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Updated: May 22, 2026

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

Pediatric surgery triage: problems and improvements.

Etsuji Ukiyama¹, Yuji Nirasawa, Yoshiko Watanabe

¹Department of Pediatric Surgery, Kyorin University Faculty of Medicine, Tokyo, Japan. uki@ks.kyorin-u.ac.jp

Pediatrics International : Official Journal of the Japan Pediatric Society

|May 25, 2012

Summary

The Canadian Paediatric Triage and Acuity Scale (P-CTAS) generally works for pediatric surgery patients but requires modifications. Improvements include age-specific categories for trauma and foreign body aspiration, and refined criteria for intussusception and acute scrotum.

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Last Updated: May 22, 2026

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

Area of Science:

Pediatric Surgery
Emergency Medicine
Triage Systems

Background:

The Canadian Paediatric Triage and Acuity Scale (P-CTAS) is a standard emergency department triage tool for children.
Pediatric surgery patients, though few, require accurate emergency or urgent triage due to potential surgical needs.
This study investigated P-CTAS performance and identified areas for improvement in triaging pediatric surgery patients.

Purpose of the Study:

To evaluate the effectiveness of the P-CTAS in triaging pediatric surgery patients.
To identify specific challenges and propose modifications to the P-CTAS for this patient group.

Main Methods:

A retrospective analysis of pediatric patients (<16 years) at Kyorin University Hospital over a four-year period.
Patients were categorized into emergency (Group A) and non-emergency (Group B) treatment groups to assess P-CTAS triage accuracy.
Efficiency of P-CTAS was evaluated by comparing triage levels between the two groups.

Main Results:

Most emergency patients (97%) were assigned triage levels I-III, while 60% of non-emergency patients received level IV or higher.
Identified needs for age-specific categories for trauma and foreign body aspiration in young children.
Suggested specific triage criteria for intussusception (Level II) and acute scrotum (Level II with specific signs/timeframes).

Conclusions:

The P-CTAS is a functional triage tool for pediatric surgery patients.
Modifications, including age stratification and condition-specific criteria, are recommended to enhance P-CTAS accuracy for pediatric surgical emergencies.