3.9 Article

Paramedic triage during a mass casualty incident exercise

Journal

NOTFALL & RETTUNGSMEDIZIN
Volume 15, Issue 1, Pages 58-+

Publisher

SPRINGER
DOI: 10.1007/s10049-011-1477-1

Keywords

Triage; Sorting; Paramedic; PDA; Disaster exercise

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The article describes the triage procedure during a large mass casualty incident exercise SOGRO MANV 500. Deploying a PDA 25 paramedics triaged more than 500 casualties and documented the results. The aim was to analyze the assigned triage level of casualties and compare paramedic's performance. Inappropriate triage levels were identified and calculated for each paramedic and compared to self-assessments, the latter being obtained from a standardized questionnaire. Altogether 81.5% of casualties were assigned the appropriate triage levels. Percentages of inappropriately assigned triage levels ranged from 0% to 60%. A conspicuous finding was the discrepancy between fire brigade paramedics (12.3%) and other emergency services paramedics (38.5%) but the low number of cases in the study should be taken into consideration. The authors discuss possible reasons for assigning inappropriate triage levels and how the discrepancy between the paramedics and the other organizations could potentially be explained.

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