Triage Management of Trauma Patients Among Hospitals in The 5th District in Camarines Sur, Philippines

Intervention for Rapid Assessment and Care

Authors

DOI:

https://doi.org/10.56741/hesmed.v4i03.945


Keywords:

Emergency Care, Healthcare Systems, Hospital Preparedness, Standardized Protocols, Trauma Patients

Abstract

This study aimed to assess the triage management of trauma patients among hospitals in the 5th District of Camarines Sur, Philippines, focusing on the interventions practiced by triage management team members and the relationship between their profiles and applied strategies. Employing a quantitative descriptive research design, data were collected through a validated questionnaire checklist administered to selected triage personnel. Statistical tools such as percentage technique, weighted mean, and chi-square test were utilized to analyze and interpret the data systematically. The findings revealed that hospitals have begun integrating strategic plans to equip triage personnel with essential knowledge and skills, thereby reducing the risks of overtriage and undertriage. Results also emphasized the importance of adopting standardized protocols and the need for a more comprehensive and evidence-based definition of trauma patients requiring specialized care. Furthermore, the study highlighted the significance of emergency preparedness—particularly during mass casualty incidents—through effective personnel deployment and structured triage systems. The introduction of an intervention-based triage management guide was found to enhance decision-making processes and patient prioritization. Future research is recommended to explore the long-term effectiveness of standardized triage training programs, as well as the development of region-specific protocols that consider local healthcare capacities, infrastructure, and challenges. Continued efforts in triage innovation and training evaluation are essential to advance trauma care practices and improve patient outcomes in diverse healthcare settings.

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Author Biographies

Joyce N. Olea, University of Saint Anthony

is a faculty member of the College of Health Care Education at the University of Saint Anthony (USANT) in the Philippines. She is a registered nurse with a Master’s degree in Nursing and has extensive clinical experience, having served as the former Head Nurse of the Operating Room and Emergency Room Department at MMG Hospital. As the principal author of the study, Ms. Olea combines academic expertise and hands-on experience to advocate for improved emergency response systems and efficient triage protocols in hospital settings. (email: joyceolea45@gmail.com).

Jane M. Tagum-Briones, University of Saint Anthony

is a faculty member, Research Coordinator, and Program Head of the Master of Arts in Nursing at the University of Saint Anthony, Philippines. She holds dual licensure as a registered pharmacist and nurse. Her work focuses on graduate nursing education, curriculum development, and research mentoring, with extensive experience in guiding students and advancing scholarly work in healthcare education. (email: jbriones@usant.edu.ph).

Cyril B. Romero, University of Saint Anthony

is a researcher and full professor in the Graduate School (Master of Arts in Nursing) at the University of Saint Anthony, Philippines. She is also affiliated with the Indonesian Institute of Science and Technology Research, where she contributes to international academic collaborations. Her expertise includes nursing research, academic publishing, and digital communication, and she frequently serves as publication chair in international conferences. (email: romerocyrilb@gmail.com).

Carlen Lagyap De Villa, University of Saint Anthony

is a Clinical Instructor at the College of Health Care Education Department, University of Saint Anthony, Philippines. She earned her Bachelor’s degree in Midwifery from Camarines Sur Polytechnic Colleges in Nabua, Camarines Sur in 2007 and simultaneously pursued her Bachelor of Science in Nursing in the same year. In 2023, she completed her Master of Arts in Nursing and received her certification as a Certified Research Specialist. As a Clinical Instructor, she contributes to the academic and practical development of nursing students, ensuring they receive comprehensive training in clinical settings. (email: carlenldevilla@gmail.com).

References

World Health Organization, Injury and Violence: The Facts 2014–Updated Global Status Reports, Geneva: WHO, 2018.

World Health Organization, Global Status Report on Road Safety 2018, Geneva: WHO, 2018.

R. Mould-Millman et al., “Emergency medical services systems in low- and middle-income countries: a systematic review,” Prehospital and Disaster Medicine, vol. 32, no. 3, pp. 273–285, 2017.

M. Obermeyer et al., “Emergency care in 59 low- and middle-income countries: a systematic review,” Bulletin of the World Health Organization, vol. 93, no. 8, pp. 577–586, 2016. DOI: https://doi.org/10.2471/BLT.14.148338

R. Mould-Millman et al., “Emergency medical services systems in low- and middle-income countries: a systematic review,” Prehospital and Disaster Medicine, vol. 32, no. 3, pp. 273–285, 2017. DOI: https://doi.org/10.1017/S1049023X17000061

S. M. Burkle Jr., “Triage and the lost art of decoding vital signs: restoring physiologically based triage,” Disaster Medicine and Public Health Preparedness, vol. 13, no. 2, pp. 437–440, 2019.

J. Becker et al., “Trauma systems and patient outcomes: a systematic review,” The Journal of Trauma and Acute Care Surgery, vol. 84, no. 2, pp. 377–383, 2018.

L. C. Wurmb et al., “Structured triage systems in emergency departments: a review,” European Journal of Emergency Medicine, vol. 24, no. 5, pp. 317–323, 2017.

A. S. Tiongson and J. B. Julian, “Emergency triage system among district hospitals in the Philippines,” Ascendens Asia Journal of Multidisciplinary Research, vol. 5, no. 1, 2021.

Philippine Health Research Registry, “Time and motion study of pediatric emergency department throughput at a tertiary hospital in the Philippines,” 2024.

M. A. Mould-Millman et al., “Barriers to emergency care in LMICs,” Lancet Global Health, vol. 7, no. 8, pp. e1001–e1008, 2019.

A. Hinson et al., “Triage and emergency care capacity in low-resource settings,” BMJ Global Health, vol. 4, no. 5, 2019. DOI: https://doi.org/10.1136/bmjgh-2019-001488

M. A. Mould-Millman et al., “Barriers to emergency care in low- and middle-income countries,” The Lancet Global Health, vol. 7, no. 8, 2019.

Department of Health Philippines, “National Policy on Emergency and Trauma Care,” Manila: DOH, updated frameworks 2019–2023.

M. L. Dayrit et al., “The Philippines health system review,” Health Systems in Transition, vol. 8, no. 2, 2018.

S. C. Wallis and C. Twomey, “Workload and casemix in emergency departments: implications for triage,” Emergency Medicine Journal, vol. 34, no. 7, pp. 468–472, 2017.

K. M. Twomey et al., “The role of triage in emergency department efficiency,” Emergency Medicine Australasia, vol. 31, no. 4, pp. 523–529, 2019.

M. M. AlShammari et al., “Assessment of triage knowledge and skills among emergency nurses,” Journal of Emergency Nursing, vol. 46, no. 4, pp. 503–510, 2020.

J. P. Tran et al., “Emergency department triage accuracy and outcomes: systematic review,” International Journal of Nursing Studies, vol. 120, 2021.

E. Reynolds et al., “Strengthening health systems to provide emergency care,” Disease Control Priorities (3rd ed.), World Bank, 2017. DOI: https://doi.org/10.1596/978-1-4648-0527-1_ch13

M. Frykberg and J. Tepas, “Triage of mass casualties: evolving concepts,” Surgical Clinics of North America, vol. 97, no. 5, pp. 1109–1121, 2017.

A. M. Kahn et al., “Emergency department crowding and the use of triage systems,” The Lancet, vol. 391, no. 10121, pp. 102–110, 2018.

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Published

2026-04-24

How to Cite

Olea, J. N., Tagum-Briones, J. M., Romero, C. B., & De Villa, C. L. (2026). Triage Management of Trauma Patients Among Hospitals in The 5th District in Camarines Sur, Philippines : Intervention for Rapid Assessment and Care. Journal of Health Sciences and Medical Development, 4(03), 155–166. https://doi.org/10.56741/hesmed.v4i03.945

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