A Comparison Between Differently Skilled Prehospital Emergency Care Providers in Major-Incident Triage in South Africa

Alenyo, Annet Ngabirano; Smith, W. A.; McCaul, Michael; Hoving, D.J. van

doi:10.1017/s1049023x18000699

Cited by 6 publications

(4 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although these assessments were conducted immediately at the end of the course, the data from another study of EMS providers in South Africa showed that prior training is associated with enhanced future performance. 21 Assessing the providers long-term knowledge retention serves as a future opportunity for research.…”

Section: Discussionmentioning

confidence: 99%

Educational impact of a pilot paediatric simulation-based training course in Botswana

et al. 2019

View full text Add to dashboard Cite

BackgroundAs emergency medical services (EMS) systems develop globally in resource-limited settings, equipping providers with paediatric training is essential. Low-fidelity simulation-based training is an effective modality for training healthcare workers, though limited data exist on the impact of such training programmes. The objective of this study was to evaluate the paediatric portion of a simulation-based curriculum for prehospital providers in Botswana.MethodsThis was a prospective cohort study of EMS providers from more populated regions of Botswana, who attended a 2-day training that included didactic lectures, hands-on skills stations and low-fidelity simulation training. We collected data on participant self-efficacy with paediatric knowledge and skills and performance on both written and simulation-based tests. Self-efficacy and test data were analysed, and qualitative course feedback was summarised.ResultsThirty-one EMS providers participated in the training. Median self-efficacy levels increased for 13/15 (87%) variables queried. The most notable improvements were observed in airway management, newborn resuscitation and weight estimation. Mean written test scores increased by 10.6%, while mean simulation test scores increased by 21.5% (p<0.0001). One hundred per cent of the participants rated the course as extremely useful or very useful.Discussion/ConclusionWe have demonstrated that a low-fidelity simulation-based training course based on a rigorous needs assessment may enhance short-term paediatric knowledge and skills for providers in a developing EMS system in a limited-resource setting. Future studies should focus on studying larger groups of learners in similar settings, especially with respect to the impact of educational programmes like these on real-world patient outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Educational impact of a pilot paediatric simulation-based training course in Botswana

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Currently MCI triage accuracy rates are measured against the following documented field triage accuracy rates for field triage ( 20): an under-triage rate of less than 5% to ensure that critically injured casualties are captured, and an over-triage rate of less than 50% to ensure that medical facilities are not overwhelmed with casualties. It has been shown that the current field triage accuracy rates for MCI triage may be inappropriate (23) and overstated for MCI triage. Cuttance et al ( 15) have shown that it is possible to achieve under-and over-triage rates of 2.8% and 7.0% respectively using supportive documentation.…”

Section: Discussionmentioning

confidence: 99%

Is There a Triage Sieve Knowledge and Application Gap between Clinical Team Leaders and Their Team Members?

Cuttance

Dansie

Rayner

2019

Australasian Journal of Paramedicine

View full text Add to dashboard Cite

IntroductionAmbulance service team leaders may be required to provide organisational leadership at complex incidents, such as a mass-casualty incident involving triage sieve. It may be expected that team leaders have a greater understanding of, and should be able to better apply their skills, than their team members during such an incident. The objective of this study was to determine if team leaders have a higher theoretical knowledge and better triage sieve application skills than their team members.MethodsTeam leaders were allotted into one of two groups: the first (control) group completed a questionnaire without any supporting documentation (ie. aide-memoir), whereas the second (intervention) group completed the same questionnaire, as the control group, but utilising supportive documentation.ResultsThe results show that the team leaders from the control group achieved significantly better results than their team members when completing a questionnaire, without the use of supportive documentation. There was no significant difference between team leaders from the intervention group and their team members when completing the same questionnaire using supportive documentation.ConclusionIt has been shown that the use of printed supportive material in the form of an aide-memoir decreases the knowledge and application gap between team leaders and their team members, and increases triage sieve accuracy. The results from this study reinforces the results from previous studies, showing that supporting documentation should be used to ensure greater triage sieve accuracy rates and thereby reducing under- and over-triage rates.

show abstract

“…However, sometimes triage mistakes lead to patients being categorized incorrectly, which ultimately results in the inappropriate use of resources, hindering the provision of efficient emergency care [33][34][35]. Under-triage happens when patients who need immediate care for life-threatening injuries are wrongly assigned to receive that care later, while over-triage happens when patients with non-critical injuries are labeled as urgent and need immediate care [36][37][38].…”

Section: Field Performancementioning

confidence: 99%

Investigating Emergency Medical System Challenges in Mass Casualty Incidents: A Case Report Study in Road Traffic Accidents in Northern Iran

Mohajervatan,

Ashabi,

Rezaei

2024

Health in Emergencies and Disasters Quarterly

View full text Add to dashboard Cite

Background: Before the arrival of patients at medical facilities, emergency medical teams often encounter numerous challenges in dealing with mass casualties resulting from road traffic accidents. This study examines the challenges that pre-hospital emergency medical services face during mass casualty incidents caused by road traffic accidents. Materials and Methods:This study presents three road accidents that caused significant numbers of casualties in Golestan Province, Iran. The data for this report was gathered from various sources, including recorded images and videos, analysis of hospital records, and pre-hospital care reports. In addition, group discussions were held with emergency medical technicians who were present at the accident scene.Results: Providing relief aid in three sections, namely first responders, emergency call centers, and emergency medical technicians faces significant challenges. The challenges related to the management of mass casualties were mainly in terms of the inability to manage the accident scene by the first responders, management of calls and sharing information in the dispatch center, and medical measures required to be done at the incident scene. Conclusion:To ensure a prompt and efficient response to mass casualty incidents, it is crucial to focus on managing the incident scene by the first responders, as well as optimizing the communication and information exchange during dispatches and field medical interventions.To enhance the quality of emergency medical services, it is vital to develop educational programs, communication strategies, and standardized policies that can be implemented across all mass casualty incidents.

show abstract

A Comparison Between Differently Skilled Prehospital Emergency Care Providers in Major-Incident Triage in South Africa

Cited by 6 publications

References 26 publications

Educational impact of a pilot paediatric simulation-based training course in Botswana

Educational impact of a pilot paediatric simulation-based training course in Botswana

Is There a Triage Sieve Knowledge and Application Gap between Clinical Team Leaders and Their Team Members?

Investigating Emergency Medical System Challenges in Mass Casualty Incidents: A Case Report Study in Road Traffic Accidents in Northern Iran

Contact Info

Product

Resources

About