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Emergency medical technicians' disaster training by tabletop exercise.

C H Chi1, W H Chao, C C Chuang

  • 1Department of Emergency Medicine, National Cheng Kung University Hospital, Tainan City, Taiwan. chich61@ms8.hinet.net

The American Journal of Emergency Medicine
|September 14, 2001
PubMed
Summary

Tabletop drills enhance emergency medical technician (EMT) disaster preparedness and management perception more effectively than field exercises. These simulations improve evaluation of critical response elements and personnel adaptability.

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Area of Science:

  • Emergency Medicine
  • Disaster Management
  • Medical Education

Background:

  • Emergency Medical Technicians (EMTs) require robust training for disaster preparedness.
  • Field exercises have limitations in simulating complex disaster scenarios and evaluating response effectiveness.
  • Tabletop drills offer a controlled environment to assess disaster response capabilities.

Purpose of the Study:

  • To evaluate EMT attitudes towards tabletop drills.
  • To determine the impact of tabletop simulation on EMTs' perception of disaster preparedness and management.
  • To compare the effectiveness of tabletop drills versus field exercises in disaster training.

Main Methods:

  • A cohort of 59 firefighters undergoing EMT training participated.
  • Participants completed a 9-item questionnaire before and after tabletop drills.

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  • Training included a disaster and mass-casualty incident program.

    • Main Results:

    • Field exercises inadequately linked disaster exercise outcomes to training, equipment, and planning improvements.
    • Field operations failed to assess the ability of personnel to cover for absent key officials.
    • Tabletop drills demonstrated superior performance in evaluating personnel coverage and response without unreliable communication methods like telephones.

    Conclusions:

    • Tabletop drills offer significant advantages over field exercises for disaster preparedness training.
    • Tabletop simulations better address critical issues such as communication, coordination, and responsibility assignment.
    • Further large-scale evaluations of different drill types are recommended for optimizing future disaster preparedness programs.