新たに考案したトリアージタッグ書式の有用性―消防庁書式との比較検討―

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タイトル別名
  • Usefulness of Our Proposed Format of Triage Tag
  • 消防庁書式との比較検討

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In Japan, the triage tag devised by the Fire and Disaster Management Agency (FDMA) is in general use countrywide. However, in a triage simulation practice, it was difficult for inexperienced personnel to record pertinent information owing to the tag's complicated format. Therefore, we proposed a new format tag, after attempting to standardize the triage method. We adopted a modified START (Simple Triage and Rapid Treatment) method for primary triage and a method based on “Evaluation of Emergencies and Severity of Injury and Standards for Hospital Selection” advocated by JATEC (Japan Advanced Trauma Evaluation and Care) and JPTEC (Japan Prehospital Trauma Evaluation and Care) for secondary triage. Procedures of the modified START method and standards of triage assessment are described clearly on the front of the new triage tag. The back has column in which physiologic evaluation, anatomic evaluation, and treatments can be described over time. Moreover, the standard by which a victim is considered a first priority is described. In the present study, we used our proposed format tag and the FDMA format tag in a triage simulation. We analyzed the information recorded and the frequency at which information was recorded, triage accuracy, and results of a questionnaire completed by participants after the simulation. The data were classified according to the triage tag that was used and compared statistically. The participants were 80 paramedical students. Prior to the simulation, we taught them the standardized method of triage. In primary triage, the reason for triage was recorded significantly more frequently on our proposed format tag than on the FDMA format tag. In secondary triage, vital signs and levels of consciousness were recorded significantly more frequently on our proposed format tag than on the FDMA format tag. Accuracy of primary triage with our proposed format tag was significantly higher than that with the FDMA format tag. In secondary triage, there was no significant difference between the two tags in triage accuracy. On the questionnaire, participants gave our proposed format tag a high rating. We conclude that by using our proposed format tag with the standardized triage method, medical personnel may evaluate victims more accurately, and it may be easier to confirm pertinent information such as vital signs.

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