Inter-Rater Reliability and Agreement Among Mass-Casualty Incident Algorithms Using a Pediatric Trauma Dataset: A Pilot Study

• 2022

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• Emilia Fisher; Ilene Claudius; Amy Kaji; Alaa Shaban; Nicholas McGlynn; Mark Cicero
PMID: 35441588DOI: https://doi.org/10.1017/s1049023x22000632

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This article discusses the comparison of inter-rater reliability and agreement among five mass-casualty incident (MCI) triage algorithms used in the pediatric population. The study utilized a dataset of 253 pediatric trauma activations to evaluate the algorithms' performance. Results showed that Simple Triage and Rapid Treatment (START), JumpSTART, Sort Assess Life-Saving Intervention Treatment (SALT), Pediatric Triage Tape (PTT), and CareFlight (CF) had varying levels of reliability. J-START and CF demonstrated the highest reliability and agreement, while SALT showed the lowest reliability due to its subjective components. Overall, the study highlights the importance of reliable triage algorithms in pediatric mass-casualty incidents.

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Tags

Focus Areas: Trauma; Violence

Keywords: Algorithms; Child; Disaster Planning; Emergency Medical Services; Pediatrics; Pilot Projects; Reproducibility of Results; Triage; Mass Casualty Incidents

Emergency Management Stage: Response

Audiences: Emergency Managers; EMS Clinicians; Nurses; Physicians

Format: Journal Article

Media Type: Website

Institutions: Children's Minnesota

Institution Type: Healthcare

Language: English

Bundles: Disaster Research Literature Review

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