Prehospital Emergency Care Service (SAMU 67)-Centre for Emergency Care Teaching (CESU 67), Strasbourg University Hospital, Strasbourg, France.
Emerg Med J. 2009 Dec;26(12):899-902. doi: 10.1136/emj.2008.067215.
Patient's triage is a key element of mass-casualty incidents (MCIs) response, although performance of healthcare professionals in triage proved to be poor. It was assessed if specific teaching methods based on pattern recognition skill development can help healthcare students to improve their performance in triage.
128 medical and nursing students have been assessed while performing triage during disaster medicine exercises. Half of them (group 1) had previously been involved in a standard curriculum. The remaining half (group 2) benefited from specific teaching methods based on pattern recognition skill development.
Performance of group 2 was significantly higher compared with group 1 (p<0.01). Group 2 had a lower overtriage rate.
Disaster medicine courses based on pattern recognition skill development improve triage performance of healthcare students during simulated MCI. This study may have a high impact on healthcare students and professionals' education in the perspective of MCIs preparedness and response.
患者分诊是大规模伤亡事件（MCIs）应对的关键要素，尽管医疗保健专业人员的分诊表现不佳。本研究评估了基于模式识别技能发展的特定教学方法是否有助于医学生提高分诊能力。
在灾难医学演习中，对 128 名医学生和护理学生进行分诊评估。他们中的一半（第 1 组）之前已经参加了标准课程。另一半（第 2 组）则受益于基于模式识别技能发展的特定教学方法。
与第 1 组相比，第 2 组的表现明显更好（p<0.01）。第 2 组的过诊率较低。
基于模式识别技能发展的灾难医学课程可提高医学生在模拟 MCI 期间的分诊表现。从大规模伤亡事件的准备和应对角度来看，这项研究可能对医学生和专业人员的教育产生重大影响。
