Accuracy, Efficiency, and Inappropriate Actions Using JumpSTART Triage in MCI Simulations

Prehospital and Disaster Medicine
Ilene ClaudiusTodd P Chang

Abstract

Using the pediatric version of the Simple Triage and Rapid Treatment (JumpSTART) algorithm for the triage of pediatric patients in a mass-casualty incident (MCI) requires assessing the results of each step and determining whether to move to the next appropriate action. Inappropriate application can lead to performance of unnecessary actions or failure to perform necessary actions. Hypothesis/Problem To report overall accuracy and time required for triage, and to assess if the performance of unnecessary steps, or failure to perform required steps, in the triage algorithm was associated with inaccuracy of triage designation or increased time to reach a triage decision. Medical students participated in an MCI drill in which they triaged both live actors portraying patients and computer-based simulated patients to the four triage levels: minor, delayed, immediate, and expectant. Their performance was timed and compared to intended triage designations and a priori determined critical actions. Thirty-three students completed 363 scenarios. The overall accuracy was 85.7% and overall mean time to assign a triage designation was 70.4 seconds, with decreasing times as triage acuity level decreased. In over one-half of cases, the student ...Continue Reading

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Sep 2, 2015·Prehospital and Disaster Medicine·Ilene ClaudiusTodd P Chang

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Citations

May 27, 2016·Prehospital and Disaster Medicine·Simon Horne, Tim Nutbeam
Oct 18, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Mark Xavier CiceroMarc Auerbach
Jul 14, 2018·Prehospital and Disaster Medicine·Brian N FinkCarolina Wishner
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 2, 2015·Prehospital and Disaster Medicine·Ilene ClaudiusTodd P Chang
Nov 28, 2018·World Journal of Clinical Pediatrics·Consolato Sergi
Jan 14, 2020·Disaster Medicine and Public Health Preparedness·Pier Luigi IngrassiaFrancesco Della Corte

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