電子期刊 |
ISSN:1684-193X
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Updated
Jan 18, 2003
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Contents:
Volume
1, Nomber 2; Jan, 2003 |
The Role Tabletop Exercise Using START in Improving
Triage Ability in Disaster Medical Assistance Team |
Kuo-Chih Chen, MD; Chien-Chih Chen, MD; Tzong-Luen Wang, MD,
PhD |
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Abstract ---Triage
ability is a critical skill the members of a disaster medical assistance
team (DMAT) should possess. There are few data concerning the triage
accuracy in the pre-hospital providers and the members of DMAT.
We thus conducted a lecture-based intervention and evaluated the
impact of the triage method using a written multiple-casualty incident
(MCI) scenario. We enrolled and tested 30 volunteers in a local
DMAT training program. The written scenario of a MCI consisted of
40 victims with 5 first priority patient, 17 second priority patients,
and 18 third priority patients. The scenario was tested in the volunteers
before and immediately after a one-hour lecture of Simple Triage
and Rapid Treatment (START) with slide presentation. The mean immediate
post-intervention score (87.8% correct) was significantly improved
compared with the mean pre-intervention score (55.8%) for the 30
volunteers (P<0.001). The over-triage rate was significantly
reduced before (28.6%) and immediate after (1%) the intervention
(P<0.001). The under-triage rate was also reduced from 15.5%
to 11.2% (P<0.05). Tabletop exercises have several advantages
over field operation drills. Using tabletop exercise can simulate
the disaster or major incidents and evaluate critical knowledge
and skills. The training model using START method in a tabletop
exercise could significantly improve the triage ability and reduce
overtriage and undertriage rate. |
Key words---Tabletop Exercise; START;
Triage; Disaster Medicine |
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