Triage in Medicine, Part I

Iserson, K. V., & Moskop, J. C. (2007). Triage in Medicine, Part I: Concept, History, and Types. Annals of Emergency Medicine, 49(3), 275-281.

Type

Journal article

Intellectual base

Primary research

Year

2007

Volume

49

Issue

3

Pages

275-281

DOI

10.1016/j.annemergmed.2006.05.019

DOI registrant

Elsevier

Link

https://doi.org/10.1016/j.annemergmed.2006.05.019

Cited from

military_strategic_studies, operations_research

Cited by

5 citations across 5 artifacts.

Each citation links to the sentence it supports in the citing article.

Primes

• Authority Delegation Under Uncertainty
  • Medical Triage: Protocols delegating authority to nurses or paramedics to decide treatment pathways before patient presentation, enabling rapid response, an operating model Iserson and Moskop (2007) trace from battlefield medicine into modern emergency departments.

    This sourceTraces triage from Napoleonic battlefield medicine into modern EDs, documenting protocols that pre-delegate sorting/treatment authority to nurses and paramedics.

• Prioritization
  • The structural pattern is domain-invariant: a triage nurse, a product manager, a general, and a venture capitalist each apply a value metric to ordered items and commit to addressing top ranks first—a structural recurrence Iserson and Moskop (2007) trace from Larrey's Napoleonic battlefield triage through modern emergency, military, and disaster medicine.

    This sourceReviews triage from Napoleonic battlefield medicine through modern emergency-department and disaster protocols; documents how protocols pre-delegate sorting and treatment authority to nurses and paramedics before patient presentation.

Mechanisms

• Local Signal Triage Board
  • The word triage comes from battlefield medicine, where Napoleon's surgeon Dominique-Jean Larrey sorted the wounded by need rather than rank;

    This sourceDocuments The word triage comes from battlefield medicine; Napoleon's surgeon Dominique-Jean Larrey sorted the wounded by need rather than rank; sort by an explicit severity threshold, not by who shouted.

• Triage Filter
  • Under-triage — banding an urgent case too low — is the dangerous failure, letting a serious case languish in a queue.

    This sourceExplains that emergency triage prioritizes the most urgent cases and that lower-ranked cases wait longer, making downward misclassification a delay risk.

• Triage Router
  • The very word triage comes from battlefield sorting under pressure, where a wrong call is consequential.

    This sourceTraces triage to battlefield sorting under scarcity and explains that classification decisions determine priority for consequential care.

Verification

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