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Difference in First Aid Activity During Mass Casualty Training Based on Having Taken an Educational Course

Published online by Cambridge University Press:  20 November 2017

Youichi Yanagawa*
Affiliation:
Shizuoka Medical Research Center for Disaster, Juntendo University, Izunokuni, Japan
Kazuhiko Omori
Affiliation:
Shizuoka Medical Research Center for Disaster, Juntendo University, Izunokuni, Japan
Kouhei Ishikawa
Affiliation:
Shizuoka Medical Research Center for Disaster, Juntendo University, Izunokuni, Japan
Ikuto Takeuchi
Affiliation:
Shizuoka Medical Research Center for Disaster, Juntendo University, Izunokuni, Japan
Kei Jitsuiki
Affiliation:
Shizuoka Medical Research Center for Disaster, Juntendo University, Izunokuni, Japan
Toshihiko Yoshizawa
Affiliation:
Shizuoka Medical Research Center for Disaster, Juntendo University, Izunokuni, Japan
Jun Sato
Affiliation:
Fire Department, Numazu City, Japan
Hideyuki Matsumoto
Affiliation:
Fire Department, Numazu City, Japan
Masaru Tsuchiya
Affiliation:
Fire Department, Numazu City, Japan
Hiromichi Osaka
Affiliation:
Shizuoka Medical Research Center for Disaster, Juntendo University, Izunokuni, Japan
*
Correspondence and reprint requests to Youichi Yanagawa, MD, PhD, 1129 Nagaoka Izunokuni City, Shizuoka, Japan (e-mail: yyanaga@juntendo.ac.jp).

Abstract

Background

The Japanese Association for Disaster Medicine developed a mass casualty life support (MCLS) course to improve cooperation among medical practitioners during a disaster, which is essential for reducing the rates of preventable disaster death. We investigated whether there was difference in first aid activity among members of the ambulance service during mass casualty training based on having taken the MCLS course.

Methods

Mass casualty training was held at the fire department of Numazu City. Twenty-one ambulance service parties participated in this training. They first evaluated the mass casualty situation, performed the appropriate services at the scene during the initial period, and then provided START triage for mock wounded patients. Throughout the training, 5 examiners evaluated their performance.

Results

Regarding the difference in first aid activity based on MCLS course attendance among the ambulance service members, the cooperative management (scored on a scale of 1 to 5) among the members who had taken the MCLS course was significantly better than that among those who had not taken the course (median [interquartile range]: 5 [0.5] vs. 4 [1.75], P<0.05).

Conclusion

Attending an MCLS course may help to improve outcomes in the face of an actual mass casualty incident. (Disaster Med Public Health Preparedness. 2018;12:437–440)

Type
Brief Report
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2017 

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References

1. Kondo, H, Koido, Y, Morino, K, et al. Establishing Disaster Medical Assistance Teams in Japan. Prehosp Disaster Med. 2009;24(06):556-564. https://doi.org/10.1017/S1049023X00007512.Google Scholar
2. Yanagawa, Y, Kon, A, Otomo, Y, et al. Introduction of mass casualty life support trial course [in Japanese]. J Jpn Soc Emerg Med. 2010;13:675-676.Google Scholar
3. Yanagawa, Y, Morino, K, Iwama, N, Takayama, H, Kondo, H, Koido, Y, Homma, M, Otomo, Y. Mass casualty life support training in Japan. EMS World.com. http://www.emsworld.com/article/10634261/mass-casualty-life-support-training-in-japan. Published February 27, 2012. Accessed August 26, 2017.Google Scholar
4. Bhalla, MC, Frey, J, Rider, C, et al. Simple triage algorithm and rapid treatment and sort, assess, lifesaving, interventions, treatment, and transportation mass casualty triage methods for sensitivity, specificity, and predictive values. Am J Emerg Med. 2015;33(11):1687-1691. https://doi.org/10.1016/j.ajem.2015.08.021.Google Scholar
5. Sammut, J, Cato, D, Homer, T. Major Incident Medical Management and Support (MIMMS): a practical, multiple casualty, disaster-site training course for all Australian health care personnel. Emerg Med (Fremantle). 2001;13(2):174-180. https://doi.org/10.1046/j.1442-2026.2001.00206.x.Google Scholar
6. Deluhery, MR, Lerner, EB, Pirrallo, RG, et al. Paramedic accuracy using SALT triage after a brief initial training. Prehosp Emerg Care. 2011;15(4):526-532. https://doi.org/10.3109/10903127.2011.569852.Google Scholar
7. Glow, SD, Colucci, VJ, Allington, DR, et al. Managing multiple-casualty incidents: a rural medical preparedness training assessment. Prehosp Disaster Med. 2013;28(04):334-341. https://doi.org/10.1017/S1049023X13000423.Google Scholar
8. Wolf, P, Bigalke, M, Graf, BM, et al. Evaluation of a novel algorithm for primary mass casualty triage by paramedics in a physician manned EMS system: a dummy based trial. Scand J Trauma Resusc Emerg Med. 2014;22(1):50. https://doi.org/10.1186/s13049-014-0050-6.Google Scholar
9. Ishikawa, K, Ohsaka, H, Omori, K, et al. Effective simulation training for advanced cardiopulmonary resuscitation for first year students of a nursing university. Sch J App Med Sci. 2016;4:339-342. http://saspublisher.com/wp-content/uploads/2016/03/SJAMS-42A-339-342.pdf.Google Scholar