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Measurement of the Effectiveness of a Screening Tool to Detect Injuries and Improve Readiness Among Combat Medic Students

出版	U.S. Army Medical Department Center and School, 2002
URL	http://books.google.com.hk/books?id=tj6F0AEACAAJ&hl=&source=gbs_api

註釋Injury rates among Combat Medic Advanced Individual Training have been reported to be approximately 24% for men and 24-30% for women. The highest rate of Initial injury incidence for men and women occurs during the first week of training, possibly due to students arriving with injuries or symptoms that can quickly progress to an injury. This evaluation was designed to assess whether early screening and intervention would reduce the number of students on limited duty profile, trim down limited duty days, or decrease end-of-cycle holdovers due to musculoskeletal injury. Early screening and intervention was defined as identifying and referring at risk students to health care professionals, prior to beginning traditional physical training. Students (N = 291) from one company were divided into three groups. Students from the first group was screened and referred for early evaluation and intervention by health care providers (HCP) using a newly developed screening tool. Students in the second group were screened by drill sergeants (DS) using the new tool. Those in the third group followed the traditional methods for entering the medical system. Results revealed that both HCPs and DSs could accurately identify students with injuries (92% and 80% respectively). The screening and referral process did not reduce the number of students receiving a limited duty profile, the length of the profiles, or the holdover rate (p> 0.05). Other findings included an overall injury rate of 34% with approximately 40% of injured students either arriving with an injury or sustaining an injury shortly after arrival. Although formal screening of students is not recommended, it is suggested that leaders encourage students to seek medical attention during the early part of their training for signs and symptoms indicative of injury.