DOI QR코드

DOI QR Code

Effect of a Triage Education Program on Accuracy of Triage -Focused on 119 Emergency Medical Service Team-

중증도 분류 교육 프로그램이 중증도 분류 정확성에 미치는 효과 -119구급대원을 중심으로-

  • 김용석 (건양대학교 응급구조학과)
  • Received : 2022.08.08
  • Accepted : 2022.10.18
  • Published : 2022.11.30

Abstract

The study was conducted to determine the effectiveness of the triage training program utilizing pre-and post-training experiments designed for 119 emergency medical services teams. Objectives: This study evaluated the effectiveness of triage training programs on the accuracy of triage performed by 119 emergency medical services team staff who participated in the triage training program. Behavior: Participants in this study included 119 of the 166 EMS staff. In this program, a modified START triage consisting of a 20-minute theoretical presentation was presented to the participants. Data were analyzed using SPSS 21.0. Results: A significant increase in triage accuracy for 119 EMS teams(p<.001). And undertriage showed a significant decrease(p<.001). In addition, overtriage showed a decrease but was not statistically significant. Conclusions: The results obtained from this study showed that the triage training program was effective in improving the accuracy of the triage of multiple injury patients or disaster victims when presented to the 119 emergency medical services team. Therefore, these results suggest that it would be helpful to add triage training to the fire department's formal training program.

이 연구는 119 응급 의료 서비스 팀을 위해 설계된 사전 및 사후 교육 실험을 활용하여 분류 교육 프로그램의 효과를 확인하기 위해 수행되었다. 목적: 이 연구는 분류 교육 프로그램에 참여한 119구급대원이 수행한 분류의 정확성에 대한 분류 교육 프로그램의 효과를 평가하였다. 연구 방법: 본 연구의 대상자는 119구급대원 119명으로, 프리젠테이션으로 구성된 20명의 모의환자가 제시되었다. 자료는 SPSS 21.0을 사용하여 분석하였다. 결과: 119명의 응급의료팀의 분류 정확도가 증가한 것으로 나타났다(p<.001). 그리고 과소 분류는 상당한 감소가 나타났다(p<.001). 또한 과대분류는 감소 되었으나 통계적으로 유의하지 않았다. 결론 : 본 연구에서 얻은 결과는 분류 교육 프로그램이 119구급대원의 다발성 부상 환자 또는 재난 피해자 분류의 정확성을 향상시키는데 효과적임을 보여주었다.

Keywords

References

  1. World Health Organization. Mass casualty management systems : strategies and guidelines for building health sector capacity. Retrieved from : http://www.who.int/hac/techguidance/preparedness/en/index.html.2007.
  2. E. Smith, J. Wasiak, A. Sen, F. Archer and M. Frederick, J.R. Burkle, "Three decades of disasters: a review of disaster-specific literature from 1977-2009." Prehospital and disaster medicine Vol. 24, No 4, pp. 306-311, August 2009. DOI: https://doi.org/10.1017/S1049023X00007020
  3. E. Daily, P. Padjen, and M. Birnbaum, "A review of competencies developed for disaster healthcare providers: limitations of current processes and applicability." Prehospital and disaster medicine Vol. 25, No. 5, pp. 387-395, October 2010. https://doi.org/10.1017/s1049023x00008438
  4. M.K. Huntington, T.F. Gavagan, "Disaster medicine training in family medicine: a review of the evidence." Family medicine Vol. 43. No. 1, pp. 13 January 2011.
  5. Y.S. Kim, H. Kim, B.H. So, W.J. Jung, K.M. Cha, M.H. Oh, and C.W. Jung, "Experience of a hospital disaster response training program based on simulation through surveys before and after training." J Korean Soc Emerg Med, Vol. 27, No. 6, pp. 618-627. December 2016.
  6. J.C. Yoon, K.S. Lim, J.H. Lee, Y.K. Park, W. Kim, "Hospital triage system in mass casualty incident." J Korean Soc Emerg Med, Vol. 14, No. 5, pp. 569-574, December 2003.
  7. J.F. Waeckerle, "Disaster planning andresponse." N Engl J Med, Vol. 324, No. 12, pp. 815-821, March 1991. DOI: 10.1056/NEJM199103213241206
  8. J.T Choi, M.E. Ahn, H.C. Ahn, Y.M. Choi, J.B. Chung, J.Y. Seo, "Analysis of Victims of the Fire that Broke Out at a Beer Bar in Inchon." J Korean Soc Emerg Med, Vol. 12, No. 4, pp. 511-517, December 2001.
  9. S. Kang, S.H. Yun, H.M. Jung, J.H. Kim, S.B. Han, J.S. Kim, "An Evaluation of the Disaster Medical System after an Accident which Occurred after a Bus fell off the Incheon Bridge." J Korean Soc Emerg Med, Vol. 24, No. 1, pp. 1-6, February 2013.
  10. H.G. Moon, S.H. Kim, S.H Oh, K.N. Park, Y.M. Kim, C.S. Youn, "Single center Expreriences to landslides on Woomyun Mountain : Preparedness, Response, and Lessons Learned." J Korean Soc Emerg Med, Vol. 24, No. 1, pp. 7-13, February 2013.
  11. H.J. Ko, K.H. Lee, O.H. Kim, Y.S. Cha, K.C. Cha, H. Kim, "Experiences of a Disaster Medical Assistant Team in the Chun-cheon Landslide Disaster." J Korean Soc Emerg Med, Vol. 24, No. 5, pp. 493-499, October 2013.
  12. B.H. Jang, J.S. Cho, J.J. Kim, Y.S. Lim, G. Lee, H.J. Yang, "Disaster Medical Responses to the Selling of Yeonpyeong Island." J Korean Soc Emerg Med, Vol. 24, No. 4, pp. 439-445, August 2013.
  13. M. Choa, H. Kang, "Education and training in disaster medicine." Hanyang Med Rev, Vol. 35, No. 3, pp. 174-179, August 2015. https://doi.org/10.7599/hmr.2015.35.3.174
  14. E.B. Lerner, R.B. Schwartz, P.L. Coule, R.G Pirrallo. "Use of SALT triage in a simulated mass-casualty incident." Prehosp Emerg Care, Vol. 14, No. 1, pp. 21-25, Nov 2010. https://doi.org/10.3109/10903120903349812
  15. M.R. Deluhery, E.B. Lerner, R.G. Pirrallo, R.B Schwartz. "Paramedic accuracy using SALT triage after a brief initial training." Prehosp Emerg Care, Vol. 15, No. 4, pp. 526-532, Feb 2011. https://doi.org/10.3109/10903127.2011.569852
  16. C.W.C. Lee, S.L. McLeod, M.B. Peddle. "First Responder Accuracy Using SALT after Brief Initial Training." Prehosp Disaster Med, Vol. 30, No. 5, pp. 447-451, September 2015. https://doi.org/10.1017/S1049023X15004975
  17. H. Lee, G. Cho. "Degree of knowledge of severity classification of 119 paramedics and comparison before and after education." J Korean Soc Emerg Med, Vol. 18, No. 1, pp. 43-54, April 2014.
  18. K.S. Kang, Y.K. Kim, "Development and Application of Integrated Simulation Practice Program Using Standardized Patients: Nursing of Alcoholics Subjects with Diabetes in Community," Journal of the Korean Society of Industry and Technology Vol. 17, No. 8, pp. 662-672, August 2016.
  19. D. Amirita, S. Bhatti, and M. A. Memon. "Analysis of Outcome-based educational model in Engineering Education with preliminary Findings." International Journal of Advanced Culture Technology Vol 10, No. 1, pp. 1-9, March 2022. https://doi.org/10.17703/IJACT.2022.10.1.1