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Article Dans Une Revue European Journal of Emergency Medicine Année : 2021

Assessment of the mass casualty triage during the November 2015 Paris area terrorist attacks: towards a simple triage rule

Résumé

BACKROUND: Triage is key in the management of mass casualty incidents. OBJECTIVE: The objective of this study was to assess the pre-hospital triage performed during the 2015 Paris area terrorist attack. Design setting and participant: This was a retrospective cohort study that included all casualties of the attacks on November 13 th 2015 in Paris area, France, that were admitted alive at the hospital within the first 24 hours after the events. Patients were triaged as absolute emergency or relative emergency by a pre hospital physician or nurse. This triage was then compared to the one of an expert panel that had retrospectively access to all pre-hospital and hospital files. Outcomes measures and analysis: The primary endpoints was the rate of overtriage and undertriage, defined as number of patients misclassified in one triage category, divided by the total number of patients in this triage category. Main Result: Among 337 casualties admitted to the hospital, 262 (78%) were triaged during pre-hospital care, with respectively 74 (28%) and 188 (72%) as absolute and relative emergencies. Among these casualties, the expert panel classified 96 (37%) patients as absolute emergencies and 166 (63%) as relative emergency. The rate of undertriage and overtriage was 36% [95%CI 27% to 47%] and 8% [95%CI 4% to 13%] respectively. Among undertriaged casualties, 8 (23%) were considered as being severely undertriaged. Among overtriaged casualties, 10 (77%) were considered as Powered by Editorial Manager® and ProduXion Manager® from Aries Systems Corporation
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Dates et versions

hal-04015183 , version 1 (05-03-2023)

Identifiants

Citer

Arthur James, Youri Yordanov, Sylvain Ausset, Matthieu Langlois, Jean-Pierre Tourtier, et al.. Assessment of the mass casualty triage during the November 2015 Paris area terrorist attacks: towards a simple triage rule. European Journal of Emergency Medicine, 2021, 28 (2), pp.136-143. ⟨10.1097/MEJ.0000000000000771⟩. ⟨hal-04015183⟩
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