Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A randomised study on the comparative performance of German paramedics after technical versus non-technical skills training.

GMS journal for medical education·2026
Same author

[Muscle relaxation and neuromuscular monitoring : Current findings and recommendations for the clinical practice].

Die Anaesthesiologie·2026
Same author

[Muscle relaxation 2026-50 years of searching for the ideal relaxant].

Die Anaesthesiologie·2026
Same author

[The mindset of anesthesiologists while performing surgical airway management].

Die Anaesthesiologie·2026
Same author

Oropharyngeal leak pressure of the Ambu® AuraGain™ versus Flexicare® LarySeal™ Pro in ophthalmic surgery: a randomized controlled trial.

Minerva anestesiologica·2026
Same author

[Anesthesiology as an integrative cross-sectional discipline of clinical resilience-What hospitals must anticipate now for high-load operations].

Die Anaesthesiologie·2026

Related Experiment Video

Updated: Jul 3, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
07:31

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Published on: May 15, 2020

A novel laypeople mass-casualty assessment algorithm: LACA.

Jan Carlo Del Tedesco1, Lion Sieg1, Axel R Heller2

  • 1Department of Anaesthesiology and Intensive Care Medicine, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany.

International Journal of Emergency Medicine
|July 2, 2026
PubMed
Summary

A new algorithm, LACA (Layperson Casualty Assessment), offers laypeople a simple way to assess mass casualty incidents. While it requires established triage algorithms for final patient survival, LACA improves initial operational tactics and resource allocation.

Keywords:
Emergency medicineMass casualty incident; Disaster medicinePRIORSTARTSituational awareness; Decision support algorithmTriagemSTART

More Related Videos

Integrated Compensatory Responses in a Human Model of Hemorrhage
07:57

Integrated Compensatory Responses in a Human Model of Hemorrhage

Published on: November 20, 2016

Computerized Adaptive Testing System of Functional Assessment of Stroke
05:21

Computerized Adaptive Testing System of Functional Assessment of Stroke

Published on: January 7, 2019

Related Experiment Videos

Last Updated: Jul 3, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
07:31

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Published on: May 15, 2020

Integrated Compensatory Responses in a Human Model of Hemorrhage
07:57

Integrated Compensatory Responses in a Human Model of Hemorrhage

Published on: November 20, 2016

Computerized Adaptive Testing System of Functional Assessment of Stroke
05:21

Computerized Adaptive Testing System of Functional Assessment of Stroke

Published on: January 7, 2019

Area of Science:

  • Emergency Medicine
  • Disaster Response
  • Public Health

Background:

  • Laypeople are often the first responders at mass casualty incidents (MCIs) but lack input into early operational tactics.
  • A simple, layperson-friendly algorithm could enhance information gathering for initial response strategies, particularly for resource allocation.

Purpose of the Study:

  • To evaluate the effectiveness of the new Layperson Casualty Assessment (LACA) algorithm for initial MCI assessment.
  • To compare LACA's performance against established triage algorithms (mSTaRT, PRIOR) using a validated mass casualty dataset.

Main Methods:

  • Generated 20-patient sets from a validated mass casualty dataset for algorithm comparison.
  • Assessed algorithm performance using Cronbach's Kappa, specificity, sensitivity, and over/underassessment metrics.
  • Quantified information loss using Kullback-Leibler-Divergence (DKL).

Main Results:

  • LACA demonstrated moderate severity correlation (Cohen's Kappa = 0.469), lower than mSTaRT or PRIOR.
  • LACA exhibited the highest underassessment rate among the evaluated algorithms.
  • Adjusted information loss with LACA was significantly reduced to DKL = 0.0002 bits.

Conclusions:

  • The LACA algorithm provides a practical, layperson-friendly tool for initial assessment in mass casualty incidents, supporting early operational decisions.
  • LACA enables emergency dispatch centers to tailor resource mobilization based on structured layperson-provided information.
  • For optimal individual survival, LACA should be followed by established triage algorithms (e.g., mSTaRT, PRIOR) applied by trained personnel.