A short cut review was carried out to establish whether existing paediatric major incident triage tools identify patients requiring life-saving interventions. Sixteen papers presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. In summary, there is limited evidence for the validity of existing paediatric major incident triage tools.
RamenofskyMLRamenofskyMBJurkovichGJ, et al.The predictive validity of the pediatric trauma score. J Trauma1988 Jul; 28(7): 1038–1042.
2.
EichelbergerMRGotschallCSSaccoWJ. A comparison of the trauma score, the revised trauma score, and the pediatric trauma score. Ann Emerg Med1989 Oct; 18(10): 1053–8.
3.
KaufmannCRMaierRVRivaraFP, et al.Evaluation of the pediatric trauma score. JAMA1990 Jan 5; 263(1): 69–72.
4.
BalikEOzokGUlmanI. Pediatric trauma score: is it reliable in predicting mortality?Pediatr Surg Int1993; 8: 54–55.
5.
WallisLACarleyS. Comparison of paediatric major incident primary triage tools. Emerg Med J2006 Jun; 23(6): 475–8.
6.
WallisLACarleyS. Validation of the paediatric triage tape. Emerg Med J2006 Jan; 23(1): 47–50.
7.
NasrAMikrogianakisAMcDowallD, et al.External validation and modification of a pediatric trauma triage tool. J Trauma2007 Mar; 62(3): 606–9.
8.
CrossKPCiceroMX. Head-to-head comparison of disaster triage methods in pediatric, adult, and geriatric patients. Ann Emerg Med2013 Jun; 61(6): 668–676.
9.
CheungRArdolinoALawrenceT, et al.The accuracy of existing prehospital triage tools for injured children in England – an analysis using trauma registry data. Emerg Med J2013 Jun; 30(6): 476–9.
10.
JonesNWhiteMLTofilN, et al.Randomized trial comparing two mass casualty triage systems (JumpSTART versus SALT) in a pediatric simulated mass casualty event. Prehosp Emerg Care2014 Jul-Sep; 18(3): 417–23.
11.
ArdolinoACheungCRLawrenceT, et al.The accuracy of existing prehospital triage tools for injured children in England: an analysis using emergency department data. Emerg Med J2015 May; 32(5): 397–400.
12.
PriceCLBrace-McDonnellSJStallardN, et al.Performance characteristics of five triage tools for major incidents involving traumatic injuries to children. Injury2016 May; 47(5): 988–92.
13.
NewgardCDFuRZiveD, et al.Prospective validation of the national field triage guidelines for identifying seriously injured persons. J Am Coll Surg2016 Feb; 222(2): 146–58.
14.
LernerEBDrendelALCushmanJT, et al.Ability of the physiologic criteria of the field triage guidelines to identify children who need the resources of a trauma center. Prehosp Emerg Care2017 Mar-Apr; 21(2): 180–184.
15.
ToidaCMugurumaTAbeT, et al.Introduction of pediatric physiological and anatomical triage score in mass-casualty incident. Prehosp Disaster Med2018 Apr; 33(2): 147–152.
16.
HeffernanRWLernerEBMcKeeCH, et al.Comparing the accuracy of mass casualty triage systems in a pediatric population. Prehosp Emerg Care2019 May-Jun; 23(3): 304–308.
17.
BrownJBGestringMLLeeperCM, et al.The value of the injury severity score in pediatric trauma: time for a new definition of severe injury?J Trauma Acute Care Surg2017 Jun; 82(6): 995–1001.
