[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 18.206.12.79. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Views 333
Citations 0
Invited Commentary
February 6, 2019

Optimizing Prehospital Trauma Triage—A Step Closer?

Author Affiliations
  • 1Department of Emergency Medicine, Denver Health Medical Center, Denver, Colorado
  • 2Division of Paramedic, Denver Health Medical Center, Denver, Colorado
  • 3Department of Emergency Medicine, University of Colorado School of Medicine, Aurora
  • 4Department of Epidemiology, Colorado School of Public Health, Aurora
  • 5Department of Surgery, Denver Health Medical Center, Denver, Colorado
  • 6Department of Surgery, University of Colorado School of Medicine, Aurora
JAMA Surg. 2019;154(5):429-430. doi:10.1001/jamasurg.2018.4764

Identifying patients with severe injuries in the prehospital setting remains the first step in a series of interventions that aim to reduce trauma-related morbidity and mortality. In 2011, the Centers for Disease Control and Prevention and the American College of Surgeons Committee on Trauma partnered to revise and update the Field Triage Decision Scheme (FTDS) with the goal of providing a structure to decision making by paramedics when determining appropriate destinations for patients with injuries.1 Recent research suggests that the sensitivity of the FTDS is lower than previously described, particularly for vulnerable populations (eg, elderly people), and lower than the target of 95% (ie, 5% undertriage rate).2-4

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    ×