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首页> 外文期刊>Prehospital emergency care >Effectiveness of a Simple Internet-Based Disaster Triage Educational Tool Directed Toward Latin-American EMS Providers.
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Effectiveness of a Simple Internet-Based Disaster Triage Educational Tool Directed Toward Latin-American EMS Providers.

机译：针对拉丁美洲EMS提供商的基于Internet的简单灾难分类培训工具的有效性。

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Background. A previous survey demonstrated a lack of standardization related to disaster triage among Latin-American providers. Objective. To assess the effectiveness of a short Internet-based educational intervention in disaster and mass-casualty triage. Using three Spanish Internet emergency medical services (EMS) forums, Latin-American providers were invited to participate in the study. The tool consisted of two educational modules: an introduction to disaster triage module and a START (simple triage and rapid treatment) module. Pre- and postintervention tests were administered, each consisting of five standardized scenarios. Factorial analysis was used to measure the weight of each scenario. The first and fifth scenarios were identical for intraclass correlation. Skill retention was assessed through a one-month follow-up survey. Statistical analysis was performed using chi-square and Fisher's exact test. A total of 55 EMS providers participated in the study. Five of 55 (9.1%) participants correctlyanswered four or more scenarios on the pretest intervention, compared with 53 of 55 (96.4%) on the posttest [p < 0.001, relative risk 10.60 (95% CI 4.59-24.49)]. Similar findings were obtained for those accurately triaging all five scenarios, with zero of 55 (0%) in the pretest compared with 49 of 55 in the posttest (p < 0.001). Follow-up at one month was 69%. Four or more scenarios were correctly answered at follow-up by 34 of 38 (89.5%) respondents. No significant difference was noted compared with the immediate postcourse survey (p = 0.18). Although initial ability of the cohort to accurately triage patients was suboptimal, a short Internet-based educational tool significantly impacted the cohort's ability to perform triage in a simulated patient environment. This improvement was maintained after one month. Key words. disaster; traum; triage; Internet; education; prehospital; Latin America.
机译：背景。先前的调查表明，拉丁美洲提供者之间缺乏与灾难分类相关的标准化。目的。评估基于互联网的短期教育干预措施在灾难和大规模伤亡分类中的有效性。通过三个西班牙互联网紧急医疗服务（EMS）论坛，拉美提供者应邀参加了该研究。该工具包含两个教育模块：灾难分类模块介绍和START（简单分类和快速处理）模块。进行干预前和干预后的测试，每个测试由五个标准化方案组成。因子分析用于衡量每种情况的权重。第一种和第五种情况对于类内关联是相同的。通过为期一个月的跟踪调查评估了技能保留。使用卡方检验和Fisher精确检验进行统计分析。共有55家EMS供应商参加了该研究。 55名参与者（9.1％）中有5名正确回答了四种或更多种预测试干预方案，而测试后55名参与者中有53名（96.4％）进行了正确回答[p <0.001，相对风险10.60（95％CI 4.59-24.49）]。对于那些在所有五种情况下进行准确分类的人，也获得了类似的发现，前测为零（55）（0％），后测为55（49）（p <0.001）。 1个月的随访率为69％。 38名受访者中有34名（89.5％）在随访中正确回答了四种或更多情况。与立即进行的事后调查相比，没有显着差异（p = 0.18）。尽管该队列最初对患者进行准确分类的能力不理想，但是基于Internet的简短教育工具显着影响了该队列在模拟患者环境中进行分类的能力。一个月后，这种改善得以维持。关键字灾害;创伤分流互联网;教育;院前拉丁美洲。

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