Triage in the developing world--can it be done?

M A Robertson; E M Molyneux

doi:10.1136/adc.85.3.208

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PubMed · 11517102

Triage in the developing world--can it be done?

M A Robertson·E M Molyneux

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Abstract

AIM: To assess guidelines for the emergency triage, assessment, and treatment (ETAT) of sick children presenting to hospitals in the developing world. This study pretested the guidelines in Malawi, assessing their performance when used by nurses compared to doctors trained in advanced paediatric life support (APLS). METHODS: Triage was performed simultaneously by a nurse and assessing doctor on 2281 children presenting to the under 5s clinic. Each patient was allocated one of three priorities, according to the ETAT guidelines. Any variation between nurse and assessor was recorded on the assessment forms. RESULTS: Nurses identified 92 children requiring emergency treatment and 661 with signs indicating a need for urgent medical assessment. One hundred and forty two (6.2%) had different priorities allocated by the APLS trained doctor, but these children did not tend to need subsequent admission. Eighty five per cent of admissions were prioritised to an emergency or urgent category. CONCLUSION: Although there are no gold standards for comparison the ETAT guidelines appear to reliably select out the majority of patients requiring admission.

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Child Child, Preschool Developing Countries Humans Infant Infant, Newborn Medical Staff, Hospital Nursing Staff, Hospital Observer Variation Patient Admission Practice Guidelines as Topic Triage World Health Organization Journal Article Research Support, Non-U.S. Gov't Validation Study

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M A Robertson, E M Molyneux. 2001. Triage in the developing world--can it be done?. https://doi.org/10.1136/adc.85.3.208

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