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首页> 外文期刊>Prehospital emergency care >Use of SALT triage in a simulated mass-casualty incident.
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Use of SALT triage in a simulated mass-casualty incident.

机译：在模拟的大规模伤亡事件中使用SALT分类。

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OBJECTIVES: To determine the accuracy of SALT (sort-assess-lifesaving interventions-treatment/transport) triage during a simulated mass-casualty incident, the average time it takes to make triage designations, and providers' opinions of SALT triage. METHODS: Seventy-three trainees participating in one of two disaster courses were taught to use SALT triage during a 30-minute lecture. The following day they participated in teams, in one of eight simulated mass-casualty incidents. For each incident trainees were told to assess and prioritize all victims. Each scenario comprised 28 to 30 victims, including 10 to 11 moulaged manikins and 18 to 20 moulaged actors. Each victim had a card that stated the victim's respiratory effort, pulse quality, and ability to follow commands. Initial and final assigned triage categories were recorded and compared with the intended category. Ten of the victims were equipped with stopwatches to measure the triage time interval. Timing began when the trainee approached the victim and ended when the trainee verbalized his or her triage designation. The times were averaged and standard deviations were calculated. After the drill, trainees were asked to complete a survey regarding their experience. RESULTS: There were 217 victim observations. The initial triage was correct for 81% of the observations; 8% were overtriaged and 11% were undertriaged. The final triage was correct for 83% of the observations; 6% were overtriaged and 10% were undertriaged. The mean triage interval was 28 seconds (+/- 22; range: 4-94). Nine percent reported that prior to the drill they felt very confident using SALT triage and 33% were not confident. After the drill, no one reported not feeling confident using SALT triage, 26% were at the same level of confidence, 74% felt more confident, and none felt less confident. Before the drill, 53% of the respondents felt SALT triage was easier to use than their current disaster triage protocol, 44% felt it was similar, and 3% felt it was more difficult. After the drill, no one reported that SALT triage was more difficult to use. CONCLUSION: We found that assessments using SALT triage were accurate and made quickly during a simulated incident. The accuracy rate was higher than those published for other triage systems and of similar speed. Providers also felt confident using SALT triage and found it was similar or easier to use than their current triage protocol. Using SALT triage during a drill improved confidence.
机译：目的：确定在模拟大规模伤亡事件中进行SALT（分类评估-救生干预-治疗/运输）分类的准确性，确定分类的平均时间，以及提供者对SALT分类的意见。方法：参加了两个灾难课程之一的73名受训者在30分钟的讲座中被教导如何使用SALT分类。第二天，他们参加了八次模拟大规模伤亡事件之一的团队。要求学员针对每起事件评估所有受害者并确定其优先级。每种情况都包括28至30名受害者，其中包括10至11名残废的人体模型和18至20名残废的演员。每个受害者都有一张卡片，上面写着受害者的呼吸努力，脉搏质量以及遵循命令的能力。记录最初和最终分配的分类分类，并将其与预期分类进行比较。十名遇难者配备了秒表，用以测量分诊时间间隔。时间从受训人员接近受害人时开始，直到受训人员口头表达他或她的分流名称时结束。将时间平均并计算标准偏差。演习结束后，要求受训人员完成有关其经历的调查。结果：有217位受害者的观察。最初的分类对81％的观察结果是正确的; 8％被过度分类，而11％被过度分类。最终分类对83％的观察结果是正确的; 6％的人群过度分类，而10％的人群分类不足。平均分诊间隔为28秒（+/- 22;范围：4-94）。 9％的人报告说，在演习之前，他们使用SALT分类法感到非常有信心，而33％的人则没有信心。演习结束后，没有人报告使用SALT分类法感到不自信，有26％的人处于相同的信心水平，有74％的人更加自信，没有人没有信心。进行演习之前，有53％的受访者认为SALT分类比当前的灾难分类协议更易于使用，44％的受访者认为相似，3％的受访者认为更困难。演习结束后，没有人报告说使用SALT分类法更加困难。结论：我们发现，在模拟事件中，使用SALT分类进行评估是准确的，并且可以快速进行。准确率高于其他分类系统发布的准确率，并且速度相近。提供者还对使用SALT分诊感到充满信心，并发现它比当前的分诊方案更相似或更易于使用。在演习中使用SALT分诊可提高置信度。

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