Emergency Medical Services, Triage
Conditions
Brief summary
The Swiss Emergency Triage Scale (SETS) in used for triage in emergency departments in Switzerland, France and Belgium. No validated triage scale is actually used by Emergency Medical Service (EMS) providers. The objective of this project is to evaluate the reliability and performance of triage by EMS providers with the SETS.
Detailed description
The Swiss Emergency Triage Scale (SETS) in used for triage in emergency departments in Switzerland, France and Belgium. No validated triage scale is actually used by EMS providers. The objective of this project is to evaluate the reliability and performance of triage by EMS providers with the SETS. In order to perform this evaluation a cohort of 22 EMS providers will evaluate 28 standardized clinical scenarios using a computer simulator.
Interventions
A mobile triage system used by EMS providers will be evaluated using standardized clinical vignettes
Sponsors
Study design
Eligibility
Inclusion criteria
* All EMS providers employed by a private ambulance company in the State of Geneva, Switzerland
Exclusion criteria
* Not giving informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Emergency level (1 to 4) accordingly to the SETS | 1 day: all computeriez vignettes will be evaluated during a one-day session in November 2015. | Each participant will attribute an emergency level (1 to 4) to all clinical vignettes accordingly to SETS criteria. Reliability will be evaluated by computing inter-rater reliability using Kappa statistics. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Correct emergency triage level identification | 1 day: all computeriez vignettes will be evaluated during a one-day session in November 2015. | Triage levels attributed by EMS providers will be compared with triage levels attributed by experts |
| Proper orientation | 1 day: all computeriez vignettes will be evaluated during a one-day session in November 2015. | At the end of triage process, EMS providers have to decide in which hospitals the patients should be admitted. These orientations given by EMS providers will be compared with orientations attributed by experts |
Countries
Switzerland