Kompetenz und Organisation für den Massenanfall von Patienten in der Seeschifffahrt

Schulz-Drost, Stefan; Weigeldt, M.; Trach, Simon; Henning, Esther; Gümbel, Denis

doi:10.1007/s10039-018-0399-2

Cited by 1 publication

(4 citation statements)

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“…MCI pose a major challenge for medical personnel [2,3]. A mismatch between the number of patients and the available medical, technical and administrative resources are a characteristic of a MCI [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

“…Ashore, established algorithms are initiated to enable the best possible care for all patients involved in a MCI [4]. The primary objective is to use the available resources efficiently to ensure the survival of as many victims as possible [5,6].…”

Section: Introductionmentioning

confidence: 99%

“…MCIs at sea occur rarely, but with severe consequences, due to the location and the remoteness from professional emergency staff in most cases [4]. Further aspects, e.g., time and weather, may influence these conditions [14].…”

Section: Introductionmentioning

confidence: 99%

“…Further aspects, e.g., time and weather, may influence these conditions [14]. Resulting in a delayed rescue in medically and operationally extremely precarious situations [4]. For this reason, the ability of the ship's crew to assess the number and severity of the injured passengers plays a central role [14].…”

Section: Introductionmentioning

confidence: 99%

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Digital versus analogue record systems for mass casualty incidents at sea—Results from an exploratory study

et al. 2020

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Objective Mis-triage may have serious consequences for patients in mass casualty incidents (MCI) at sea. The purpose of this study was to assess outcome, reliability and validity of an analogue and a digital recording system for triage of a MCI at sea. Methods The study based on a triage exercise conducted with a cross-over-design. Forty-eight volunteers were presented a fictional MCI with 50 cases. The volunteers were randomly assigned to start with the analogue (Group A, starting with the analogue followed by the digital system) or digital system (Group B, starting with the digital followed by the analogue system). Triage score distribution and agreement between the triage methods and a predefined standard were reported. Reliability was analysed using Cronbach's Alpha and Cohen's Kappa. Validity was measured through sensitivity, specificity and predictive value. Treatment, period and carry-over-effects were analysed using a linear mixed-effects model. Results The number of patients triaged (total: n = 3545) with the analogue system (n = 1914; 79.75%) was significantly higher (p = 0.001) than with the digital system (n = 1631; 67.96%). A trend towards a higher percentage of correct triages with the digital system was observed (p = 0.282). Ratio of under-triage was significantly smaller with the digital system (p = 0.001). Validity measured with Cronbach's Alpha and Cohen's Kappa was higher with the digital system.

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