scholarly journals Development of the Aerial Remote Triage System: Result of a survey of international experts

2020 ◽  
Author(s):  
Cristina Álvarez-García ◽  
Sixto Cámara-Anguita ◽  
José María López-Hens ◽  
Nani Granero-Moya ◽  
María Dolores López-Franco ◽  
...  
Keyword(s):  
Literature Review ◽  
Major Bleeding ◽  
Content Validity ◽  
Mass Casualty ◽  
Qualitative Synthesis ◽  
Triage System ◽  
Physical Chemical ◽  
Three Stages ◽  
International Experts ◽  
Triage Algorithm

AbstractThe use of drones for the triage of victims in mass-casualty incidents has recently emerged as a promising technology. However, there is not a triage system really adapted to a remote usage. The objective of our study was to develop a remote triage procedure using drones. The research was performed in three stages: literature review, development of a remote triage algorithm using drones and evaluation of the algorithm by experts. A qualitative synthesis and the calculation of content validity ratios were done to achieve the Aerial Remote Triage System. The system assesses first major bleeding, second walking, third conscious (awake) and fourth sign of life; and classify the victims inside priority categories: priority 1 (red), priority 2 (yellow), priority 3 (green) and priority * (violet). It includes the possibility to indicate save-living interventions to victims and bystanders, like the compression of bleeding injuries or the recovery position. The Aerial Remote Triage System is valid in complex health emergencies when it is difficult or impossible an immediate access to the scene due to physical, chemical or biological risks. It can be useful to know vital information about the emergencies.

scholarly journals Development of the Aerial Remote Triage System using drones in mass casualty scenarios: A survey of international experts

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0242947
Author(s):  
Cristina Álvarez-García ◽  
Sixto Cámara-Anguita ◽  
José María López-Hens ◽  
Nani Granero-Moya ◽  
María Dolores López-Franco ◽  
...  
Keyword(s):  
Literature Review ◽  
Major Bleeding ◽  
Mass Casualty ◽  
Qualitative Synthesis ◽  
Triage System ◽  
Complex Emergencies ◽  
Physical Chemical ◽  
Three Stages ◽  
International Experts ◽  
Triage Algorithm

The use of drones for triage in mass-casualty incidents has recently emerged as a promising technology. However, there is no triage system specifically adapted to a remote usage. Our study aimed to develop a remote triage procedure using drones. The research was performed in three stages: literature review, the development of a remote triage algorithm using drones and evaluation of the algorithm by experts. Qualitative synthesis and the calculation of content validity ratios were done to achieve the Aerial Remote Triage System. This algorithm assesses (in this order): major bleeding, walking, consciousness and signs of life; and then classify the injured people into several priority categories: priority 1 (red), priority 2 (yellow), priority 3 (green) and priority * (violet). It includes the possibility to indicate save-living interventions to injured people and bystanders, like the compression of bleeding injuries or the adoption of the recovery position. The Aerial Remote Triage System may be a useful way to perform triage by drone in complex emergencies when it is difficult to access to the scene due to physical, chemical or biological risks.

scholarly journals The SALT and START Triage System for Classifying Patient Acuity Level: A Systematic Review

2021 ◽  
Vol 11 (3) ◽  
pp. 413-427
Author(s):  
Hendri Purwadi ◽  
Katrina Breaden ◽  
Christine McCloud ◽  
Satriya Pranata
Keyword(s):  
Systematic Review ◽  
Grey Literature ◽  
Mass Casualty ◽  
Patient Acuity ◽  
Triage System ◽  
Wide Range ◽  
Simulation Based ◽  
System 2 ◽  
Triage Algorithm

Background: Two common triage systems have been widely used in mass casualty incidents (MCIs) and disaster situations, namely START (simple triage algorithm and rapid treatment) and SALT (sort, assess, lifesaving, intervention, and treatment/transport). There is currently controversy regarding the effectiveness of SALT over the START triage system.Purpose: This systematic review aims to compare the accuracy of the SALT and START triage systems in disaster and MCI settings.Methods: The literature was searched using a systematic search strategy for articles published from 2009 to 2020 in the Medline, CINAHL, Web of Science, Scopus, PubMed, ProQuest databases, and the grey literature. This review included simulation-based and medical record-based studies investigating the accuracy and applicability of the SALT and START triage systems in adult and child populations during MCIs and disasters. All types of studies were included. The PRISMA flowchart was used to retain the articles, and the Joanna Briggs Institute critical appraisal tools were used to assess the quality of the reviewed studies.Results: Of 1,450 articles identified in the search, 10 articles were included. It was found that the START triage system had a wide range and inconsistent levels of accuracy (44% to 94.2%) compared to the SALT triage system (70% to 83%). The under-triage error of the START triage system ranged from 2.73% to 20%, which was slightly lower than the SALT triage system (7.6% to 23.3%). The over-triage error of the START triage system (2% to 53%) was slightly higher than the SALT triage system (2% to 22%). However, the time taken to apply START triage system (70 to 72.18 seconds) was faster than for the SALT triage system (78 seconds).Conclusion: The START triage system was simpler and faster than SALT. Conversely, the SALT triage system appeared to be slightly more accurate, more consistent, and had a lower rate of under- and over-triage error than START. It appears that neither the SALT nor the START triage system is superior to the other. Further research is needed to establish the most appropriate disaster and MCI triage system, especially for the Indonesian context. 

scholarly journals The Employability Skills Needed To Face the Demands of Work in the Future: Systematic Literature Reviews

2020 ◽  
Vol 10 (1) ◽  
pp. 595-603
Author(s):  
Nuryake Fajaryati ◽  
Muhammad Akhyar ◽  
◽  
Keyword(s):  
Literature Review ◽  
Education Quality ◽  
Employability Skills ◽  
Work Demands ◽  
Job Seekers ◽  
Instructional Process ◽  
Team Working ◽  
Literature Reviews ◽  
The Future ◽  
Three Stages

AbstractThe qualified human resources with high competitiveness and employability skills are needed to face the era of technological disruption, but employers find a lack of expertise among job seekers. Insufficient skills are related to the issue of education quality. This study aims to identify the employers’ employability skills needed in the career field and the way to integrate it into the instructional process. The research was conducted through Systematic Literature Review (SLR) and mapping approach that consisted of three stages: planning, conducting, and reporting. The literature reviews in this research were derived from Science direct, Springer and IEEE as the main references. The results from the analysis in the literature review showed that employability skills are needed in relation to the work demands in the future according to the employers covering communication, team working, problem solving, and technological skills. The implementation of employability skills in the instructional process is to integrate them into the classroom for all subjects.

scholarly journals Quality assessment with diverse studies (QuADS): an appraisal tool for methodological and reporting quality in systematic reviews of mixed- or multi-method studies

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Reema Harrison ◽  
Benjamin Jones ◽  
Peter Gardner ◽  
Rebecca Lawton
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Literature Review ◽  
Quality Assessment ◽  
Systematic Reviews ◽  
Content Validity ◽  
Reporting Quality ◽  
Services Research ◽  
Appraisal Tool

Abstract Background In the context of the volume of mixed- and multi-methods studies in health services research, the present study sought to develop an appraisal tool to determine the methodological and reporting quality of such studies when included in systematic reviews. Evaluative evidence regarding the design and use of our existing Quality Assessment Tool for Studies with Diverse Designs (QATSDD) was synthesised to enhance and refine it for application across health services research. Methods Secondary data were collected through a literature review of all articles identified using Google Scholar that had cited the QATSDD tool from its inception in 2012 to December 2019. First authors of all papers that had cited the QATSDD (n=197) were also invited to provide further evaluative data via a qualitative online survey. Evaluative findings from the survey and literature review were synthesised narratively and these data used to identify areas requiring refinement. The refined tool was subject to inter-rater reliability, face and content validity analyses. Results Key limitations of the QATSDD tool identified related to a lack of clarity regarding scope of use of the tool and in the ease of application of criteria beyond experimental psychological research. The Quality Appraisal for Diverse Studies (QuADS) tool emerged as a revised tool to address the limitations of the QATSDD. The QuADS tool demonstrated substantial inter-rater reliability (k=0.66), face and content validity for application in systematic reviews with mixed, or multi-methods health services research. Conclusion Our findings highlight the perceived value of appraisal tools to determine the methodological and reporting quality of studies in reviews that include heterogeneous studies. The QuADS tool demonstrates strong reliability and ease of use for application to multi or mixed-methods health services research.

scholarly journals The Mysteries That Surround Kawasaki Disease: A Literature Review

2021 ◽  
pp. 52-64
Author(s):  
Karoline Rossi ◽  
Danilo José Silva Moreira ◽  
Juliana Brito da Fonseca ◽  
Suzana dos Santos Vasconcelos ◽  
Vinicius Faustino Lima de Oliveira ◽  
...  
Keyword(s):  
Lymph Node ◽  
Kawasaki Disease ◽  
Literature Review ◽  
Intravenous Immunoglobulin ◽  
Clinical Picture ◽  
Systemic Vasculitis ◽  
Age Groups ◽  
Mucocutaneous Lymph Node Syndrome ◽  
Three Stages ◽  
Lymph Node Syndrome

Kawasaki disease (KD) or Mucocutaneous Lymph node Syndrome is a systemic vasculitis, which mainly affects children under five years of age with Asian descent, but can also reach other age groups, as well as any other breed. The clinical picture of KD has three stages: acute febrile stage, in which conjunctival congestion, oral mucositis, erythema, flaking, polymorphic rash and laterocervical lymphadenopathy, appear as main symptoms; the subacute stage, which occurs at the end of fever, and leads to the appearance of skin flaking in the limbs, arthritis, arthralgia and thrombocytosis and finally the stage of convalescence that arises when symptoms are almost dissipating and continues until their normalization. The most used treatment occurs from the administration of intravenous immunoglobulin, which for better prognosis of the pathology should be initiated early.

scholarly journals Construction and validation of self-care educational technology for caregivers

2021 ◽  
Vol 74 (4) ◽  
Author(s):  
Ana Caroline Soares ◽  
Anderson da Silva Rêgo ◽  
Thamires Fernandes Cardoso da Silva Rodrigues ◽  
Luana Cristina Bellini Cardoso ◽  
Mariana Angela Rossaneis ◽  
...  
Keyword(s):  
Educational Technology ◽  
Content Validity ◽  
Delphi Technique ◽  
Informal Caregivers ◽  
Self Care ◽  
Methodological Study ◽  
Validity Index ◽  
Content Validity Index ◽  
Three Stages ◽  
Care Technology

ABSTRACT Objectives: to build and validate educational self-care technology for informal caregivers. Methods: methodological study, anchored in the Delphi technique, carried out in a municipality in the state of Paraná, Brazil, between September 2018 and November 2019. It was developed in three stages: situational diagnosis; elaboration of educational technology; content and appearance validation by expert judges and informal caregivers, using the content validity index and coefficient of variation. Results: after the steps of the methodological process, an educational technology called “Taking Care of Those Who Care” was produced, as an information tool that deals with the self-care of informal caregivers, receiving a content validity index above 0.86 and a variation coefficient. below 20% on all items. Conclusions: the educational technology was built and evaluated with satisfactory rates by the specialists and target audience, showing a high correlation of agreement, characterizing it as adequate and informative to informal caregivers.

scholarly journals Criteria and models for the distribution of casualties in trauma-related mass casualty incidents: a systematic literature review protocol

2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Mohammad Reza Khajehaminian ◽  
Ali Ardalan ◽  
Sayed Mohsen Hosseini Boroujeni ◽  
Amir Nejati ◽  
Abbasali Keshtkar ◽  
...  
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Mass Casualty ◽  
Mass Casualty Incidents ◽  
Review Protocol

Development and Content Validation of the Child Oral and Motor Proficiency Scale (ChOMPS)

2019 ◽  
Vol 41 (3) ◽  
pp. 220-232 ◽  
Author(s):  
Britt F. Pados ◽  
Suzanne M. Thoyre ◽  
Jinhee Park ◽  
Hayley H. Estrem ◽  
Cara McComish
Keyword(s):  
Literature Review ◽  
Content Validity ◽  
Grade Level ◽  
Sixth Grade ◽  
Parent Report ◽  
Cognitive Interviews ◽  
Content Validation ◽  
Motor Proficiency ◽  
Reading Grade Level ◽  
Validity Indices

This article describes the development and content validation of the Child Oral and Motor Proficiency Scale (ChOMPS), a parent-report assessment of eating, drinking, and related skills in children 6 months to 7 years of age. Initially, 69 items for the ChOMPS were generated from literature review. Nineteen professionals evaluated the ChOMPS using content validity indices (CVI). Significant revisions were made to items and directions based on professional feedback. CVI were acceptable for both the relevance and clarity of items. Cognitive interviews were then conducted with 19 parents to explore parent understanding of items. Additional revisions were made based on parent feedback. The reading grade level of the resulting ChOMPS was less than sixth grade. The 70-item ChOMPS has evidence of content validity, indicating the items are relevant and clear to professionals, and parents understand the directions and items as intended.

scholarly journals Professional competence of nurses in emergency services: evidence of content validity

2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 66-73 ◽  
Author(s):  
Flávia Lilalva de Holanda ◽  
Celina Castagnari Marra ◽  
Isabel Cristina Kowal Olm Cunha
Keyword(s):  
Content Validity ◽  
Emergency Services ◽  
Professional Competence ◽  
Questionnaire Development ◽  
Measurement Instrument ◽  
National Sample ◽  
Methodological Study ◽  
The Matrix ◽  
Development Data ◽  
Three Stages

ABSTRACT Objective: To verify the evidence of content validity of the Identifying Issues (Identification questions) elaborated from the theoretical-logical model of the Matrix and the Profile of Professional Competence of the emergency nurse. Method: Descriptive and methodological study of a quantitative approach with a psychometric reference as a precursor in the elaboration of a measurement instrument for the evaluation of competencies. The study was conducted in 2013 in Brazil, with a national sample of nurses specialized in emergency services and/or with professional competence in the area. Three stages were considered: questionnaire development; data collection with Delphi, appropriate statistics for Likert; and interpretative analysis of the comments/suggestions of the analyzed issues. Results: Delphi was used in four stages. There were minor adjustments to the content and inclusion of a new Competence. They obtained 90% of Score Percentage and 98.61 of Content Validity Index. Conclusion: There was consensus among the experts and the research demonstrated evidence of content validity, suggesting pertinence and adequacy to represent the constructs of competencies.

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