Paramedic Accuracy Using SALT Triage After a Brief Initial Training

Deluhery, M.R.; Lerner, E. Brooke; Pirrallo, Ronald G.; Schwartz, Richard B.

doi:10.3109/10903127.2011.569852

Cited by 43 publications

(56 citation statements)

References 13 publications

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“…6 Another study was computer based and untimed, which may also contribute to higher accuracy rates. 7 There are no standards as to what are acceptable accuracy, overtriage, and undertriage rates but general consensus is that both overtriage and undertriage in a mass casualty incident can lead to negative outcomes. Overtriage can lead to unnecessary use of limited resources and distraction of medical attention from persons needing it.…”

Section: Discussionmentioning

confidence: 99%

“…4 Recent studies evaluating SALT found accuracy rates of 83 and 80%, respectively. 6,7 In one of these studies participants assigned triage designations in groups that were allowed to confer, possibly contributing to the high rates of accuracy. 6 Another study was computer based and untimed, which may also contribute to higher accuracy rates.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Randomized Trial Comparing Two Mass Casualty Triage Systems (JumpSTART versus SALT) in a Pediatric Simulated Mass Casualty Event

Jones¹,

White²,

Tofil³

et al. 2014

Prehospital Emergency Care

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Randomized Trial Comparing Two Mass Casualty Triage Systems (JumpSTART versus SALT) in a Pediatric Simulated Mass Casualty Event

Jones¹,

White²,

Tofil³

et al. 2014

Prehospital Emergency Care

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“…One of the challenges in a MCI is to identify the most severely injured, performing life-saving initial medical interventions, and achieving evacuation without unnecessary delay to the correct facility. In the present study, triage skills of participants attending ATLS or PHTLS courses were compared in a simulated MCI using a modified version of the Deluhery et al questionnaire [22, 24]. Prior to attending the respective courses, ATLS participants scored significantly higher than PHTLS participants in the part of the questionnaire related to decision-making.…”

Section: Discussionmentioning

confidence: 99%

“…An instrument that has been developed by Deluhery et al [22] translated to Swedish and adapted to meet Swedish conditions by Lampi et al [24] was chosen for the study. The data were collected from two separate groups, an ATLS group and a PHTLS group, during two different periods.…”

Section: Methodsmentioning

confidence: 99%

Pre-hospital triage performance after standardized trauma courses

Lampi

Junker

Berggren

et al. 2017

Scand J Trauma Resusc Emerg Med

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BackgroundThe pre-hospital triage process aims at identifying and prioritizing patients in the need of prompt intervention and/or evacuation. The objective of the present study was to evaluate triage decision skills in a Mass Casualty Incident drill. The study compares two groups of participants in Advanced Trauma Life Support and Pre-Hospital Trauma Life Support courses.MethodsA questionnaire was used to deal with three components of triage of victims in a Mass Casualty Incident: decision-making; prioritization of 15 hypothetical casualties involved in a bus crash; and prioritization for evacuation. Swedish Advanced Trauma Life Support and Pre-Hospital Trauma Life Support course participants filled in the same triage skills questionnaire just before and after their respective course.ResultsOne hundred fifty-three advanced Trauma Life Support course participants were compared to 175 Pre-Hospital Trauma Life Support course participants. The response rates were 90% and 95%, respectively. A significant improvement was found between pre-test and post-test for the Pre-Hospital Trauma Life Support group in regards to decision-making. This difference was only noticeable among the participants who had previously participated in Mass Casualty Incident drills or had experience of a real event (pre-test mean ± standard deviation 2.4 ± 0.68, post-test mean ± standard deviation 2.60 ± 0.59, P = 0.04). No improvement was found between pre-test and post-test for either group regarding prioritization of the bus crash casualties or the correct identification of the most injured patients for immediate evacuation.ConclusionsNeither Advanced Trauma Life Support nor Pre-Hospital Trauma Life Support participants showed general improvement in their tested triage skills. However, participation in Mass Casualty Incident drills or experience of real events prior to the test performed here, were shown to be advantageous for Pre-Hospital Trauma Life Support participants. These courses should be modified in order to assure proper training in triage skills.

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“…Data were collected from ATLS and PHTLS participants from different course sites in Sweden. The participants were evaluated with regard to triage skills using a triage skill questionnaire based on a previously validated instrument [144]. The triage questionnaire was handed out to the participants, together with an information letter, just before and after the course.…”

Section: Papers I and Iimentioning

confidence: 99%

TRIAGE : Management of the trauma patient

Lampi¹

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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 ...

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Paramedic Accuracy Using SALT Triage After a Brief Initial Training

Cited by 43 publications

References 13 publications

Randomized Trial Comparing Two Mass Casualty Triage Systems (JumpSTART versus SALT) in a Pediatric Simulated Mass Casualty Event

Randomized Trial Comparing Two Mass Casualty Triage Systems (JumpSTART versus SALT) in a Pediatric Simulated Mass Casualty Event

Pre-hospital triage performance after standardized trauma courses

TRIAGE : Management of the trauma patient

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