Hrev_master Dear Editor, Emergency Medicine (EM) is a promising novel specialization in Greece. EM is a young but fast-developing field that should ben- efit by adopting and incorporating elements from countries where the specialization is already well-established. The first and most crucial stage in every overcrowded Emergency Department (ED) is triage, namely the process by which patients are categorized according to their clinical severity. In a recent study, we aimed to evaluate the effect of triage training of Emergency Nurses (ENs) in the use of the Swiss Triage System (STS) manual translated into Greek, after an intervention of one week. The effect of triage training was studied experimentally by comparing performance before and one week after training. A sam- ple of thirty-six ENs from the University Department of Emergency Medicine at AHEPA University Hospital took part. The role of training in triage by the STS was assessed by completing the same self-administered questionnaire before and after a 45- minute e-learning program (presentation video of STS but with simulation scenarios) alongside the translated STS manual in Greek, which was available during the period of a week. The post- training test was taken 2 weeks later, after the training process. The most promising finding was that there was a significant improvement in the number of correct answers after the training in triage (p<0.001). A significant improvement was also detected (p<0.001) in the questions that tested vigilance in providing safe health services by ENs, whereas there was no significant associa- tion between the number of correct answers and years of emer- gency experience or level of education, either before or after the intervention. The present study has tried to fill the gap in Greek EDs by showing that triage training of ENs by using e-learning with presentation and simulation scenarios alongside the translated STS manual in Greek has a positive impact. It is beyond any doubt, that adaptation of any scale by a system, demands that it should be translated into the mother-tongue language of the staff working within this system in order to achieve high and consistent perform- ance. Therefore, we have translated STS into the Greek language, aiming to provide a valuable tool to Greek EDs for training and improvement of clinical performance. Although further research is required on how this new approach would benefit the overcrowded ED and patients’ waiting times, this is the first report on effective triage training within the Greek health system.1-4 References 1. Yancey CC, O'Rourke MC. Emergency Department Triage. 2023. Available from: https://www.ncbi.nlm.nih.gov /books/NBK557583/ 2. Simon J, Rutschmann O, Lejeune C, Hugli O. Schweizer Triage System. Available from: https://www.sgnor.ch/filead- min/user_upload/STS_-_Version_1.10_Juni_2018.pdf 3. Zagalioti SC, Fyntanidou B, Exadaktylos A, et al. The first positive evidence that training improves triage decisions in Greece: evidence from emergency nurses at an Academic Tertiary Care Emergency Department. BMC Emerg Med 2023;23:60. 4. Grosgurin O, Gayet-Ageron A, Suppan L, et al. Reliability and performance of the Swiss Emergency Triage Scale used by paramedics. Eur J Emerg Med 2019;26:188-93. Emergency Care Journal 2024; volume 20:12920 [Emergency Care Journal 2024; 20:12920] [page 103] Bridging language barriers by implementing a translated-based triage scale manual into the mother tongue language: a tool for strengthening emergency care Sofia-Chrysovalantou Zagalioti,1 Aristomenis Exadaktylos,2 Konstantinos Fortounis,3 Sofia Gkarmiri,1 Aikaterini Apostolopoulou,1 Barbara Fyntanidou1 1Department of Emergency Medicine, Aristotle University of Thessaloniki, AHEPA University Hospital, Greece; 2Department of Emergency Medicine, Inselspital, University Hospital, University of Bern, Switzerland; 3Papageorgiou General Hospital, Thessaloniki, Greece Correspondence: Sofia-Chrysovalantou Zagalioti, Department of Emergency Medicine, Aristotle University of Thessaloniki, AHEPA University Hospital, Greece. E-mail: sofia_zag@yahoo.com Key words: emergency department; triage; triage system. Contributors: all authors listed have made a substantial, direct, and intellectual contribution to the work. All the authors have read and approved the final version of the manuscript and agreed to be held accountable for all aspects of the work. Conflict of interest: the authors declare no potential conflict of interest. Funding: none. Availability of data and materials: the data used to support the find- ings of this study are available from the corresponding author upon reasonable request. Received: 12 August 2024. Accepted: 27 August 2024. Early view: 26 September 2024. This work is licensed under a Creative Commons Attribution 4.0 License (by-nc 4.0). ©Copyright: the Author(s), 2024 Licensee PAGEPress, Italy Emergency Care Journal 2024; 20:12920 doi:10.4081/ecj.2024.12920 Publisher's note: all claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher. Non -co mmerc ial us e o nly