Identifying patients with severe injuries in the prehospital setting remains the first step in a series of interventions that aim to reduce trauma-related morbidity and mortality. In 2011, the Centers for Disease Control and Prevention and the American College of Surgeons Committee on Trauma partnered to revise and update the Field Triage Decision Scheme (FTDS) with the goal of providing a structure to decision making by paramedics when determining appropriate destinations for patients with injuries.¹ Recent research suggests that the sensitivity of the FTDS is lower than previously described, particularly for vulnerable populations (eg, elderly people), and lower than the target of 95% (ie, 5% undertriage rate).^2-4

在院前环境中识别重伤患者仍然是一系列旨在减少与创伤相关的发病率和死亡率的干预措施的第一步。2011年，疾病控制与预防中心和美国外科医生学院创伤委员会合作修改和更新了“现场分诊决策方案（FTDS）”，目的是为医护人员确定患者合适的目的地时的决策提供结构受伤。¹最近的研究表明，FTDS的灵敏度比以前描述的要低，特别是对于弱势人群（例如，老年人），并且低于95％（即5％的未成年人率）的目标。^{2 -4}