What is

Pre-Hospital Pathfinder

The Pathfinder tool is intentionally crafted for utilization by both registered and non-registered healthcare professionals. It is founded on the Manchester Triage System (MTS) and is intricately designed to seamlessly integrate with a suite of tools across various domains, all rooted in the same system:

  1. Emergency Triage: Deployed in Emergency departments and Ambulance services.
  2. Telephone Triage and Advice: Applied in Ambulance Services and Urgent Care Centres.
  3. Nursing and Residential Triage: Utilized in Nursing and Residential Homes.
  4. Community Triage: Employed by Out of Hours and Telemedicine providers; Telecare and Pendant providers; First responder organizations; Community assessment services.
  5. SAFE Pathways: Applied by Community-based clinicians.

The six triage tools share common attributes:

  • Reductive Methodology: Identifying life-threatening illnesses and injuries as a top priority.
  • Clinical Risk Management: Globally employed to effectively manage patient flow during times of clinical demand exceeding capacity.
  • Discriminator Dictionary: Utilizes a common set of discriminators defined in a shared discriminator dictionary.
  • Shared Language and Understanding: Maintains a uniform language and mutual understanding across all tools.
  • Training Packages: Supported by comprehensive training packages and e-learning modules for practitioners.
  • Local Implementation Streamlining: Employs a method of streaming for seamless local implementation.

While upholding the core principles of the Manchester Triage System, the Pathfinder tool diverges from the traditional 53 MTS presentational charts. Instead, it comprises three charts: Medical, Trauma, and Mental Health.

Certain discriminators and definitions have been adjusted to accommodate both registered and non-registered healthcare professionals. The tool necessitates a level of clinical competence to ensure users possess a sound understanding of discriminators within their scope of practice.


  1. Inclusive Use by Healthcare Professionals:
    • Benefit: Designed for both registered and non-registered healthcare professionals.
    • Solution: Facilitates broader utilization, ensuring flexibility in the workforce and enhancing overall accessibility.
  2. Integration with Various Healthcare Domains:
    • Benefit: Seamlessly integrates with Emergency Triage, Telephone Triage and Advice, Nursing and Residential Triage, Community Triage, and SAFE Pathways.
    • Solution: Enhances coordination and communication across different healthcare settings, promoting a cohesive approach to patient care.
  3. Streamlined Patient Flow in Emergency and Ambulance Services:
    • Benefit: Facilitates efficient triage in Emergency departments and Ambulance services.
    • Solution: Enables swift identification of life-threatening conditions, contributing to timely interventions and optimal use of resources.
  4. Effective Telephone Triage and Advice:
    • Benefit: Supports Telephone Triage and Advice in Ambulance Services and Urgent Care Centres.
    • Solution: Provides a structured framework for remote triage, ensuring appropriate priority and care plans for patients through a standardized approach.
  5. Enhanced Triage in Nursing and Residential Homes:
    • Benefit: Utilized for Nursing and Residential Triage.
    • Solution: Promotes effective triage within residential settings, enabling timely responses to healthcare needs.
  6. Versatile Application in Community Healthcare:
    • Benefit: Applied in Out of Hours, Telemedicine, Telecare, Pendant providers, First responder organizations, and Community assessment services.
    • Solution: Addresses diverse healthcare scenarios, offering a versatile solution for triage in community-based healthcare.
  7. Global Clinical Risk Management:
    • Benefit: Serves as a clinical risk management tool used worldwide.
    • Solution: Manages patient flow during periods of high clinical demand, ensuring a standardized and safe approach to care.
  8. Common Discriminator Dictionary and Language:
    • Benefit: Shared set of discriminators defined in a discriminator dictionary, maintaining a common language.
    • Solution: Enhances communication and consistency in triage assessments, reducing the risk of misinterpretation.
  9. Comprehensive Training Support:
    • Benefit: Supported by training packages and e-learning modules for practitioners.
    • Solution: Ensures healthcare professionals are well-equipped to use the tool effectively, contributing to accurate and reliable triage assessments.
  10. Focused Triage Charts for Simplicity:
    • Benefit: Three charts for Medical, Trauma, and Mental Health, simplifying the triage process.
    • Solution: Streamlines decision-making by providing focused charts, facilitating quicker and more accurate triage assessments.
  11. Adaptation for Various Skill Levels:
    • Benefit: Adjusted discriminators to enable use by both registered and non-registered healthcare professionals.
    • Solution: Accommodates a range of skill levels, ensuring the tool is accessible while maintaining the need for clinical competence.

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