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 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 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 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 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

Challenges in measuring readiness for entrepreneurship

2016 ◽  
Vol 54 (5) ◽  
pp. 1022-1046 ◽  
Author(s):  
Jesús Ruiz ◽  
Domingo Ribeiro Soriano ◽  
Alicia Coduras
Keyword(s):  
Literature Review ◽  
Theoretical Framework ◽  
Measurement Scale ◽  
Measurement Tool ◽  
Research Approach ◽  
Extensive Literature ◽  
Content Type ◽  
Extensive Information ◽  
Three Stages ◽  
Practical Implications

Purpose – The purpose of this paper is to establish a readiness for entrepreneurship theoretical framework. The paper marks the first of three stages to build a scale to measure readiness for entrepreneurship. Design/methodology/approach – The current paper is conceptual. The research approach consists of formulating proposals and definitions based on an extensive literature review. Findings – The literature review reveals that no such readiness for entrepreneurship measurement tool exists. The literature review also yields definitions and components of key concepts for the theoretical framework. Research limitations/implications – The paper offers a new, holistic perspective of readiness for entrepreneurship. This research addresses measurement of readiness for entrepreneurship from a rigorous, scientific approach. The main limitation lies in capturing and organizing extensive information on topics from diverse disciplines (i.e. sociology, psychology, and business management). Practical implications – This theoretical framework enables the design and creation of a scale to measure readiness for entrepreneurship. The literature review confirmed the possibility of building such a measurement scale. Social implications – A complex tool able to identify and measure readiness for entrepreneurship would be applicable in numerous situations including the following: determining entrepreneurial abilities, analyzing potential for entrepreneurship, simulating organizational transformations, and evaluating investment recommendations. Originality/value – No holistic, scientifically grounded tool to measure readiness for entrepreneurship exists, yet there are numerous entrepreneurial capacity tests with no rigorous scientific grounding. As a remedy, this paper provides solid scientific foundations upon which to develop an instrument for measuring readiness for entrepreneurship.

Pilot Test of a Proposed Chemical/Biological/Radiation/ Nuclear-Capable Mass Casualty Triage System

2008 ◽  
Vol 12 (2) ◽  
pp. 236-240 ◽  
Author(s):  
David C. Cone ◽  
Donald S. MacMillan ◽  
Vivek Parwani ◽  
Carin Van Gelder
Keyword(s):  
Mass Casualty ◽  
Pilot Test ◽  
Triage System

Implementing RFID technology in a novel triage system during a simulated mass casualty situation

2008 ◽  
Vol 4 (1) ◽  
pp. 105 ◽  
Author(s):  
Jorma Jokela ◽  
Tomi Simons ◽  
Pentti Kuronen ◽  
Juha Tammela ◽  
Pertti Jalasvirta ◽  
...  
Keyword(s):  
Mass Casualty ◽  
Rfid Technology ◽  
Triage System

The Impact of Terrorism on Children: A Two-Year Experience

2003 ◽  
Vol 18 (3) ◽  
pp. 242-248 ◽  
Author(s):  
Yehezkel Waisman ◽  
Limor Aharonson-Daniel ◽  
Meirav Mor ◽  
Lisa Amir ◽  
Kobi Peleg
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Pediatric Population ◽  
Mass Casualty ◽  
Phase 2 ◽  
Surgical Interventions ◽  
Prehospital Phase ◽  
Hospital Resources ◽  
Triage Algorithm ◽  
The Impact

AbstractObjectives:To review and analyze the cumulative two-year, Israeli experience with medical care for children victims of terrorism during the prehospital and hospital phases.Methods:Data were collected from the: (1) Magen David Adom National Emergency Medical System Registry (prehospital phase); (2) medical records from the authors’ institutions (pediatric triage); and (3) Israel Tr auma Registry (injury characteristics and utilization of in-hospital resources). Statistical analyses were performed as appropriate.Introduction:During the recent wave of violence in Israel and the surrounding region, hundreds of children have been exposed to and injured by terrorist attacks. There is a paucity of data on the epidemiology and management of terror-related trauma in the pediatric population and its effects on the healthcare system. This study focuses on four aspects of terrorism-related injuries: (1) tending to victims in the prehospital phase; (2) triage, with a description of a modified, pediatric triage algorithm; (3) characteristics of trauma-related injuries in children; and (4) utilization of in-hospital resources.Results:During the study period, 41 mass-casualty events (MCEs) were managed by Magen David Adom. Each event involved on average, 32 regular and nine mobile intensive care unit ambulances with 93 medics, 19 paramedics, and four physicians. Evacuation time was 5–10 minutes in urban areas and 15–20 minutes in rural areas. In most cases, victims were evacuated to multiple facilities. To improve efficiency and speed, the Magen David Adom introduced the use of well-trained “first-responders” and volunteer, off-duty professionals, in addition to “scoop and run” on-the-scene management. Because of differences in physiology and response between children and adults, a pediatric triage algorithm was developed using four categories instead of the usual three. Analysis of the injuries sustained by the 160 children hospitalized after these events indicates that most were caused by blasts and penetration by foreign objects. Sixty-five percent of the children had multiple injuries, and the proportion of critical to fatal injuries was high (18%). Compared to children with non-terrorism-related injuries, the terrorism-related group had a higher rate of surgical interventions, longer hospital stays, and greater needs for rehabilitation services.Conclusion:Terrorism-related injuries in children are severe and increase the demand for acute care. The modifications in the management of pedi-atric casualties from terrorism in Israel may contribute to the level of preparedness of medical and paramedical personnel to cope with future events. Further studies of other aspects of traumatic injuries, such as its short- and long-term psychological consequences, will provide a more comprehensive picture of the damage inflicted on children by acts of terrorism.

Sign in / Sign up

Export Citation Format

Share Document