷 / 05期

关键词：

D O I：

10.1016/S0196-0644(94)70207-1

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Study objective: To study paramedic judgment and the Trauma Triage Rule in prehospital trauma triage. Design: Prospective. Setting: A county emergency medical services system. Participants: Six hundred fifty-three trauma patients. Results: Over a 3-month period, 653 trauma patients were evaluated in the prehospital setting. Paramedic judgment and the Trauma Triage Rule (TTR), as described by Baxt, were evaluated for accuracy in identifying patients requiring trauma center care. The TTR achieved a sensitivity of 88% and a specificity of 86%. Paramedic judgment had a sensitivity of 91% and a specificity of 60%. Combining the TTR and paramedic judgment achieved a sensitivity of 100% and a specificity of 75%. Conclusion: The TTR and paramedic judgment are effective in identifying patients who require trauma center care in the prehospital setting. The TTR and paramedic judgment combined have the greatest predictive value in identifying seriously injured patients.

引用

页码：885 / 889

页数：5

共 15 条

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