Mass Casualty Triage and Tagging Scenario in the Pre-hospital Setting Simulated Event

Ko, Paul; Escobar, Shaunna L.; Wallus, Harry; Knych, M.; Rossettie, Anthony S.; Dunham, Christopher A.; Scott, Jay M

doi:10.15766/mep_2374-8265.9264

Cited by 2 publications

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“…Other simulated MCI exercises, such as that by Ko et al, 13 have been conducted; however, our format is unique and allows for learning to occur for a broader and larger audience. The unique SimWars format coupled with active audience participation has not been reported thus far in the literature.…”

Section: Introductionmentioning

confidence: 99%

A Simulated Mass Casualty Incident Triage Exercise: SimWars

et al. 2019

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Introduction This multipatient simulation exercise encompasses triage by hospital medical providers during a mass casualty incident (MCI) involving gas line explosion with building collapse. The SimWars format allows two teams to participate in identical simulations coupled with active audience observation, followed by facilitated group discussion. The exercise requires real-time knowledge application of MCI management and helps learners develop a framework for rapidly classifying and dispositioning MCI patients. Methods Two teams of provider pairs completed MCI triage of 12 simulated patients in 8 minutes with an objective of quickly and accurately dispositioning within hospital bed availability. Participants included emergency medicine and surgery physicians, with active observation by mixed provider audiences. Observers completed a checklist per patient (category: urgent/emergent/not emergent, disposition: bed type/location). At simulation conclusion, a 45-minute facilitated discussion compared observers’ self-assessment of MCI patient management with the simulation teams’ decisions. Finally, an expert panel discussed management decisions and MCI triage pearls. Results Team performances ( N = 4) and audience responses ( N = 164) were similar on seven of 12 patients, allowing robust discussion. Participants completed an evaluation at exercise conclusion; 37% reported good/excellent ability to accomplish MCI initial triage and disposition before this exercise compared to 100% after, a statistically significant 63% increase. All postsurvey respondents agreed or strongly agreed that the exercise would change their MCI clinical practice. Discussion The two-team format allows comparison of how different teams handle MCI triage, and active observation allows comparison of audience and team decision making.

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Section: Introductionmentioning

confidence: 99%

A Simulated Mass Casualty Incident Triage Exercise: SimWars

et al. 2019

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“…Emergency medicine is often at the forefront of responding to MCI, and responding effectively is crucial to minimizing the morbidity and mortality of patients while maximizing available resources. While simulation cases that address MCI triage have been published [ 8 , 9 ], to our knowledge, one focused on pediatric MCI triage does not yet exist. We aim to use this simulation to teach the principles of the JumpSTART algorithm in the emergency department setting, to better understand the triage initially performed by prehospital professionals in the field, and to put into practice a novel application of this tool for secondary triage in the hospital.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Emergency Medicine Didactics and Simulation: JumpSTART Secondary Triage for Mass Casualty Incidents

Tan¹,

Shin²,

Park³

et al. 2023

Cureus

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Mass casualty incidents (MCI), particularly involving pediatric patients, are high-risk, low-frequency occurrences that require exceptional emergency arrangements and advanced preparation. In the aftermath of an MCI, it is essential for medical personnel to accurately and promptly triage patients according to their acuity and urgency for care. As first responders bring patients from the field to the hospital, medical personnel are responsible for prompt secondary triage of these patients to appropriately delegate hospital resources. The JumpSTART triage algorithm (a variation of the Simple Triage and Rapid Treatment, or START, triage system) was originally designed for prehospital triage by prehospital providers but can also be used for secondary triage in the emergency department setting. This technical report describes a novel simulation-based curriculum for pediatric emergency medicine residents, fellows, and attendings involving the secondary triage of patients in the aftermath of an MCI in the emergency department. This curriculum highlights the importance of the JumpSTART triage algorithm and how to effectively implement it in the MCI setting.

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Mass Casualty Triage and Tagging Scenario in the Pre-hospital Setting Simulated Event

Cited by 2 publications

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A Simulated Mass Casualty Incident Triage Exercise: SimWars

A Simulated Mass Casualty Incident Triage Exercise: SimWars

Pediatric Emergency Medicine Didactics and Simulation: JumpSTART Secondary Triage for Mass Casualty Incidents

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