Bekanntheitsgrad und Verbreitung von notfallmedizinischen Vorsichtungsalgorithmen in Deutschland
摘要
Prompt identification of critically ill or injured patients is crucial for the quality of care in the event of a mass casualty incident. Rapid triage systems should be used to achieve this goal. To date, no information is available about the regional distribution of and familiarity with these instruments in Germany.
ObjectiveThis study aims to provide an initial assessment of the triage systems established in Germany and their regional distribution based on information from paramedics and emergency physicians.
Materials and methodsAn online survey of sociodemographic data as well as knowledge of various algorithms and their practical use was conducted from May to September 2023 and distributed via social and private networks.
ResultsThe evaluation of n = 986 questionnaires, mostly from paramedics (44.6%) and physicians with additional training in emergency medicine (19.5%), showed that the regional distribution of triage systems in Germany is heterogeneous. Overall, 71.2% of the participants were familiar with the triage system implemented locally. Within the 12 months before the survey, 41.1% had received specific training on using these algorithms, while 44.0% had not used them at all or only once in an actual medical incident.
ConclusionSeven out of ten participants were aware of the locally implemented triage system. This number is considered high in international comparison. The regional distribution of triage systems in Germany is heterogeneous. Establishing a nationally uniform rapid triage system would correspond to international recommendations and was requested by the study participants.