Medical Emergency Triage and Treatment System (METTS): A new protocol in primary triage and secondary priority decision in emergency medicine

Journal of Emergency Medicine

Volumn 40, Issue 6, 2011, Pages 623-628

  Widgren, Bengt R ^a   Jourak, Majid ^a  

^a SAHLGRENSKA UNIVERSITY HOSPITAL   (Sweden)

Author keywords

emergency medicine; hospital stay; mortality; triage; vital signs

Indexed keywords

ADULT; AGED; AMBULANCE; ARTICLE; CLINICAL DECISION MAKING; CLINICAL PROTOCOL; COHORT ANALYSIS; CONTROLLED STUDY; EMERGENCY HEALTH SERVICE; EMERGENCY MEDICINE; EMERGENCY WARD; FEMALE; HOSPITAL ADMISSION; HOSPITAL CARE; HOSPITAL PATIENT; HOSPITALIZATION; HUMAN; INCIDENCE; INTERRATER RELIABILITY; MAJOR CLINICAL STUDY; MALE; MEDICAL EMERGENCY TRIAGE AND TREATMENT SYSTEM; MORTALITY; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; SINGLE BLIND PROCEDURE; SYMPTOM; UNIVERSITY HOSPITAL; VITAL SIGN;

AGED; AGED, 80 AND OVER; ALGORITHMS; AMBULANCES; DECISION SUPPORT TECHNIQUES; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITAL MORTALITY; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; OBSERVER VARIATION; REPRODUCIBILITY OF RESULTS; SEVERITY OF ILLNESS INDEX; TRIAGE; VITAL SIGNS;

EID: 79958772592     PISSN: 07364679     EISSN: 07364679     Source Type: Journal    
DOI: 10.1016/j.jemermed.2008.04.003     Document Type: Article

References (13)

1. Baumann MR, Strout TD. Evaluation of the emergency severity index (version 3) triage algorithm in paediatric patients. Acad Emerg Med 2005;12:219-24. (Pubitemid 40248881)
2. Mackway-Jones K. Emergency triage: Manchester Triage Group. London: BMJ Publishing Group; 1997.
3. Travers DA, Waller AE, Bowling JM, Flowers D, Tintinalli J. Five-level triage system more effective than three-level in tertiary emergency department. J Emerg Nurs 2002;28:395-400.
4. Knaus WA, Draper EA, Wagner DP, Zimmerman JE, Lawrence DE. Apache II: a severity of disease classification system. Crit Care Med 1985;13:818-29.
5. Olsson T, Terent A, Lind L. Rapid emergency medicine score can predict long-term mortality in nonsurgical emergency department patients. Acad Emerg Med 2004;11:1008-13. (Pubitemid 39243995)
6. Goldhill DR, McNarry AF. Physiological abnormalities in early warning scores are related to mortality in adult inpatients. Br J Anesth 2004;92:882-4. (Pubitemid 38771692)
7. Cooke MW, Jinks S. Does the Manchester triage system detect the critically ill? J Accid Emerg Med 1999;16:179-81.
8. Stålhammar D, Starmark JE, Holmgren E, et al. Assessment of responsiveness in acute cerebral disorder. A multicentre study on the reaction level scale (RLS85). Acta Neurochir 1988;90:73-80.
9. Altman D. Practical statistics for medical research. London, UK: Chapman & Hall; 1991.
10. Widgren BR, Jourak M. Serum lactate, an indicator of critical illness in emergency medicine. (Submitted).
11. Shapiro NI, Wolfe RE, Moore RB, Smith E, Burdick E, Bates DW. Mortality in Emergency Department Sepsis (MEDS) score: a prospective derived and validated clinical prediction rule. Crit Care Med 2003;31:670-5. (Pubitemid 36379566)
12. Reilly BM, Evans AT, Schaider JJ, et al. Impact of a clinical decision rule on hospital triage of patients with suspected acute cardiac ischemia in the emergency department. JAMA 2002;288:342-50. (Pubitemid 34761613)
13. Göransson K, Ehrenberg A, Marklund B, Ehnfors M. Accuracy and concordance of nurses in emergency department triage. Scand J Caring Sci 2005;19:432-8. (Pubitemid 43943218)