@article{ref1,
title="Tabletop application of SALT triage to 10, 100, and 1000 pediatric victims",
journal="Prehospital and disaster medicine",
year="2020",
author="McGlynn, Nicholas and Claudius, Ilene and Kaji, Amy H. and Fisher, Emilia H. and Shaban, Alaa and Cicero, Mark X. and Santillanes, Genevieve and Gausche-Hill, Marianne and Chang, Todd P. and Donofrio-Odmann, J. Joelle",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: The Sort, Access, Life-saving interventions, Treatment and/or Triage (SALT) mass-casualty incident (MCI) algorithm is unique in that it includes two subjective questions during the triage process: &quot;Is the victim likely to survive given the resources?&quot; and &quot;Is the injury minor?&quot; HYPOTHESIS/PROBLEM: Given this subjectivity, it was hypothesized that as casualties increase, the inter-rater reliability (IRR) of the tool would decline, due to an increase in the number of patients triaged as Minor and Expectant. <br><br>METHODS: A pre-collected dataset of pediatric trauma patients age <14 years from a single Level 1 trauma center was used to generate &quot;patients.&quot; Three trained raters triaged each patient using SALT as if they were in each of the following scenarios: 10, 100, and 1,000 victim MCIs. Cohen's kappa test was used to evaluate IRR between the raters in each of the scenarios. <br><br>RESULTS: A total of 247 patients were available for triage. The kappas were consistently &quot;poor&quot; to &quot;fair:&quot; 0.37 to 0.59 in the 10-victim scenario; 0.13 to 0.36 in the 100-victim scenario; and 0.05 to 0.36 in the 1,000-victim scenario. There was an increasing percentage of subjects triaged Minor as the number of estimated victims increased: 27.8% increase from 10- to 100-victim scenario and 7.0% increase from 100- to 1,000-victim scenario. Expectant triage categorization of patients remained stable as victim numbers increased. <br><br>CONCLUSION: Overall, SALT demonstrated poor IRR in this study of increasing casualty counts while triaging pediatric patients. Increased casualty counts in the scenarios did lead to increased Minor but not Expectant categorizations.<p /> <p>Language: en</p>",
language="en",
issn="1049-023X",
doi="10.1017/S1049023X20000163",
url="http://dx.doi.org/10.1017/S1049023X20000163"
}