ArticleScandinavian journal of trauma, resuscitation and emergency medicine2018
Primary mass casualty incident triage: evidence for the benefit of yearly brief re-training from a simulation study.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Preparing medical first responders for crises: a systematic literature review of disaster training programs and their effectiveness.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Pooled it
- Cross-border collaboration in a major incident: emergency medical services response to a train crash.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Mass Casualty Incident Training in Immersive Virtual Reality: Quasi-Experimental Evaluation of Multimethod Performance Indicators.Journal of medical Internet research · 2025Article
- Integrating GPT-Based AI into Virtual Patients to Facilitate Communication Training Among Medical First Responders: Usability Study of Mixed Reality Simulation.JMIR formative research · 2024Article
- Exploring objective measures for assessing team performance in healthcare: an interview study.Frontiers in psychology · 2023Article
- Perspectives of Triage Team Members Participating in Statewide Triage Simulations for Scarce Resource Allocation During the COVID-19 Pandemic in Washington State.JAMA network open · 2022Article
- Simultaneous Casualty Admissions-Do they Affect Treatment in the Receiving Trauma Center?World journal of surgery · 2021Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTriage is a mainstay of early mass casualty incident (MCI) management. Standardized triage protocols aim at providing valid and reproducible results and, thus, improve triage quality. To date, there is little data supporting the extent and content of training and re-training on using such triage protocols within the Emergency Medical Services (EMS). The study objective was to assess the decline in triage skills indicating a minimum time interval for re-training. In addition, the effect of a one-hour repeating lesson on triage quality was analyzed.
methodsA dummy based trial on primary MCI triage with yearly follow-up after initial training using the ASAV algorithm (Amberg-Schwandorf Algorithm for Primary Triage) was undertaken. Triage was assessed concerning accuracy, sensitivity, specificity, over-triage, under-triage, time requirement, and a comprehensive performance measure. A subgroup analysis of professional paramedics was made.
resultsNine hundred ninety triage procedures performed by 51 providers were analyzed. At 1 year after initial training, triage accuracy and overall performance dropped significantly. Professional paramedic's rate of correctly assigned triage categories deteriorated from 84 to 71%, and the overall performance score decreased from 95 to 90 points (maximum = 100). The observed decline in triage performance at 1 year after education made it necessary to conduct re-training. A brief didactic lecture of 45 min duration increased accuracy to 88% and the overall performance measure to 97.
conclusionsTo improve disaster preparedness, triage skills should be refreshed yearly by a brief re-education of all EMS providers.
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