The initial STM research includes analysis of 102,000 victims of blunt trauma, and is the “first evidence-based triage in history,” says “Dr. Robert Buckman, Chief of Trauma Surgery at St. Mary’s Hospital (Langhorne, Pennsylvania, USA). The research methodology, detailed in various publications (see publications list), includes the correlation of survival probability to a physiological score based on respiratory rate, pulse and best motor response. Mathematical models are used to determine an optimal triage strategy that maximizes expected survivors in consideration of the timing and availability of transport and treatment resources. Delphi panels were used to supplement estimates of deterioration.
Extended research has included the correlation of survival probability to the physiological score for penetrating and blast over-pressure trauma. Initial chemical trauma research has been conducted through the support of the Canadian government. The impact of age on survival probabilities and adjustments to the STM has been completed and is the subject of two (soon-to-be-published) papers.
STM has recently been extended to evidence based medevac dispatch. Initial research shows the potential to reduce the number of flights by 60%, while also reducing mortality. A retrospective study on your trauma registry data will define the model for your state and will identify the estimated reductions in the number of flights and in mortality rates, notably among senior and geriatric patients. This is a small study and we are actively seeking participating jurisdictions.
For more information on this research, see the publications list.
Interested in a triage research partnership?
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