Background<br>Rapid triage is a mainstay of early mass casualty incident<br>(MCI) management. For this purpose, triage protocols<br>have been developed, which aim at both standardizing<br>patient assessment, and enhancing triage validity and<br>reliability. To date, there is limited evidence concerning<br>many important aspects of MCI triage, of which the lack<br>of an evidence based training concept is one.<br>While in the literature there is some information available on study associated initial triage training, [1–5] little<br>is known concerning the question what is the minimum<br>or optimal extent and timing of triage re-training. Sinceion of Emergency Medical Services (EMS) personnel is<br>limited, an educational concept supported by scientific<br>data is warranted.<br>In this study, the authors investigated the changes of<br>triage performance over time subsequent to initial training, as well as the effect of a brief re-training session.<br>The Amberg-Schwandorf Algorithm for Primary Triage<br>(ASAV, Amberg-Schwandorf-Algorithmus für die Vorsichtung)<br>(Fig. 1) served as triage algorithm for this purpose [3, 4, 6].
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