Implication of AST protocol :

Simple triage and rapid treatment (START) is a strategy that the first responders and medical
personnel employ to evaluate the severity of injury of each victim as quickly as possible and
tag the victims in about 30–60 seconds. The triage tags are placed near the head and are
used to better separate the victims so that when more help arrives, the patients are easily
recognizable for the extra help to ascertain the most dire cases.
A triage tag is two-sided, but the actual layout of the sections vary between and within
countries and between governmental agencies. Design is often in the form of a fold-able
card, to allow the state of the victim to be clearly visible. It is now common to use triage tags
to allow first responders to have a better handle of the victims during a triage. There is no
universal agreement in the design of triage tags, so each authority has implemented their
own version to meet their needs.

The triage protocol creates an objective process to guide healthcare professionals in making the
difficult determination of how to allocate resources to critically ill adult and pediatric patients
when there are not enough critical care resources for everyone. These protocols ensure
decisions are made in an ethical, fair, and structured way ensuring that a fair and equitable
process is applied to all people, Without a Critical Care Triage Protocol, we believe there
would be more preventable deaths because those with the best chance of survival might
not get the care they require in time.
The process of development included extensive consultation with  clinical ethics to
embed ethical guiding principles, review of literature and existing protocols in other
jurisdictions, and consultation with medical specialist groups, patient and family advisory,
and patient advocacy groups.

Limitations
There were several limit,ations to our systematic review. First, only
studies available through our search engines and criteria were available
to review. This excluded any data, write-ups, or presentations not
reported in a scientific journal article and introduced potential for
publication bias. This also excluded all non-English literature, biasing
the geography of study sites to English-speaking countries. However, all
5 of the widely adopted triage systems were developed in English
Benefits of implementation of Australian Triage System

A benefit in using the triage tag, besides improved traffic flow and effectively distributed care
among injured patients, is data collection and dissemination. The fill-in slots on the triage
tags do not need to be filled out all at once. Information can be obtained and added onto the
triage tag throughout the triage, and referred to as needed.

If a patient's medical condition changes while still in triage, medical personnel can simply tag
the patient again with the updated information and label the tags sequentially. The other
option is to use a tag which can be altered so that the priority level can go up or down. This
eliminates the need to re-tag the patient

1. Provides a quick, easy, and cost-efficient way to immediately report workplace

injuries.
2. Reduces litigation.
3. Reduces claims’ frequency and severity.
4. Reduces unnecessary doctor and emergency room visits.
5. Helps employees return to work more quickly.
6. Gives injured employees access to preferred provider networks.
7. Records calls for case documentation, quality assurance, and fraud deterrence and
defense

Abstract :

The initiation of emergency care primarily depends on the decisions made by the triage nurse.
Triage decisions can therefore have a profound effect on the health outcomes of patients who
present for emergency care. If the Australian Triage Scale was effective in providing a
standardized approach to triage, a patient with a specific problem should be allocated to the
same triage category, irrespective of the institution to which they present or the personnel
performing the role of triage. This study examines triage nurses’ level of agreement in their
allocation of triage categories to patients with specific presenting problems using the NTS.
Relationships between demographic characteristics of participants and triage decisions are
examined and implications of any variation for triage practice and patient outcomes are explored
The ATS has shown an acceptable level of overall reliability in the
emergency department, but it needs more development to reach an
almost perfect agreement

Conclusion :

We found that a real-time triage evaluation elicited a lower level of

agreement than did paper-based scenarios, probably because the major
limitation of written scenarios is the lack of visual and aural cues
associated with real patients. Additionally, paper-based scenarios have
no time pressure or stress as in real time. The findings of this study
indicate that further research is required into the use of cues in a real-
time triage study.

: The ATS has shown an acceptable level of overall reliability in the emergency department, but it
needs more development to reach an almost perfect agreement.

Refrences :

https://www.researchgate.net/publication/
277889140_The_reliability_of_the_Australasian_Triage_Scale_a_meta-analysis

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458479/

https://www.albertahealthservices.ca/scns/Page13849.aspx