The leading emergency triage system


RETTS, the Rapid Emergency Triage and Treatment System, is currently used both in hospital and pre-hospital in 95% of the Swedish county councils and 60% of the Norwegian health authorities. Today we see that more and more people in other areas such as primary care and home health care are also interested in the system.

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    The system offers benefits for patients, relatives and healthcare staff – and of course, the healthcare organization.


    • Reduced lead time to first medical assessment

    • Faster treatment of those who need medical attention

    • Safer handling

    • More information to the patient about what is happening and what is going to happen

    • Can shorten wait times for treatment

    Healthcare Professionals

    • Increased precision and safety in the assessment of the patient’s condition

    • Support in making the right assessment and actions

    • Simplified documentation of observations and measures taken

    • Reduced stress when assessing


    • Increased control over patient logistics

    • Simpler and more accurate assessment of the need for care level

    • Shorter lead time for correct diagnostics and remediation

    • Creates structured work-flows within the organisation

    • Fewer unnecessary enrollments to the department = lower costs

    • Fewer unnecessary samples = lower costs


    • Improved communication within and between different healthcare providers

    What is RETTS?

    RETTS, the Rapid Emergency Triage and Treatment System, functions so that during the first examination, a number of vital parameters (VPs) are measured and assessed, as well as captures a standardized and structured history, ESS (Emergency Symptoms and Signs), cause of visit and current symptoms.

    Vital parameters together with ESS provide recommendations on priority level and in what way the patient needs sampling and / or monitoring.

    RETTS does not replace qualified employees.

    The RETTS system is designed to provide the opportunity for emergency care directly and with high quality and safety. The system also provides support to the professional staff in the care work. But RETTS can never be better than the organization RETTS is used in.

    RETTS Development

    The first user of RETTS was the Emergency and Accident Reception at the Sahlgrenska University Hospital in Gothenburg, which started on January 1, 2005. Initially, RETTS was developed as a research protocol that was piloted together with other triage systems. RETTS is more sensitive to finding both the sickest but also the less ill patients. A full-scale model was implemented under the working name METTS so that in databases it is not confused with the known Rett syndrome. Since all different parts of the system were merged in 2010, the name RETTS was used in Sweden and Norway. The development of RETTS has been and is taking place in the Nordic network, which annually works with RETTS’s upcoming version.