Basic Disaster Life Support (BDLS) Training Improves First Responder Confidence to Face Mass-Casualty Incidents in Thailand

Deborah A. Kuhls, Paul J. Chestovich, Phillip L Coule, Dale M. Carrison, Charleston M. Chua, Nopadol Wora-Urai, Tavatchai Kanchanarin

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background Medical response to mass-casualty incidents (MCIs) requires specialized training and preparation. Basic Disaster Life Support (BDLS) is a course designed to prepare health care workers for a MCI. The purpose of this study was to evaluate the confidence of health care professionals in Thailand to face a MCI after participating in a BDLS course. Methods Basic Disaster Life Support was taught to health care professionals in Thailand in July 2008. Demographics and medical experience were recorded, and participants rated their confidence before and after the course using a five-point Likert scale in 11 pertinent MCI categories. Survey results were compiled and compared with P<.05 statistically significant. Results A total of 162 health care professionals completed the BDLS course and surveys, including 78 physicians, 70 nurses, and 14 other health care professionals. Combined confidence increased among all participants (2.1 to 3.8; +1.7; P<.001). Each occupation scored confidence increases in each measured area (P<.001). Nurses had significantly lower pre-course confidence but greater confidence increase, while physicians had higher pre-course confidence but lower confidence increase. Active duty military also had lower pre-course confidence with significantly greater confidence increases, while previous disaster courses or experience increased pre-course confidence but lower increase in confidence. Age and work experience did not influence confidence. Conclusion Basic Disaster Life Support significantly improves confidence to respond to MCI situations, but nurses and active duty military benefit the most from the course. Future courses should focus on these groups to prepare for MCIs. Kuhls DA, Chestovich PJ, Coule P, Carrison DM, Chua CM, Wora-Urai N, Kanchanarin T.

Original languageEnglish (US)
Pages (from-to)492-500
Number of pages9
JournalPrehospital and Disaster Medicine
Volume32
Issue number5
DOIs
StatePublished - Oct 1 2017

Fingerprint

Mass Casualty Incidents
Training Support
Disasters
Thailand
Delivery of Health Care
Nurses
Physicians
Focus Groups
Occupations
Demography

Keywords

  • BDLS
  • Thailand
  • disaster
  • training

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency

Cite this

Basic Disaster Life Support (BDLS) Training Improves First Responder Confidence to Face Mass-Casualty Incidents in Thailand. / Kuhls, Deborah A.; Chestovich, Paul J.; Coule, Phillip L; Carrison, Dale M.; Chua, Charleston M.; Wora-Urai, Nopadol; Kanchanarin, Tavatchai.

In: Prehospital and Disaster Medicine, Vol. 32, No. 5, 01.10.2017, p. 492-500.

Research output: Contribution to journalArticle

Kuhls, Deborah A. ; Chestovich, Paul J. ; Coule, Phillip L ; Carrison, Dale M. ; Chua, Charleston M. ; Wora-Urai, Nopadol ; Kanchanarin, Tavatchai. / Basic Disaster Life Support (BDLS) Training Improves First Responder Confidence to Face Mass-Casualty Incidents in Thailand. In: Prehospital and Disaster Medicine. 2017 ; Vol. 32, No. 5. pp. 492-500.
@article{b32e20f6fcc2467a9600869d4f9e598c,
title = "Basic Disaster Life Support (BDLS) Training Improves First Responder Confidence to Face Mass-Casualty Incidents in Thailand",
abstract = "Background Medical response to mass-casualty incidents (MCIs) requires specialized training and preparation. Basic Disaster Life Support (BDLS) is a course designed to prepare health care workers for a MCI. The purpose of this study was to evaluate the confidence of health care professionals in Thailand to face a MCI after participating in a BDLS course. Methods Basic Disaster Life Support was taught to health care professionals in Thailand in July 2008. Demographics and medical experience were recorded, and participants rated their confidence before and after the course using a five-point Likert scale in 11 pertinent MCI categories. Survey results were compiled and compared with P<.05 statistically significant. Results A total of 162 health care professionals completed the BDLS course and surveys, including 78 physicians, 70 nurses, and 14 other health care professionals. Combined confidence increased among all participants (2.1 to 3.8; +1.7; P<.001). Each occupation scored confidence increases in each measured area (P<.001). Nurses had significantly lower pre-course confidence but greater confidence increase, while physicians had higher pre-course confidence but lower confidence increase. Active duty military also had lower pre-course confidence with significantly greater confidence increases, while previous disaster courses or experience increased pre-course confidence but lower increase in confidence. Age and work experience did not influence confidence. Conclusion Basic Disaster Life Support significantly improves confidence to respond to MCI situations, but nurses and active duty military benefit the most from the course. Future courses should focus on these groups to prepare for MCIs. Kuhls DA, Chestovich PJ, Coule P, Carrison DM, Chua CM, Wora-Urai N, Kanchanarin T.",
keywords = "BDLS, Thailand, disaster, training",
author = "Kuhls, {Deborah A.} and Chestovich, {Paul J.} and Coule, {Phillip L} and Carrison, {Dale M.} and Chua, {Charleston M.} and Nopadol Wora-Urai and Tavatchai Kanchanarin",
year = "2017",
month = "10",
day = "1",
doi = "10.1017/S1049023X17006550",
language = "English (US)",
volume = "32",
pages = "492--500",
journal = "Prehospital and Disaster Medicine",
issn = "1049-023X",
publisher = "World Association for Disaster and Emergency Medicine",
number = "5",

}

TY - JOUR

T1 - Basic Disaster Life Support (BDLS) Training Improves First Responder Confidence to Face Mass-Casualty Incidents in Thailand

AU - Kuhls, Deborah A.

AU - Chestovich, Paul J.

AU - Coule, Phillip L

AU - Carrison, Dale M.

AU - Chua, Charleston M.

AU - Wora-Urai, Nopadol

AU - Kanchanarin, Tavatchai

PY - 2017/10/1

Y1 - 2017/10/1

N2 - Background Medical response to mass-casualty incidents (MCIs) requires specialized training and preparation. Basic Disaster Life Support (BDLS) is a course designed to prepare health care workers for a MCI. The purpose of this study was to evaluate the confidence of health care professionals in Thailand to face a MCI after participating in a BDLS course. Methods Basic Disaster Life Support was taught to health care professionals in Thailand in July 2008. Demographics and medical experience were recorded, and participants rated their confidence before and after the course using a five-point Likert scale in 11 pertinent MCI categories. Survey results were compiled and compared with P<.05 statistically significant. Results A total of 162 health care professionals completed the BDLS course and surveys, including 78 physicians, 70 nurses, and 14 other health care professionals. Combined confidence increased among all participants (2.1 to 3.8; +1.7; P<.001). Each occupation scored confidence increases in each measured area (P<.001). Nurses had significantly lower pre-course confidence but greater confidence increase, while physicians had higher pre-course confidence but lower confidence increase. Active duty military also had lower pre-course confidence with significantly greater confidence increases, while previous disaster courses or experience increased pre-course confidence but lower increase in confidence. Age and work experience did not influence confidence. Conclusion Basic Disaster Life Support significantly improves confidence to respond to MCI situations, but nurses and active duty military benefit the most from the course. Future courses should focus on these groups to prepare for MCIs. Kuhls DA, Chestovich PJ, Coule P, Carrison DM, Chua CM, Wora-Urai N, Kanchanarin T.

AB - Background Medical response to mass-casualty incidents (MCIs) requires specialized training and preparation. Basic Disaster Life Support (BDLS) is a course designed to prepare health care workers for a MCI. The purpose of this study was to evaluate the confidence of health care professionals in Thailand to face a MCI after participating in a BDLS course. Methods Basic Disaster Life Support was taught to health care professionals in Thailand in July 2008. Demographics and medical experience were recorded, and participants rated their confidence before and after the course using a five-point Likert scale in 11 pertinent MCI categories. Survey results were compiled and compared with P<.05 statistically significant. Results A total of 162 health care professionals completed the BDLS course and surveys, including 78 physicians, 70 nurses, and 14 other health care professionals. Combined confidence increased among all participants (2.1 to 3.8; +1.7; P<.001). Each occupation scored confidence increases in each measured area (P<.001). Nurses had significantly lower pre-course confidence but greater confidence increase, while physicians had higher pre-course confidence but lower confidence increase. Active duty military also had lower pre-course confidence with significantly greater confidence increases, while previous disaster courses or experience increased pre-course confidence but lower increase in confidence. Age and work experience did not influence confidence. Conclusion Basic Disaster Life Support significantly improves confidence to respond to MCI situations, but nurses and active duty military benefit the most from the course. Future courses should focus on these groups to prepare for MCIs. Kuhls DA, Chestovich PJ, Coule P, Carrison DM, Chua CM, Wora-Urai N, Kanchanarin T.

KW - BDLS

KW - Thailand

KW - disaster

KW - training

UR - http://www.scopus.com/inward/record.url?scp=85020710770&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85020710770&partnerID=8YFLogxK

U2 - 10.1017/S1049023X17006550

DO - 10.1017/S1049023X17006550

M3 - Article

C2 - 28606199

AN - SCOPUS:85020710770

VL - 32

SP - 492

EP - 500

JO - Prehospital and Disaster Medicine

JF - Prehospital and Disaster Medicine

SN - 1049-023X

IS - 5

ER -