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

Hartman, Ethan N; Daines, Benjamin; Seto, Christina; Shimshoni, Deborah; Feldman, Madison E; LaBrunda, Michelle

doi:10.7759/cureus.10572

Cited by 3 publications

(7 citation statements)

References 28 publications

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“…In this, a fast reaction, sufficient coordination, and the accessibility of innovative biodosimetry is required. Clinical triage following an atomic explosion ought to be a stepwise cycle, where the principal point is abbreviated as “SALT”- Sort, Assess, Lifesaving Interventions, Treatment/Transport [ 29 ]. In the military, operational organizers use ‘parts’ to characterize the four levels where military clinical help is coordinated on a reformist premise to lead triage evaluation, quick treatment, evacuation, resupply, and capacities basic to the upkeep of health [ 30 ].…”

Section: Triage and Categorizationmentioning

confidence: 99%

Nuclear and Radiological Emergencies: Biological Effects, Countermeasures and Biodosimetry

et al. 2022

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Atomic and radiological crises can be caused by accidents, military activities, terrorist assaults involving atomic installations, the explosion of nuclear devices, or the utilization of concealed radiation exposure devices. Direct damage is caused when radiation interacts directly with cellular components. Indirect effects are mainly caused by the generation of reactive oxygen species due to radiolysis of water molecules. Acute and persistent oxidative stress associates to radiation-induced biological damages. Biological impacts of atomic radiation exposure can be deterministic (in a period range a posteriori of the event and because of destructive tissue/organ harm) or stochastic (irregular, for example cell mutation related pathologies and heritable infections). Potential countermeasures according to a specific scenario require considering basic issues, e.g., the type of radiation, people directly affected and first responders, range of doses received and whether the exposure or contamination has affected the total body or is partial. This review focuses on available medical countermeasures (radioprotectors, radiomitigators, radionuclide scavengers), biodosimetry (biological and biophysical techniques that can be quantitatively correlated with the magnitude of the radiation dose received), and strategies to implement the response to an accidental radiation exposure. In the case of large-scale atomic or radiological events, the most ideal choice for triage, dose assessment and victim classification, is the utilization of global biodosimetry networks, in combination with the automation of strategies based on modular platforms.

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Section: Triage and Categorizationmentioning

confidence: 99%

Nuclear and Radiological Emergencies: Biological Effects, Countermeasures and Biodosimetry

et al. 2022

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“…Researchers (2020), in a systematic review of 22 articles published from 2015 to 2019 about the use of simulators in the diagnosis of diseases, showed that artificial intelligence techniques were an excellent method in diagnosing chronic diseases that could affect the quality of patient care and reduce medical costs. [ 16 ]…”

Section: Resultsmentioning

confidence: 99%

“…Artificial intelligence algorithms are currently being used to enable faster prediction and diagnosis of diseases and improve patients' outcomes. [ 16 ]…”

Section: Resultsmentioning

confidence: 99%

Benefits of simulation-based education in hospital emergency departments

Moslehi

Masoumi

Shirazi

2022

Journal of Education and Health Promotion

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BACKGROUND: The emergency department is one of the most important parts of all hospitals. For this reason, many simulation programs are performed in this department to increase the knowledge, skills, and productivity of health-care workers. The purpose of this study was to identify the benefits of simulation in hospital emergency departments. MATERIALS AND METHODS: In the present systematic study, using “AND” and “OR” operators, we searched for the keywords “benefits,” “simulation,” and “hospital emergency department” in PubMed, Web of Science, Scopus, Google Scholar as well as Persian language databases such SID, Magiran, Irandoc, and Iran Medex. Then, a three-step screening process was used to select studies relevant to simulation and hospital emergency from 2005 to 2021 using the PRISMA checklist, and finally, the obtained data were analyzed. RESULTS: A total of three main groups, each with several subgroups, were extracted and identified as the benefits of using simulation in hospital emergency departments. They included improving the diagnosis of the disease (rapid prediction of the disease, rapid diagnosis, and patient triage), improving the treatment process (improvement of treatment results, anticipation of admission and discharge of patients, acceleration of interventions, and reduction of medical errors), and improving knowledge and skills (improvement of the speed of decision-making, staff's acquisition of knowledge and skills, simple, convenient, and low-cost training, improvement of staff's preparedness in crisis). CONCLUSION: Based on the results of the present study, it is suggested to develop some training programs in order to help staff upgrade their knowledge and performance as well as acquire practical skills and also to improve the diagnosis and treatment process in hospital emergency departments. Virtual methods are also proposed to be applied as potential and cost-effective platforms for learning, teaching, and evaluating the staff of hospital emergency departments.

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“…Of the remaining 97 included articles, 13–110 47 discussed competencies, 16–19,24,29–39,41–44,46–55,71,84,90,91,95,96,99,100,103–110 and were split between 2 authors to extract data into an Excel database (Microsoft Corp., Redmond, Washington, USA) that was developed using themes and subthemes from MCI exercise publications to derive statements for the mD. 111–115 (Supplemental Digital Content link to Excel database)…”

Section: Methodsmentioning

confidence: 99%

“…13–110 Specifically discussing competencies. 16–19,24,29–39,41–44,46–55,71,84,90,91,95,96,99,100,103–110 …”

Section: Introductionmentioning

confidence: 99%

The Challenge of Mass Casualty Incident Response Simulation Exercise Design and Creation: A Modified Delphi Study

Weinstein

Bortolin

Lamine

et al. 2023

Disaster med. public health prep.

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Background: A Mass Casualty Incident response (MCI) full scale exercise (FSEx) assures MCI first responder (FR) competencies. Simulation and serious gaming platforms (Simulation) have been considered to achieve and maintain FR competencies. The translational science (TS) T0 question was asked: how can FRs achieve similar MCI competencies as a FSEx through the use of MCI simulation exercises? Methods: T1 stage (Scoping Review): PRISMA-ScR was conducted to develop statements for the T2 stage modified Delphi (mD) study. 1320 reference titles and abstracts were reviewed with 215 full articles progressing for full review leading to 97 undergoing data extraction. T2 stage (mD study): Selected experts were presented with 27 statements derived from T1 data with instruction to rank each statement on a 7-point linear numeric scale, where 1 = disagree and 7 = agree. Consensus amongst experts was defined as a standard deviation ≤ 1.0. Results: After 3 mD rounds, 19 statements attained consensus and 8 did not attain consensus. Conclusions: MCI simulation exercises can be developed to achieve similar competencies as FSEx by incorporating the 19 statements that attained consensus through the TS stages of a scoping review (T1) and mD study (T2), and continuing to T3 implementation, and then T4 evaluation stages.

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

Abstract: Open Access Original Article

Cited by 3 publications

References 28 publications

Nuclear and Radiological Emergencies: Biological Effects, Countermeasures and Biodosimetry

Nuclear and Radiological Emergencies: Biological Effects, Countermeasures and Biodosimetry

Benefits of simulation-based education in hospital emergency departments

The Challenge of Mass Casualty Incident Response Simulation Exercise Design and Creation: A Modified Delphi Study

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