Development of a Mass Casualty Triage Performance Assessment Tool

Abstract

The overall objective of this research was to develop a prototype measure of performance for a collective task; a more thorough description is provided in Curnow, Barney, Bryson, Keller-Glaze and Vowels (2015). To accomplish the objective, a collaborative effort was initiated with a U.S. Army Forces Command (FORSCOM) Military Police (MP) unit to select a task for metric development and then develop and refine a prototype measure for that task. Through collaboration between the research team and the unit, a need for measurement development involving the task of mass casualty triage was identified. Thus, we developed an assessment tool designed to measure the degree to which Soldiers could correctly triage injured civilians during a mass casualty training event. Based on a review of military and civilian literature regarding mass casualty triage and interviews with members of the unit, the triage assessment development involved three steps: (1) identification of key functions associated with mass casualty triage; (2) identification and categorization of subtasks for each task; and (3) review and conversion of tasks and/or subtasks into proper task statements. The Mass Casualty Triage Performance Assessment Tool is ARI Research Product 2015-02.

Clinical Management of Patients Infected with Highly Pathogenic Microorganisms

“…Triage during HCID events focuses on sorting those severely and critically ill patients who require immediate medical intervention from other casualties whose treatment may be delayed or administered in alternative facilities [81]. Another objective of triage in HCID situations is to use the available resources (i.e., manpower, equipment, or infrastructure) optimally to mitigate chaos and restore order, so as to resume routine operations and levels of medical care in the shortest time possible [82].…”

Evaluation of Ethical Dilemmas in Disaster Triage Example of İzmir

“…Triaj protokolleri, uygulamada sağlamayı hedefledikleri standart ile afet müdahalesi sırasında yaşanabilecek ikilemleri azaltma hedefi taşımaktadır. [18][19][20] Bu açılardan değerlendirildiğinde, Türkiye'de afet müdahale organizasyonlarında etkinliğin artırılması adına, afetlerde kullanılması önerilen triaj protokollerinin belirlenmesi, mesleki ve hizmet içi eğitimlerin bu protokoller çerçevesinde dizayn edilmesi önemli görülmektedir. Bununla birlikte, müdahale sırasında yapılacak olan kısıtlamaların mevzuatta tanımlanması, personelin kendisini idari ve hukuki sorumluluk açısından rahatlatabilmekte ve etik ikilemleri azaltıcı bir rol oynayabilmektedir.…”