To the Editor I read with great interest the recent publication “Undertriage of Firearm-Related Injuries in a Major Metropolitan Area” by Lale et al.1 The US Centers for Disease Control and Prevention/American College of Surgeons Guidelines for Field Triage of Injured Patients is the nationally recognized standard used by emergency medical services (EMS) paramedics and basic emergency medical technicians to determine whether trauma patients should be transported to a trauma vs nontrauma center.2 These guidelines define undertriage as “inaccurate triage that results in a patient who requires higher-level care not being transported to a Level 1 or Level 2 trauma center.”3 Thus, to define a case as undertriage, knowledge of the EMS triage and transport decision must be present.
Weber J. Undertriage of Firearm-Related Injuries Not Actually Assessed. JAMA Surg. 2017;152(11):1091. doi:10.1001/jamasurg.2017.2352
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