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http://dx.doi.org/10.14408/KJEMS.2022.26.3.121

Development and evaluation of training protocols for mass casualty incidents during disaster response  

Ju-Ho, Park (Geumho Firehouse, Yeongcheon Fire Station)
Seung-Woo, Han (Department of Emergency Medical Technology, Kyungil University)
Publication Information
The Korean Journal of Emergency Medical Services / v.26, no.3, 2022 , pp. 121-135 More about this Journal
Abstract
Purpose: The purpose of this study was to develop a training protocol to standardize the management of mass casualties as part of the disaster response, and to verify the effectiveness of the training protocol. Methods: The study was conducted as a quasi-experimental study with a non-equivalent control group and pretest-posttest design. The protocol was divided into 5 parts, the first for the advance party, the second for the rescue team, the third for the paramedic team, the fourth for the ambulance team, and the fifth for the 119 EMS team. This study was conducted on November 15, 2021 and consisted of 21 subjects in the final experimental group and 23 subjects in the control group. In this study, the prior homogeneity test was analyzed using the χ2-test, intragroup comparisons were analyzed using the paired t-test, and intragroup comparisons were analyzed using the independent t-test. Results: The protocol was developed in five parts: advance party, rescue team, paramedics team, ambulance team, and 119 EMS team. In verifying the effectiveness of the protocol, it was found that there were significant differences in self-efficacy (t=-0.941, p=0.001) and self confidence within the group (t=-0.025, p=0.001) after the implementation of the mass casualty incident response training program. However, there was no significant difference between the experimental and control groups. Conclusion: Based on the findings of this study, it is believed that disaster response personnel can experience lower levels of anxiety and tension in disaster situations if they receive practical and realistic education and training. In the future, it is necessary to enhance protocol based practical education that can improve the knowledge and skills of each team and individual.
Keywords
Mass casualty incident; Disaster; MCI protocol; Fire fighter;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
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1 Ham SH, A Study on Restructuring of Fire Fighting, Graduate School University of SEOUL 2015, Seoul, Korea. http://www.riss.kr/link?id=T13665507
2 Youn SM. The Impact of the government's earthquake disaster response capabilities and the legal and institutional appropriateness of the disaster management system on the operational performance of disaster management : focused on fire officer's consciousness. Journal of the Society of Disaster Information 2020;16(2):318-30. https://doi.org/10.15683/kosdi.2020.06.30.318   DOI
3 Korea Ministry of Health & Welfare, 2012. Report of the design of national medical response system and standard manual.
4 National Fire Agency, Mass casualty occurrence disaster 119 emergency response standard manual, 2022, Sejong. Korea.
5 Chae J, Yun SJ. Study on effective response plans for disaster sites with multiple casualties. Fire Science Engineering 2021;35(6):118-26. https://doi.org/10.7731/KIFSE.f318653a   DOI
6 Choi YJ, Koo WH, Baek MH. A study on the consciousness survey of improvement of emergency rescue training-based on the fire fighting organizations in Gangwon Province-. Journal of the Korea Society of Disaster Information 2019;15(3):440-9. https://doi.org/10.15683/kosdi.2019.09.30.440   DOI
7 Yu M, Kim EY, Kim JK, Lee YJ. Development of a simulation program related to patient safety: focusing on medication error. J Korean Acad Nurs Adm 2021;27(2):107-17. https://doi.org/10.11111/jkana.2021.27.2.107   DOI
8 Legemaate GG, Burkle FM, Bierens JJ. The evaluation of research methods during disaster exercises: applicability for improving disaster health management. Prehosp Disaster Med 2012;27(1):18-26. https://doi.org/10.1017/S1049023X11006789   DOI
9 Guilford JP, Fruchter B. Fundamental statistics in psychology and education. Singapore: McGraw-Hill 1981.
10 Cohen, J. Statistical power analysis for the behavioral sciences. 2nd ed.. Hillsdale, NJ: Erlbaum; 1988.
11 Li HY, Bi RX, Zhong QL. The development and psychometric testing of a disaster response self-efficacy scale among undergraduate nursing students. Nurse Educ Today 2017;59:16-20. https://doi.org/10.1016/j.nedt.2017.07.009   DOI
12 Nypaver, Mary Catherine, "Disaster education for nurses: A comparison of two instructional methods for teaching basic disaster life support in the light of self-efficacy theory." Unpublished PhD dissertation, University of Tennessee 2011. Knoxville,TN, U.S.A.
13 Chae MJ, Choi SH. Effectiveness of student learning with a simulation program focusing on cardiac arrest in knowledge, self-confidence, critical thinking, and clinical performance ability. Korean J Adult Nurs 2016;28(4):447-58. https://doi.org/10.7475/kjan.2016.28.4.447   DOI
14 Lee HJ. Effects of convergence-based simulation education on the problem solving ability, self-efficacy and performance confidence of core fundamental nursing skill for nursing students. Journal of Convergence for Information Technology 2020;10(1):44-50. https://doi.org/10.22156/CS4SMB.2020.10.01.044   DOI
15 McNaughton J. The humanities in medical education: context, outcomes and structures. Med Humanit 2000;26(1):23-30. https://doi.org/10.1136/mh.26.1.23   DOI
16 Kim HJ, Park IH. Effects of simulation-based practice using a standardized patient on novice nursing students. Journal of Korean Society for Simulation in Nursing 2018;6(1):13-24. https://doi.org/10.17333/JKSSN.2018.6.1.13   DOI
17 Park JC, Baek MH. A Study on the Satisfaction of Non Face to Face Real Time Education Focused on Firefighter in COVID-19. Journal of the Society of Disaster Information 2022;18(1):91-103. https://doi.org/10.15683/kosdi.2022.3.31.091   DOI
18 Kim JS, Kong JH, Choi SN, Kim SS, Jung EY. Development and effect of simulation-based disaster nursing education program for nursing college students. Journal of Korean Society for Simulation in Nursing 2019;7(1):31-43. https://doi.org/10.17333/JKSSN.2019.7.1.31   DOI
19 An MJ, Cho HN, Hwang YY. Development and effects of a simulation-based convergence practicum education program for nursing seniors. Journal of Convergence for Information Technology 2019;9(10):16-27. https://doi.org/10.22156/CS4SMB.2019.9.10.016   DOI