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Mass Casualty Incident Primary Triage Methods in China
#MMPMID26415807
Chen JH
; Yang J
; Yang Y
; Zheng JC
Chin Med J (Engl)
2015[Oct]; 128
(19
): 2664-71
PMID26415807
show ga
OBJECTIVE: To evaluate the technical characteristics and application of mass
casualty incident (MCI) primary triage (PT) methods applied in China. DATA
SOURCES: Chinese literature was searched by Chinese Academic Journal Network
Publishing Database (founded in June 2014). The English literature was searched
by PubMed (MEDLINE) (1950 to June 2014). We also searched Official Websites of
Chinese Central Government's (http://www.gov.cn/), National Health and Family
Planning Commission of China (http://www.nhfpc.gov.cn/), and China Earthquake
Information (http://www.csi.ac.cn/). STUDY SELECTION: We included studies
associated with mass casualty events related to China, the PT applied in China,
guidelines and standards, and application and development of the carding PT
method in China. RESULTS: From 3976 potentially relevant articles, 22 met the
inclusion criteria, 20 Chinese, and 2 English. These articles included 13 case
reports, 3 retrospective analyses of MCI, two methods introductions, three
national or sectoral criteria, and one simulated field testing and validation.
There were a total of 19 kinds of MCI PT methods that have been reported in China
from 1950 to 2014. In addition, there were 15 kinds of PT methods reported in the
literature from the instance of the application. CONCLUSIONS: The national and
sectoral current triage criteria are developed mainly for earthquake relief.
Classification is not clear. Vague criteria (especially between moderate and
severe injuries) operability are not practical. There are no triage methods and
research for children and special populations. There is no data and evidence
supported triage method. We should revise our existing classification and
criteria so it is clearer and easier to be grasped in order to build a real,
practical, and efficient PT method.
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