RT Journal Article
SR Electronic
T1 Triage in the developing world—can it be done?
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 208
OP 213
DO 10.1136/adc.85.3.208
VO 85
IS 3
A1 M A Robertson
A1 E M Molyneux
YR 2001
UL http://adc.bmj.com/content/85/3/208.abstract
AB 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.