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As with all guidelines, the Field Triage Guidelines need to be updated. Just like CDC revises immunization guidelines, we anticipate we'll be updating these guidelines in a few years. Or even sooner if there's compelling evidence we need to change them in the best interest of our patients.

So, I would like to also hear your reactions—positive, neutral, or negative—to the actual criteria. How does it, or will it, impact what you do everyday? Do you have research that points toward a need for considering changing the criteria in the future?

What you think really matters! When the National Expert Panel on Field Triage works on revising the guidelines, I'll ask that your comments on this blog be reviewed and considered.

Register for the Webcast on the Field Triage Decision Scheme: The National Trauma Triage Protocol.

Also, while it says CDC on the Guidelines (with extraordinary support of NHTSA and the American College of Surgeons Committee on Trauma), these Guidelines really are intended to be OUR national Guidelines, with national input. We want to hear from you!

Tags: cdc, field, guidelines, triage

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I was personally very impressed with the product, it established a clear cut algorithm without a lot of the "hysterics of the bad one events" being based predominantly on physiologic status (though MOI qualifiers were not clearly explained as considerations not absolutes like putting a non injured patient in a helicopter to e trauma center because he had a lot of auto body damage w/o a scratch on himself) I also liked the co-morbid confounding factors age significant PMH anticoagulants. The format,material and supporting materials are comprehensive straightforward and "understandable" to all levels of providers EFRs through Trauma surgeons, therefore everyone works from the same page.

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I am looking forward to the webcast. I was working on an article about the guidelines today.

One misconception I think that exists is that triage is most often associated with multiple patient incidents. Thus I have read things associating guidelines with MCIs vs major trauma patients.

Additionally in my experience I don't think many EMS providers have a sound understanding of the trauma system and the role of EMS providers. Thus the guidelines end up coming without the context of the trauma system.

Thanks for asking and I am looking forward to the webcast.

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I agree with Greg Friese. Using MCI format on multiple patient incidents can be diasterous. The amount of patients does not alway mean MCI. Jurisdictional resources should be the a key factor in mitagating the event.

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