Analysis of performance and stress caused by a simulation of a mass casualty incident

Sort, Assess, Life-Saving Intervention, Triage With Drone Assistance in Mass Casualty Simulation: Analysis of Educational Efficacy

“…Pedagogical studies have demonstrated that a small amount of anxiety is needed to perform well on performance exams, but too much anxiety was detrimental to performance. A similar principle has been noted in MCI simulation [22][23][24]. Few studies have examined selfreported levels of stress in mass casualty simulation.…”

“…In this study, confidence is defined as the perception of one's own ability to triage appropriately using SALT protocol. As in all training, post-training confidence is an important marker of perceived training effectiveness [22][23][24]. Confidence improved significantly in participants from pre-simulation to post-simulation.…”

“…Stress is an important aspect of simulation quality that correlates to overall educational experience and quality [22]. Mass casualty simulation is meant to be inherently stressful, which contributes to the overall realism of the training [2,5,[22][23][24]. Although there are few data measuring stress during mass casualty simulation, it is probable that if an individual can triage accurately in a stressful simulation, the individual is more likely to triage accurately in a true emergency.…”

“…In the setting of MCI simulation triage, confidence among participants is a subjective measure of how accurately participants believe they can triage using a given triage protocol. Effective simulation increases confidence in participants' ability to carry out simulation-specific tasks, and MCI simulation participants are more confident in their ability to respond to medical emergencies after MCI simulations [22,24]. A high-quality simulation is therefore one that gives participants the confidence to reproduce the skills they learn through simulation training.…”

<p>Mass Casualty Shootings and Emergency Preparedness: A Multidisciplinary Approach for an Unpredictable Event</p>

“…Simulation exercises have been shown to produce stress in participants, with the most stress being seen with those responsible for triage. Despite this stress, participants have performed effectively and efficiently despite any reported higher stress level 52. Long-term retention of skills learned during simulation exercises is an area that is both lacking and conflicting in current research.…”