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Testing the START Triage Protocol: Can It Improve the Ability of Nonmedical Personnel to Better Triage Patients During Disasters and Mass Casualties Incidents?

Badiali, S., Giugni, A., and Marcis, L. (2017). Testing the START Triage Protocol: Can It Improve the Ability of Nonmedical Personnel to Better Triage Patients During Disasters and Mass Casualties Incidents? (Abstract only.) Disaster Medicine and Public Health Preparedness. 11(3):305-309.

The authors evaluated whether "last-minute" START training of nonmedical ambulance personnel in Italy during a disaster or MCI (using data from a train system victim database as proxy) would result in more effective triage of patients. There was significant improvement in accuracy, and less over- and under-triage for evaluations performed by the group that received just-in-time training on the START protocol. (Note that validation was against the tool itself, making it unclear whether it improved victim triage.)
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