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

Prehospital and Disaster Medicine
Annet Ngabirano AlenyoDaniel J Van Hoving

Abstract

IntroductionMajor-incident triage ensures effective emergency care and utilization of resources. Prehospital emergency care providers are often the first medical professionals to arrive at any major incident and should be competent in primary triage. However, various factors (including level of training) influence their triage performance.Hypothesis/ProblemThe aim of this study was to determine the difference in major-incident triage performance between different training levels of prehospital emergency care providers in South Africa utilizing the Triage Sieve algorithm. This was a cross-sectional study involving differently trained prehospital providers: Advanced Life Support (ALS); Intermediate Life Support (ILS); and Basic Life Support (BLS). Participants wrote a validated 20-question pre-test before completing major-incident training. Two post-tests were also completed: a 20-question written test and a three-question face-to-face evaluation. Outcomes measured were triage accuracy and duration of triage. The effect of level of training, gender, age, previous major-incident training, and duration of service were determined. A total of 129 prehospital providers participated. The mean age was 33.4 years and 65 (50.4%) were male...Continue Reading

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Citations

Jul 10, 2019·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Courtney H McKeeE Brooke Lerner

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