Greene County Public Health, Xenia, Ohio.
Sinclair College, Dayton, Ohio.
Disaster Med Public Health Prep. 2023 May 23;17:e391. doi: 10.1017/dmp.2023.60.
Medical Reserve Corps' volunteers underwent stop-the-bleed, triage, and disaster preparedness training to improve victim survival of a mass casualty event.
Volunteer responses to 16 disaster vignettes were recorded as 'survived' if correct, or 'died' if incorrect. Volunteers' characteristics were evaluated based on the health outcomes of the vignette victims via logistic regression.
Overall, 69 volunteers evaluated 1104 vignette victims. STB training significantly improved survival from 77.2% to 93.2% ( < 0.001). The training did not improve disaster preparedness (75.5% to 73%) nor triage (33.5% to 35.1%). Volunteer first care provider training in psychological first aid improved victim survival from 10.32 (9.6 - 10.9, 95% CI) to 11.9 (11.28 - 12.5, 95% CI). The odds of survival increased when disaster victims received first care from a volunteer who had a positive perception of the public authority's truthfulness (1.50, range 1.07 - 2.10); stated a willingness to volunteer (1.65, range 1.2 - 2.26); completed psychological first aid training (1.557, range 1.08 - 2.22); or had 4-or-more years of post-secondary education (1.30, range 1.00 - 1.701).
Psychological first aid training should be a basic requirement for disaster volunteers. Trust in public authority to provide protective public health recommendations increases disaster survival.
医疗后备队志愿者接受了止血、分类和灾难准备培训，以提高大规模伤亡事件中受害者的生存机会。
志愿者对 16 个灾难情节的反应记录为正确的“存活”，错误的“死亡”。根据情节受害者的健康结果，通过逻辑回归评估志愿者的特征。
共有 69 名志愿者评估了 1104 个情节受害者。STB 培训将生存率从 77.2%显著提高到 93.2%（<0.001）。培训并没有提高灾难准备（从 75.5%到 73%）或分类（从 33.5%到 35.1%）。志愿者在心理急救方面的第一护理提供者培训将受害者的生存率从 10.32（9.6-10.9，95%CI）提高到 11.9（11.28-12.5，95%CI）。当灾难受害者接受来自对公共当局真实性有积极看法的志愿者的第一护理时，他们的生存几率增加（1.50，范围 1.07-2.10）；表示愿意自愿（1.65，范围 1.2-2.26）；完成心理急救培训（1.557，范围 1.08-2.22）；或有 4 年或以上的中学后教育（1.30，范围 1.00-1.701）。
心理急救培训应成为灾难志愿者的基本要求。对公共当局提供保护公共卫生建议的信任度增加了灾难的生存机会。
