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Evaluation of guidelines for emergency triage assessment and treatment in developing countries

G Tamburlini1, S Di Mario, R S Maggi

  • 1Unit for Health Services Research and International Health and Department of Paediatrics, IRCCS Burlo Garofolo, via dell'Istria 65/1, 34137, Trieste, Italy. tamburli@burlo.trieste.it

Archives of Disease in Childhood
|November 26, 1999
PubMed

Insights

The simplified Emergency Triage Assessment and Treatment (ETAT) algorithm, used by nurses in developing countries, effectively screened children needing urgent care and guided treatment, showing high accuracy.

Area of Science:

  • Pediatric Emergency Medicine
  • Global Health

Background:

  • Developing countries face challenges in pediatric emergency care.
  • Effective triage is crucial for managing limited resources.

Purpose of the Study:

  • To assess the performance of a simplified Emergency Triage Assessment and Treatment (ETAT) algorithm.
  • To evaluate ETAT's effectiveness in guiding treatment for children in developing countries.

Main Methods:

  • Nurses and pediatricians simultaneously triaged children (7 days to 5 years) using ETAT and standard Advanced Paediatric Life Support (APLS) assessments.
  • Sensitivity, specificity, and treatment appropriateness were calculated for nurse-led ETAT.

Main Results:

  • ETAT identified 19.05% of patients needing priority assessment or emergency treatment.
  • Nurse-led ETAT demonstrated high sensitivity (96.7% vs. APLS) and specificity (90.6%).
  • Nurse-administered treatments were appropriate in 92.2% of emergency cases.

Conclusions:

  • The ETAT algorithm, with brief nurse training, functions effectively as a screening tool in pediatric emergency settings.
  • ETAT provides a reliable guide for emergency treatment in resource-limited environments.
Abstract

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