45 research outputs found
Maximum inspiratory pressure as a clinically meaningful trial endpoint for neuromuscular diseases: a comprehensive review of the literature
Benefits of preserving stationary and time-varying formant structure in alternative representations of speech: Implications for cochlear implants
Use of a Simultaneous Sentence Perception Test to Enhance Sensitivity to Ease of Listening
Effects of fundamental frequency and vocal-tract length cues on sentence segregation by listeners with hearing loss
Tri-Word Presentations With Phonemic Scoring for Practical High-Reliability Speech Recognition Assessment
Characterizing re-triage guidelines: A scoping review of states\u27 rules and regulations
Background:State guidelines for re-triage, or emergency inter-facility transfer, have never been characterized across the United States.
Methods: All 50 states\u27 Department of Health and/or Trauma System websites were reviewed for publicly available re-triage guidelines within their rules and regulations. Communication was made via phone or email to state agencies or trauma advisory committees to obtain or confirm the absence of guidelines where public data was unavailable. Guideline criteria were abstracted and grouped into domains of Center for Disease Control Field Triage Criteria: pattern/anatomy of injury, vital signs, special populations, and mechanisms of injury. Re-triage criteria were summarized across states using median and interquartile ranges for continuous data and frequencies for categorical data. Demographic data of states with and without re-triage guidelines were compared using the Wilcoxon rank sum test.
Results: Re-triage guidelines were identified for 22 of 50 states (44%). Common anatomy of injury criteria included head trauma (91% of states with guidelines), spinal cord injury (82%), chest injury (77%), and pelvic injury (73%). Common vital signs criteria included Glasgow Coma Score (91% of states) ranging from 8 to 14, systolic blood pressure (36%) ranging from 90 to 100 mm Hg, and respiratory rate (23%) with all using 10 respirations/minute. Common special populations criteria included mechanical ventilation (73% of states), age (68%) ranging from60 years, cardiac disease (59%), and pregnancy (55%). No significant demographic differences were found between states with versus without re-triage guidelines.
Conclusion: A minority of US states have re-triage guidelines. Characterizing existing criteria can inform future guideline development