Notice Regarding Field Trauma Triage Criteria

A number of studies have demonstrated the effectiveness of Quebec’s Trauma Care Continuum (TCC) in reducing mortality. The most severely injured individuals are identified by means of two indicators: the prehospital index (PHI) and high-velocity impact (HVI). This notice compares the effectiveness of the PHI and HVI with that of the other proposed indicators and with the CDC-ACSCOT protocol suggested by the Center for Disease Control (CDC) and the American College of Surgeons’ Committee on Trauma (ACSCOT). In this notice, INESSS makes 16 recommendations ranging from replacing the PHI and HVI in the CDC-ACSCOT protocol to instituting a process of adapting this protocol to the Québec context and regional differences, to monitoring access to care and protocol compliance.