Évaluation et optimisation du triage préhospitalier pour les patients traumatisés

 

Eric Mercier

Université Laval

 

Domaine : service de santé

Programme Chercheurs-boursiers cliniciens - Junior 1

Concours 2019-2020

Following a traumatic injury, paramedics need to determine quickly and with limited resources whether the patient's injuries are severe enough to require complex interventions offered in a trauma center. This initial triage is therefore essential to improve the patient's clinical outcome as well as to maintain an effective system of care. The overall goal of this research program is to evaluate prehospital triage protocols to improve prehospital trauma care. It will take place in four successive stages. First, a status report of prehospital triage protocols currently used in Canada will be conducted. Also, experts will be asked to identify a list of complex and urgent interventions for which patients should be transported directly to a trauma center. Then, in the second step, the goal will be to determine the proportions of over-triage and under-triage for protocols currently used in Canada.

An over-triage will be defined as a patient identified by the prehospital protocol who requires complex and urgent interventions but who did not ultimately need it. Provincial databases, such as those available in Quebec, British Columbia, Nova Scotia and New Brunswick will be used. In addition, the performance of the prehospital trauma triage protocol currently used in Quebec, the Échelle Québécoise de Triage Préhospitalier en Traumatologie (EQTPT), will be evaluated. In the third step, our goal will be to compare the performance of different protocols. Finally, in the fourth stage, the opportunity to create a new prehospital triage protocol applicable in the Canadian context will be explored by combining the different databases. This research program will therefore make it possible to evaluate trauma triage protocols in the Quebec and Canadian context.