The purpose of this research was to evaluate the efficacy of Simple Triage and Rapid Treatment (START) triage during actual mass casualty incidents (MCI) and full-scale MCI exercises. Developed in 1984, Simple Triage and Rapid Treatment triage was created to assist in the process of triaging large quantities of injured patients from natural or manmade disasters and has since been the nationally accepted triage model in the United States. Historically, limited studies have shown patients are in fact, over-triaged 53% of the time. The research goal was to obtain substantial data to determine whether first responders’ use of the current triage model effectively sustains life. A mixed methods research analysis of quantitative and qualitative data collected from one historical MCI incident and three MCI exercises was evaluated to develop recommendations for protocol change and future curriculum development. Data analysis from actual incidents and exercises confirm that “just-in-time” training does increase the accuracy of the START triage model used from 42% to 73%.
|Commitee:||Jensen, Steven, Kim, Ann, Sandez, Ann|
|School:||California State University, Long Beach|
|Department:||Criminology, Criminal Justice and Emergency Management|
|School Location:||United States -- California|
|Source:||MAI 58/02M(E), Masters Abstracts International|
|Subjects:||Educational evaluation, Education Policy, Health sciences|
|Keywords:||Disaster response, Emergency management, Emergency medical services, Mass casualty incident, START triage, Triage|
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