Ten Second Triage (TST) with Claire Park

In this session I am speaking with Claire Park on a new primary triage tool developed by Claire and a research team. It has been accepted and agreed by NHS England for use by all UK ambulance services and prospectively by National Police and Fire Services. It has also been adopted by the UK MOD to roll out across all UK military personnel internationally.

Claire Park is a Consultant in Pre-hospital Emergency Medicine for London HEMS, and Anaesthesia and Critical Care Medicine at Kings College Hospital in London. She also is an army consultant with over 20 years of deployed military experience. Claire is the medical adviser to the Specialist Firearms teams of the Metropolitan Police Service (MPS), and has worked closely with all of the emergency services in London on developing the joint response to high threat incidents, in particular following the attacks of 2017. She is also the Chief Investigator on a UK nationally funded research grant looking at evidence for improving patient outcomes in the hot zone in major incidents and has developed relationships in this area with many members of the Committee Tactical Emergency Casualty Care CTECC over the last 4 to 5 years. In the conversation we examine:

1.  Definition of triage as a fundamental baseline.

2.  Why need for change - Current standards (START and SMART triage) and the existing and emergent needs from a triage tool.

3.  Empirical literature

4.  Changes to current practices - Challenges in design/Physiology or not physiology/Bleeding not bleeding/talking/breathing.

5.  Design considerations and the inclusion of penetrating injury.

6.  Testing of the tool 

7.  Adoption - Adoption of the tool by various institutions.

8. Improvements expected to be seen on the ground.

8.  What’s next - Future projects for Claire.

The new TST tool can be found here: https://twitter.com/seanharris999/status/1582382980902723584

My thanks to Claire and the team for this insightful interview.