| Titre : | Validating Signs and Symptoms From An Actual Mass Casualty Incident to Characterize An Irritant Gas Syndrome Agent (IGSA) Exposure : A First Step in The Development of a Novel IGSA Triage Algorithm (2017) |
| Auteurs : | Joan M. Culley ; Jane Richter ; Sara Donevant ; et al. |
| Type de document : | Article |
| Dans : | Journal of Emergency Nursing (Vol. 43, n°4, July 2017) |
| Article en page(s) : | p. 333-338 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Algorithmes ; Intoxication ; Signes et symptômes ; Triage ; Victime |
| Résumé : |
AbstractIntroduction
Chemical exposures can pose a significant threat to life. Rapid assessment by first responders/emergency nurses is required to reduce death and disability. Currently, no informatics tools for irritant gas syndrome agents (IGSA) exposures exist to process victims efficiently, continuously monitor for latent signs/symptoms, or make triage recommendations. This study describes the first step in developing ED informatics tools for chemical incidents: validation of signs/symptoms that characterize an IGSA syndrome. Methods Data abstracted from 146 patients treated for chlorine exposure in one emergency department during a 2005 train derailment and 152 patients not exposed to chlorine (a comparison group) were mapped to 93 possible signs/symptoms within 2 tools (WISER and CHEMM-IST) designed to assist emergency responders/emergency nurses with managing hazardous material exposures. Inferential statistics (χ2/Fisher’s exact test) and diagnostics tests were used to examine mapped signs/symptoms of persons who were and were not exposed to chlorine. Results Three clusters of signs/symptoms are statistically associated with an IGSA syndrome (P Discussion This study uses actual patient data from a chemical incident to characterize and validate signs/symptoms of an IGSA syndrome. Validating signs/symptoms is the first step in developing new ED informatics tools with the potential to revolutionize the process by which emergency nurses manage triage victims of chemical incidents. |
| Disponible en ligne : | Non |
Exemplaires (1)
| Cote | Support | Localisation | Section | Disponibilité |
|---|---|---|---|---|
| REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |
