Comparison of Unmanned Aerial Vehicle Technology-Assisted Triage versus Standard Practice in Triaging Casualties by Paramedic Students in a Mass-Casualty Incident Scenario

Autor: Henrik Stryhn, Aaron Sibley, Ives Hubloue, Trevor Jain
Přispěvatelé: Faculty of Medicine and Pharmacy, Supporting clinical sciences, Emergency Medicine
Rok vydání: 2018
Předmět:
Emergency Medical Services
UAV
Allied Health Personnel
EMS Emergency Medical Services
START Simple Triage and Rapid Treatment
Emergency Nursing
FLIR forward-looking infrared
MVC motor vehicle collision
UAV unmanned aerial vehicle
Disaster Medicine
ACP advance care paramedic
03 medical and health sciences
First responder
0302 clinical medicine
medicine
Emergency medical services
Humans
Mass Casualty Incidents
Computer Simulation
030212 general & internal medicine
Medicine(all)
business.industry
PCP primary care paramedic
EMS
030208 emergency & critical care medicine
Paramedicine
medicine.disease
Triage
MCI
Mass-casualty incident
incident commander
MCI mass-casualty incident
technology
Emergency
SP standard practice
Emergency Medicine
Comparison study
Medical emergency
people
business
Disaster medicine
people.professional_field
Motor vehicle crash
Zdroj: Prehospital and Disaster Medicine. 33:375-380
ISSN: 1945-1938
1049-023X
DOI: 10.1017/s1049023x18000559
Popis: IntroductionThe proliferation of unmanned aerial vehicle (UAV) technology has the potential to change the way medical incident commanders (ICs) respond to mass-casualty incidents (MCIs) in triaging victims. The aim of this study was to compare UAV technology to standard practice (SP) in triaging casualties at an MCI.MethodsA randomized comparison study was conducted with 40 paramedic students from the Holland College Paramedicine Program (Charlottetown, Prince Edward Island, Canada). Using a simulated motor vehicle collision (MVC) with moulaged casualties, iterations of 20 students were used for both a day and a night trial. Students were randomized to a UAV or a SP group. After a brief narrative, participants either entered the study environment or used UAV technology where total time to triage completion, GREEN casualty evacuation, time on scene, triage order, and accuracy were recorded.ResultsA statistical difference in the time to completion of 3.63 minutes (95% CI, 2.45 min-4.85 min; P=.002) during the day iteration and a difference of 3.49 minutes (95% CI, 2.08 min-6.06 min; P=.002) for the night trial with UAV groups was noted. There was no difference found in time to GREEN casualty evacuation, time on scene, or triage order. One-hundred-percent accuracy was noted between both groups.Conclusion:This study demonstrated the feasibility of using a UAV at an MCI. A non-clinical significant difference was noted in total time to completion between both groups. There was no increase in time on scene by using the UAV while demonstrating the feasibility of remotely triaging GREEN casualties prior to first responder arrival.Jain T, Sibley A, Stryhn H, Hubloue I.Comparison of unmanned aerial vehicle technologyassisted triage versus standard practice in triaging casualties by paramedic students in a mass-casualty incident scenario. Prehosp Disaster Med. 2018;33(4):375–380
Databáze: OpenAIRE