Arcos González P, Fernández Zincke E, Fernández Fueyo J, Antuña Montes M, Fernández-Vega Feijoo S
Cátedra de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad de Oviedo.
Rev Sanid Hig Publica (Madr). 1994 Mar-Apr;68(2):311-6.
The triage is a procedure for casualties classification using some criteria (severity, survival, therapeutical delay, etc.) which is basic for the preparedness of health personnel in event of disaster. Even being a basic procedure, its teaching and training is not enough extended among health personnel. The goal of this study was assess the efficacy of teaching triage procedures in terms of its capability to carry out the examination and classification of massive casualties under different conditions of environmental difficulties.
25 couples of health professionals (doctor and nurse) were trained during 90 minutes on triage procedures and them aleatory located at 3 groups with 12 simulated casualties at each group corresponding to 3 different levels of environmental difficulties. They were asked to perform the triage and complete the information contained at the triage card. This information was analyzed in order to see and compare the results of each group.
All the health professionals showed high correlations between observed and expected responses for the evacuation priority variable. However, only the group of less environmental difficulty showed a significative statistical correlation (p = 0.03). No significative statistical differences were found on the diagnostic classification but the adjust level was poor for the high environmental difficulties group.
Acceptable levels of efficacy on triage procedures can be obtained using a single teaching session of theoretical contents plus a practical exercise, specially for the casualties prioritization. On the other hand, environmental conditions looks as a variable influencing the efficacy of other acceptable results expected on this kind of technic perhaps requiring further training.
分诊是一种根据某些标准（严重程度、存活率、治疗延迟等）对伤亡人员进行分类的程序，是卫生人员在灾难发生时做好准备工作的基础。尽管这是一个基本程序，但在卫生人员中其教学和培训并未得到充分推广。本研究的目的是评估分诊程序教学在不同环境困难条件下对大规模伤亡人员进行检查和分类能力方面的效果。
25对卫生专业人员（医生和护士）接受了90分钟的分诊程序培训，然后随机分为3组，每组有12名模拟伤亡人员，分别对应3种不同程度的环境困难。要求他们进行分诊并填写分诊卡上的信息。对这些信息进行分析，以查看和比较每组的结果。
所有卫生专业人员在疏散优先级变量的观察反应和预期反应之间显示出高度相关性。然而，只有环境困难较小的组显示出显著的统计学相关性（p = 0.03）。在诊断分类上未发现显著的统计学差异，但高环境困难组的调整水平较差。
通过一次理论内容教学加上一次实践练习，可以获得可接受水平的分诊程序效果，特别是在伤亡人员优先级确定方面。另一方面，环境条件似乎是影响这种技术预期的其他可接受结果效果的一个变量，可能需要进一步培训。
