First Responder Accuracy Using SALT during Mass-casualty Incident Simulation

Lee, Christopher W.C.; McLeod, Shelley; Aarsen, K. Van; Klingel, Michelle; Franc, Jeffrey Michael; Peddle, Michael

doi:10.1017/s1049023x16000091

Cited by 20 publications

(29 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The best outcomes would be achieved with early triage that is efficient and precise. 4 The present results revealed that the START group of nonmedical personnel who were provided even a very brief training on the START triage protocol immediately before the exercise more accurately placed their patients into the correct triage color codes, whereas the non-START group exhibited a much higher deviation from the baseline representing an accuracy level of 100% exact triage of all "patients" (Figure 1).…”

Section: Discussionmentioning

confidence: 61%

“…Over-triaging patients by assigning those who are not in critical condition as in need of immediate medical attention can overwhelm hospital facilities and medical professionals. 4,8 In this way, scarce resources are not effectively used to benefit patients truly in need of life-saving medical attention. Under-triage jeopardizes the single patient outcome, whereas over-triage risks incapacitating the whole emergency medical system.…”

Section: Discussionmentioning

confidence: 99%

“…3 The consequences of an incorrect triage decision can lead either to a loss of human life owing to failure to detect life-threatening but treatable injuries or to bottlenecking of the rescue system by overcrowding the emergency room with patients with minor injuries, inappropriately labeled as critical. 4 In Italy, the majority of ambulance crews involved in the early phase of disaster or MCI relief are composed of volunteers trained in first aid techniques but without any medical professional qualification (ie, RN or MD). (In Italy, emergency medical technicians and paramedics do not exist as in the United States.)…”

mentioning

confidence: 99%

“…Because disasters and MCIs are infrequent, the triage training of rescuers is often poor and requires condensed review just before the start of rescue operations 3 . The consequences of an incorrect triage decision can lead either to a loss of human life owing to failure to detect life-threatening but treatable injuries or to bottlenecking of the rescue system by overcrowding the emergency room with patients with minor injuries, inappropriately labeled as critical 4 …”

mentioning

confidence: 99%

See 3 more Smart Citations

Testing the START Triage Protocol: Can It Improve the Ability of Nonmedical Personnel to Better Triage Patients During Disasters and Mass Casualties Incidents ?

Badiali¹,

Giugni²,

Marcis³

2017

Disaster med. public health prep.

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Testing the START Triage Protocol: Can It Improve the Ability of Nonmedical Personnel to Better Triage Patients During Disasters and Mass Casualties Incidents ?

Badiali¹,

Giugni²,

Marcis³

2017

Disaster med. public health prep.

View full text Add to dashboard Cite

show abstract

“…A lot of effort has gone into creating effective triage teaching and training methods [65,72,148,149]. Courses such as ATLS and PHTLS have had an impact on trauma care education, and take place worldwide.…”

Section: Discussionmentioning

confidence: 99%

TRIAGE : Management of the trauma patient

Lampi¹

View full text Add to dashboard Cite

Triage, derived from the French word for sorting, aims to assess and prioritize injured patients, regardless of whether the injuries are sustained from everyday road traffic accident with few injured or a mass casualty incident. Triage seeks to provide the greatest benefit to the largest number of casualties in order to minimize morbidity and mortality. Triage in a pre-hospital setting entails management and sorting of patients according to an assessment of medical need, prioritization, and evacuation. In-hospital triage aims to rapidly identify the most injured and ensure timely and appropriate treatment according to the patient's clinical urgency. A number of different systems for performing triage have been established and implemented globally. The methodology is recognized and utilized but there is still a need for an evidence-based strategy to optimize training and the efficacy of the different systems.The main aim of this thesis was to determine triage performance among prehospital personnel and investigate the potential advantage of a triage system for trauma patients. The papers included in this thesis evaluated the triage skills of physicians, pre-hospital personnel, and rescue services personnel by testing their performance before and after an educational intervention. The last paper evaluated potential benefits of using a triage system for trauma patients admitted to the emergency department at MOI Teaching and Referral Hospital in Eldoret, Kenya.The results presented in this thesis illustrate that triage skills are lacking among physicians. Experienced pre-hospital personnel are more skilled in performing triage than physicians. The triage skills of the rescue services personnel improved significantly after the educational intervention. Moreover, the potential benefit to trauma patients of implementing an in-hospital triage system in a resource-poor environment was shown. In conclusion, health care personnel, especially physicians without experience but highly involved in trauma patient management, seem to be in need of triage training. How to train, how to implement, and how to evaluate triage skills must be considered in order to develop effective training. POPULÄRVETENSKAPLIG SAMMANFATTNINGOrdet triage kommer från franskans "sortera" och är ett av det första stegen i omhändertagandet av skadade när det råder resursbrist. Från 1800-talets blodiga slagfält, till dagens skadeplats och akutmottagningar har sättet att triagera patienter utvecklats. Men då, som nu, är grundtanken den samma, att sortera och prioritera de skadade utifrån tillgängliga resurser och patienternas vårdbehov. Följaktligen har begreppet kommit att bli centralt inom ämnet katastrofmedicin. Att avlida till följd av skador i samband med allvarliga händelser men också skador i till exempel vardagstrafiken är ett globalt hälsoproblem. Tiden från olycka till sjukhusbehandling är en viktig och ofta avgörande överlevnadsfaktor för en patient. I det här sammanhanget talas det om "den gyllene timmen", som påvisar vikten av att få ...

show abstract

360 virtual reality pediatric mass casualty incident: A cross sectional observational study of triage and out‐of‐hospital intervention accuracy at a national conference

et al. 2020

View full text Add to dashboard Cite

Objective With adolescent mass casualty incidents (MCI) on the rise, out‐of‐hospital readiness is critical to optimize disaster response. We sought to test the feasibility and acceptability of a 360 Virtual Reality (360 VR) platform for disaster event decisionmaking. Methods This was a cross‐sectional observational assessment of a subject's ability to triage and perform out‐of‐hospital interventions using a 360 VR MCI module. A convenience sample of attendees was recruited over 1.5 days from the American College of Emergency Physicians (ACEP) national conference in San Diego, CA. Results Two hundred and seven (207) subjects were enrolled. Ninety‐six (46%) subjects identified as attendings, 66 (32%) as residents, 13 (6%) as medical students, 4 (2%) as emergency medical technicians and 28 (14%) as other. When comparing mean scores between groups, physicians who were <40 years old had mean scores higher than physicians who were >40 years old (8.7 vs 6.5, P < 0.001). Residents achieved higher scores than attendings (8.6 vs 7.5, P = 0.005). Based on a 5‐point Likert scale, participants felt the 360 VR experience was engaging (median = 5) and enjoyable (median = 5). Most felt that 360 VR was more immersive than mannequin‐based simulation training (median = 5). Conclusion We conclude that 360 VR is a feasible platform for assessing triage and intervention decisionmaking for adolescent MCIs. It is well received by subjects and may have a role as a training and education tool for disaster readiness. In this era of distanced learning, 360 VR is an attractive option for future immersive educational experiences.

show abstract

First Responder Accuracy Using SALT during Mass-casualty Incident Simulation

Cited by 20 publications

References 20 publications

Testing the START Triage Protocol: Can It Improve the Ability of Nonmedical Personnel to Better Triage Patients During Disasters and Mass Casualties Incidents ?

Testing the START Triage Protocol: Can It Improve the Ability of Nonmedical Personnel to Better Triage Patients During Disasters and Mass Casualties Incidents ?

TRIAGE : Management of the trauma patient

360 virtual reality pediatric mass casualty incident: A cross sectional observational study of triage and out‐of‐hospital intervention accuracy at a national conference

Contact Info

Product

Resources

About