A two-hour intervention using START improves prehospital triage of mass casualty incidents

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
B L RisaviS Arcona

Abstract

There are few data concerning the ability of prehospital providers to triage patients in a mass casualty incident (MCI). The authors evaluated the effectiveness of a brief educational intervention on MCI triage with a written scenario and test. The START method (simple triage and rapid treatment) was used. The authors enrolled and tested 109 prehospital providers consisting of 31 paramedics and prehospital registered nurses (PHRNs) and 78 emergency medical technicians (EMTs) and first responders. A written scenario of an MCI was used to test participants before, immediately after, and again at one month after a two-hour educational intervention consisting of a slide and video presentation utilizing START. The 109 participants completed the pre-intervention and post-intervention test; 72 (66%) completed the one-month post-intervention as well. Mean work experience was 9 years (ranging from 1 to 27 years). The mean immediate post-test score (75% correct) was significantly improved compared with the mean pretest score (55% correct) for the 109 providers completing both tests (p < 0.001). Among advanced life support providers (EMT-Ps and PHRNs) completing all three surveys, the mean immediate post-test score (76% correct) and mean ...Continue Reading

References

Jan 1, 1991·The American Journal of Emergency Medicine·R B Vukmir, P M Paris
Apr 1, 1987·Annals of Emergency Medicine·J J KoehlerP Lilleboe

❮ Previous
Next ❯

Citations

Dec 2, 2009·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·E Brooke LernerRonald G Pirrallo
Mar 20, 2013·Prehospital and Disaster Medicine·Brian L RisaviDonald L Holsten
Oct 10, 2015·Prehospital and Disaster Medicine·Christopher W C LeeMichael B Peddle
Aug 17, 2015·Acute Medicine & Surgery·Yuichi FukumotoHiroshi Tanaka
Aug 22, 2018·Prehospital and Disaster Medicine·Alexander HartJohn Broach
Sep 11, 2018·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Robert W HeffernanRichard B Schwartz
Sep 11, 2008·Disaster Medicine and Public Health Preparedness·E Brooke LernerRobert E O'Connor
Jul 23, 2005·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Amado Alejandro BáezLuis E Vargas
Jun 30, 2010·Prehospital and Disaster Medicine·Robert F SappPaul Hinchey
Jul 31, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Pamela B AndreattaJen Frankel
Aug 19, 2011·International nursing review·A BistarakiP Galanis
May 20, 2011·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Matthew R DeluheryRichard B Schwartz
Dec 21, 2013·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Maria LampiCarl-Oscar Jonson
Oct 19, 2016·Clinical and Experimental Emergency Medicine·Myeong-Il ChaEun Seog Hong
Sep 25, 2018·Disaster Medicine and Public Health Preparedness·Vikhyat S Bebarta
May 28, 2019·The Western Journal of Emergency Medicine·C Eric McCoyShahram Lotfipour
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
Aug 8, 2019·Prehospital and Disaster Medicine·Daniel H CelikJennifer A Frey
Aug 18, 2009·Disasters·Jozsef Betlehem, Jurgen Schaefer
Aug 8, 2019·Prehospital and Disaster Medicine·Matt PepperJohn Moloney
Sep 26, 2006·Journal of Burn Care & Research : Official Publication of the American Burn Association·Josef D SchenkerDavid J Prezant
Oct 6, 2006·Current Opinion in Anaesthesiology·Gad Bar-JosephMichael Halberthal
Oct 27, 2004·Pediatric Emergency Care·Teri L SanddalNels D Sanddal
May 15, 2004·Prehospital and Disaster Medicine·Yehezkel WaismanKobi Peleg
Oct 21, 2015·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Abraham NilssonCarl-Oscar Jonson
Mar 18, 2009·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Dale S VincentKathleen K Connolly
Nov 9, 2005·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·David C Cone, Kristi L Koenig
Jan 24, 2013·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Edward JasperDale Berg
Feb 10, 2016·Prehospital and Disaster Medicine·Christopher W C LeeMichael B Peddle
Aug 19, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Amir Khorram-ManeshFrederick M Burkle
Dec 11, 2007·Annals of Emergency Medicine·Jefferson WilliamsCarri Casteel

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Disaster Management & Response : DMR : an Official Publication of the Emergency Nurses Association
Mark E Gebhart, Robert Pence
European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
Siang-Hiong GohElaine Kim-Choon Ng
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
Zaka Ullah MalikMuhammad Akmal
© 2021 Meta ULC. All rights reserved