Greetings from the Pediatric Research in Disaster Education (PRIDE) Team, and NEDARC. We are conducting of Pediatric Disaster Triage strategies, education, and experiences. We will use the data to create the first report of Pediatric Disaster Triage practices nationally.
You have been selected as a key respondent for the survey because of your experience and expertise in emergency medical services. This survey should take no more than five minutes to complete. As a
token of thanks for completing the survey, you will receive a $5 gift card.
1. What is the job title for your current position?
2. In what state or U.S. territory do you work?
3. To your knowledge, what Pediatric Disaster Triage strategy or strategies are used in your state (or territory)? (Choose all that apply)
*
*
6
*
JumpSTART (Simple Triage and Rapid Treatment) g
f e d c
Smart System g
f e d c
SALT g f e d c
Sacco Triage Method g
f e d c
Care Flight g
f e d c
Triage Sieve g
f e d c
Clinical judgment of the triage officer g
f e d c
No specific strategy g
f e d c
I do not know what strategy is used in my state or territory g
f e d c
Other (please specify)
4. To your knowledge, how long has the current Pediatric Disaster Triage strategy or strategies been used in
your state or territory?
5. If your state considering adoption of a Pediatric Disaster Triage strategy at this time, what
strategy/strategies are you considering? (Select all that apply)
*
JumpSTART (Simple Triage and
Rapid Treatment)
Smart System SALT Sacco Triage
Method Care Flight Triage Sieve
Clinical judgment of
the triage officer
No specific strategy
N/A, this strategy is not used
g f e d
c gfedc gfedc gfedc gfedc gfedc gfedc gfedc
<1 year gfedc gfedc gfedc gfedc gfedc gfedc gfedc gfedc
12 years gfedc gfedc gfedc gfedc gfedc gfedc gfedc gfedc
35 years gfedc gfedc gfedc gfedc gfedc gfedc gfedc gfedc
610 years gfedc gfedc gfedc gfedc gfedc gfedc gfedc gfedc
11+ years gfedc gfedc gfedc gfedc gfedc gfedc gfedc gfedc
Other (please specify)
JumpSTART g
f e d c
Smart System g
f e d c
SALT g f e d c
Sacco Triage Method g
f e d c
Care Flight g
f e d c
Triage Sieve g
f e d c
Clinical judgment of the triage officer g
f e d c
No specific strategy g
f e d c
I am not aware if my state is adopting a specific strategy g
f e d c
6. What is your personal level of satisfaction with the current Pediatric Disaster Triage strategies used in
your state or territory?
7. Which of the Pediatric Disaster Triage strategies do YOU personally think is most effective?
Highly satisfied Satisfied Neither satisfied
nor dissatisfied Dissatisfied Highly dissatisfied
There is currently no specific pediatric disaster
triage strategy What is your level of
satisfaction with the current strategy?
n m l k
j nmlkj nmlkj nmlkj nmlkj nmlkj
JumpSTART n
m l k j
Smart System n
m l k j
SALT n m l k j
Sacco Triage Method n
m l k j
Care Flight n
m l k j
Triage Sieve n
m l k j
Clinical judgment of the triage officer n
m l k j
No specific preference n
m l k j
Other (please specify)
8. To your knowledge, what type of Pediatric Disaster Triage training is used in your state (or territory)?
(Select all that apply)
9. Considering a typical EMS agency in your state or territory,please estimate how many pediatric patients
would stress the EMS system, requiring the use of Pediatric Disaster Triage?
*
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1) Lectures and other didactics g
f e d c
2) Table top exercises g
f e d c
3) Local drills g
f e d c
4) Health systemwide exercises g
f e d c
5) Municipal exercises g
f e d c
6) Exercises at the EMS region level g
f e d c
7) Statewide exercises g
f e d c
8) Exercises at your annual state EMS or EMSC conference g
f e d c
9) None g
f e d c
I do not know what type of training is available g
f e d c
Other (please specify)
55 66
13 n m l k j
47 n m l k j
811 n m l k j
1215 n m l k j
1520 n m l k j
Greater than 20 n
m l k j
10. To your knowledge, in the last two years, how many times, if any, has a Pediatric Disaster Triage strategy been used in your state for an actual disaster event?
11. If a Pediatric Disaster Triage strategy has been used in your state in the last two years, what was the
nature of the incident(s)?
(Select all that apply)
12. Do you have any additional comments or insights about Pediatric Disaster Triage?
55 66 0
n m l k j
1 n m l k j
2 n m l k j
3 n m l k j
4 n m l k j
5 n m l k j
610 n m l k j
1115 n m l k j
1620 n m l k j
21+
n m l k j
Blizzard g
f e d c
Earthquake g
f e d c
Flood g f e d c
Structural fire or explosion g
f e d c
Hurricane g
f e d c
Influenza pandemic g
f e d c
Landslide g
f e d c
Motor vehicle collision g
f e d c
School shooting g
f e d c
Terrorism g
f e d c
Tornado g
f e d c
Wild fire g
f e d c
Other (please specify)
13. We appreciate your time completing this survey. May we contact you if we have
additional questions about the survey? If so, please provide your email address in the box below.
END OF SURVEY, PLEASE BE SURE TO CLICK ON DONE BUTTON BELOW TO RECORD YOUR ANSWERS