PARAMEDIC ACCURACY USING SALT TRIAGE AFTER A BRIEF INITIAL TRAINING
PARAMEDIC ACCURACY USING SALT TRIAGE AFTER A BRIEF INITIAL TRAINING
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DOI：
10.3109/10903127.2011.569852
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发表时间：
2011-10-01
影响因子：
2.4
通讯作者：
Schwartz, Richard B.
中科院分区：
文献类型：
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作者：
Deluhery, Matthew R.;Lerner, E. Brooke;Schwartz, Richard B.
客观的。旨在确定护理人员对 SALT（分类-评估-救生干预措施-治疗/运输）分类的理解和准确性，这是一项拟议的大规模伤亡事件期间初级分类的国家指南，培训后立即和四个月后进行。方法。在强制性继续教育期间，为来自单个县的所有护理人员 (n = 320) 提供了 20 分钟的 SALT 分类讲座。在整个研究期间，作为标准复习培训的一部分，在 10 分钟的小组讲座中重新强调了分类概念。初步培训结束后，所有护理人员都被要求完成一项后测试，其中包括三个有关 SALT 分类的常识问题和 10 个患者场景，其中他们必须分配分类类别。在最初的教育课程四个月后进行了同样的测试。还获得了人口统计和工作经验信息。对每位护理人员的反应进行评分和匹配，并使用配对 t 检验进行比较。结果。共有 290 名护理人员 (91%) 完成了初步后测试。他们正确回答了 13 个问题的平均值（+/- 标准差）为 10.7 +/- 2.3 (82%)。对于 10 个患者场景，他们平均正确分类了 8.1 +/- 2.0 名患者。共有 159 名护理人员完成了两项测试。 67% 的人拥有超过 10 年的紧急医疗服务 (EMS) 经验； 72% 的人有过大规模伤亡演习经验； 51% 的人之前有过实际造成大规模伤亡的经历； 23% 的人在培训前听说过 SALT 分类。这些人口群体的初始测试分数没有统计学上的显着差异。对于完成两项测试的受试者，初始测试的平均总分为 10.9 +/- 1.9 (84%)，后续测试的平均总分为 11.0 +/- 1.9 (85%)（p < 0.770；95% 置信区间 [CI] -0.3 至 0.3）。对于 10 名患者场景，护理人员在初次测试中平均正确分类了 8.3 +/- 1.7 名患者，在后续测试中正确分类了 8.3 +/- 1.4 名患者（p < 0.565；95% CI -0.4 至 0.2）。结论。经过简短的教学课程后，护理人员能够在书面场景中准确地进行 SALT 分类。培训四个月后，他们保留了对 SALT 分类的理解和准确性。看来，简短的教育工具对于培训 EMS 提供者进行 SALT 分类是有效的。
Objective. To determine paramedics' understanding of and accuracy using SALT (sort-assess-lifesaving interventions-treatment/transport) triage, a proposed national guideline for primary triage during mass-casualty incidents, immediately and four months after training. Methods. A 20-minute lecture on SALT triage was provided to all paramedics (n = 320) from a single county during mandatory continuing education. Triage concepts were reemphasized during a 10-minute small-group lecture throughout the study period as part of standard refresher training. After the initial training, all paramedics were asked to complete a posttest consisting of three general knowledge questions about SALT triage and 10 patient scenarios in which they had to assign a triage category. The same test was administered four months after the original educational session. Demographic and job experience information was also obtained. Responses were scored and matched for each paramedic and compared using paired t-test. Results. A total of 290 (91%) paramedics completed the initial posttest. They correctly answered an average (+/- standard deviation) of 10.7 +/- 2.3 of the 13 questions (82%). For the 10 patient scenarios, they correctly triaged an average of 8.1 +/- 2.0 patients. A total of 159 paramedics completed both tests. Sixty-seven percent had more than 10 years of emergency medical services (EMS) experience; 72% had prior mass-casualty drill experience; 51% had prior actual mass-casualty experience; and 23% had heard of SALT triage prior to the training. There were no statistically significant differences in initial test scores for any of these demographic groups. For those subjects who completed both tests, the mean overall score for the initial test was 10.9 +/- 1.9 (84%) and for the later testwas 11.0 +/- 1.9 (85%) (p < 0.770; 95% confidence interval [CI] -0.3 to 0.3). For the 10 patient scenarios, the paramedics correctly triaged an average of 8.3 +/- 1.7 patients on the initial test and 8.3 +/- 1.4 patients on the later test (p < 0.565; 95% CI -0.4 to 0.2). Conclusion. Following a short didactic course, paramedics were able to accurately perform SALT triage during a written scenario. Four months after the training, they had retained their understanding of and accuracy using SALT triage. It appears that a brief educational tool was effective for training EMS providers in SALT triage.