A comparison between differently skilled prehospital emergency care providers in major-incident triage in South Africa

Annet Ngabirano Alenyo, Wayne P Smith, Michael McCaul, Daniel J Van Hoving
Prehospital and disaster medicine; Vol.33 Issue:06 ( 575-580 ) 01-12-2018 Emergency Medicine Primary Research
Methods: This was a cross-sectional study involving differently trained prehospital providers: Advanced Life Support (ALS); Intermediate Life Support (ILS); and Basic Life Support (BLS). Participants wrote a validated 20-question pre-test before completing major-incident training. Two post-tests were also completed: a 20-question written test and a three-question face-to-face evaluation. Outcomes measured were triage accuracy and duration of triage. The effect of level of training, gender, age, previous major-incident training, and duration of service were determined.
Results: A total of 129 prehospital providers participated. The mean age was 33.4 years and 65 (50.4%) were male. Most (n= 87; 67.4%) were BLS providers. The overall correct triage score pre-training was 53.9%(95% CI, 51.98 to 55.83), over-triage 31.4%(95% CI, 29.66 to 33.2), and under-triage 13.8%(95% CI, 12.55 to 12.22). Post-training, the overall...

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Senior Lecturer in Epidemiology and Biostatistics, Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa. I have expertise in:

Clinical Epidemiology | Biostatistics | Evidence Synthesis | Guideline Development | Research Methods | Postgraduate Teaching and Learning | Prehospital Care | Student Supervision