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Utility of the Dispatch Protocol to Triage the Emergency Patients who presented with Symptoms of Stroke or Chest Pain

흉통 및 뇌졸중 증상 환자에 대한 전화 중증도분류 지침의 유용성

  • 조석주 (부산대학교병원) ;
  • 안병기 (국립중앙의료원 중앙응급의료센터) ;
  • 박재용 (경북대학교 의과대학 예방의학교실)
  • Received : 2012.10.16
  • Accepted : 2012.11.21
  • Published : 2012.12.28

Abstract

Delayed treatment of acute cardiovascular and cereb-directrovascular diseases is related to poor prognosis and sequelae. For rapid and adequate treatment, role of prehospital emergency dispatchers for adequate triage and selection of hospital is important. In several advanced countries, emergency dispatchers use standardized protocols for decision of rescuer resources or distribution of patients at each hospital. ut, there has not been developed standardized protocol for emergency dispatchers in Korea. We developed standardized protocol based on NHS-direct and CTAS system for triage of symptoms of chest pain and Stroke. Groups with standardized protocol and without protocol was compared to triage result at emergency department which patient visited. The accuracy of triage on chest pain was 70.0% in group A, 94.0% in group B(p<0.01). The accuracy of triage in stroke symptoms was 64.2% in group A, 84.6% in group B(p<0.01). Conclusion: In this study, the accuracy of telephone triage with the protocol was more accurate than without the protocol. But, more studies are needed to generalize the protocol in South korea.

Keywords

Triage;Chest Pain;Stroke

Acknowledgement

Supported by : 보건복지부

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