Triage in War Zones: Ethical, Clinical, and Operational Challenges in Mass Casualty Incidents, a Narrative Review

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

Aghdam Hamed; Shirzad Hadi; Shirzad Omid

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: Journal of Police Medicine Year:2024 | Volume:13 | Issue:1 Page(s): 1-18

Download Full-Text

Persian Verion

View:

Download:

Cites:

Information Journal Paper

Title

Triage in War Zones: Ethical, Clinical, and Operational Challenges in Mass Casualty Incidents, a Narrative Review

Author(s)

Aghdam Hamed | Shirzad Hadi | Shirzad Omid | Issue Writer Certificate

Keywords

Military Medicine

Triage

Conflict Zones Health Crisis

Emerging Technologies

Virtual Reality

Medical Ethics

Standardization

Disaster Management

Relief Strategies

Abstract

AIms: In war-torn areas, Triage systems face challenges such as the destruction of healthcare infrastructure (72% in Gaza, 2023), resource shortages, and ongoing security threats that negatively impact their efficiency and effectiveness. This situation results in reduced patient survival rates, ethical dilemmas, and limitations in the application of new technologies. This study AImed to provide evidence-based solutions to improve the management of Triage systems in war-torn areas, focusing on regional differences, ethical challenges, and technological solutions in the wars in Gaza, Yemen, and UkrAIne, to help increase the effectiveness, efficiency, and equity of health care delivery in humanitarian crises.
Materials and Methods: This narrative review was conducted by analyzing secondary data from the wars in Gaza, Yemen, and UkrAIne (2015-2024). Quantitative data (survival rate, Triage time) were extracted from WHO/ICRC reports and PubMed articles. Qualitative data included interviews with medical staff and content analysis of field reports. New technologies (artificial intelligence, VR) were evaluated using purposive sampling. Analyses were conducted using a SWOT framework and a descriptive-analytical approach.
Findings: Survival rates in UkrAIne (78.5%) were higher than in Gaza (51.2%), which is due to better infrastructure and international cooperation. Local systems in Yemen need Standardization. Ethical dilemmas, such as decision-making based on the chance of survival, were reported in 68% of cases. The use of AI in UkrAIne reduced Triage time by 40%, but in Gaza, it was limited due to power outages. It was suggested to develop protocols based on START and TCCC and to establish strategic reserves of Triage kits.
Conclusion: Improving Triage systems requires multifaceted policymaking, encompassing enhancements to infrastructure, the strategic use of technology, and the resolution of ethical dilemmas. International cooperation and Standardization of indigenous systems are essential. New technologies such as artificial intelligence and VR play an important role in reducing operation times and trAIning forces. The development of comprehensive protocols and strategic reserves should be on the agenda, and the future should focus on the impacts of climate change and the ethical aspects of new technologies.

Multimedia

No record.

Cites

No record.

References